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The 2023 Medicare Advantage Plans in Montgomery County IN.



2022 Montgomery County Indiana
Medicare Advantage Plans

There are 38 Medicare Advantage Plans available in Montgomery County IN from 10 different health insurance providers. 15 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2900 and the highest out of pocket is $7550. Montgomery County Indiana residents can also pick from 8 Medicare Special Needs Plans. The best Medicare Advantage plan in Montgomery County Indiana received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars.



(Click the Plan Name for More Details)
(⇅ Click the Header to Sort)

Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
AARP Medicare Advantage (HMO-POS)
(H2802-010)

$0$0$3,900YesBrowse
Formulary
AARP Medicare Advantage Choice Plan 1 (PPO)
(H2228-021)

$22.00$150.00$4,900YesBrowse
Formulary
AARP Medicare Advantage Choice Plan 2 (PPO)
(H2228-081)

$0$185.00$5,500YesBrowse
Formulary
Aetna Medicare Premier (PPO)
(H5521-302)

$26.00$0$5,300YesBrowse
Formulary
Aetna Medicare Prime (HMO-POS)
(H3192-006)

$0$0$3,900YesBrowse
Formulary
Aetna Medicare Value (PPO)
(H5521-231)

$0$0$5,950YesBrowse
Formulary
Anthem MediBlue Access (PPO)
(H7093-002)

$0$175.00$4,900YesToo NewBrowse
Formulary
Anthem MediBlue Access Basic (Regional PPO)
(R4487-001)

$80.00$100.00$6,400YesBrowse
Formulary
Anthem MediBlue Access Preferred (PPO)
(H1607-015)

$19.00$100.00$3,900YesBrowse
Formulary
Anthem MediBlue Extra (HMO)
(H3447-024)

$25.80$480.00$6,700YesBrowse
Formulary
Anthem MediBlue Plus (HMO)
(H3447-036)

$0$0$3,900YesBrowse
Formulary
Ascension Complete St Vincent Access (PPO)
(H1774-002)

$0$0$2,900NoToo NewBrowse
Formulary
Ascension Complete St Vincent Access Plus (PPO)
(H1774-001)

$0$0$3,450NoToo NewBrowse
Formulary
Ascension Complete St Vincent Reward (HMO)
(H7925-001)

$0$480.00$2,900NoToo NewBrowse
Formulary
Ascension Complete St Vincent Secure (HMO)
(H7925-002)

$0$0$2,900YesToo NewBrowse
Formulary
Humana Gold Choice H8145-032 (PFFS)
(H8145-032)

$83.00$225.00$-NoBrowse
Formulary
Humana Gold Plus H5619-049 (HMO)
(H5619-049)

$0$0$3,900NoBrowse
Formulary
Humana Gold Plus H5619-124 (HMO)
(H5619-124)

$20.00$0$3,900NoBrowse
Formulary
HumanaChoice H5216-053 (PPO)
(H5216-053)

$56.00$0$6,200NoBrowse
Formulary
HumanaChoice H5216-111 (PPO)
(H5216-111)

$15.00$100.00$4,900NoBrowse
Formulary
HumanaChoice H5216-192 (PPO)
(H5216-192)

$0$250.00$6,700NoBrowse
Formulary
HumanaChoice H5216-229 (PPO)
(H5216-229)

$0$100.00$4,900NoBrowse
Formulary
HumanaChoice R0865-003 (Regional PPO)
(R0865-003)

$72.00$195.00$7,550NoBrowse
Formulary
IU Health Plans Medicare Select Plus (HMO)
(H7220-009)

$46.00$200.00$5,150NoBrowse
Formulary
MDwise Medicare Inspire (HMO)
(H7746-001)

$0$100.00$5,200YesToo NewBrowse
Formulary
MDwise Medicare Inspire Flex (HMO-POS)
(H7746-003)

$49.00$0$4,300YesToo NewBrowse
Formulary
MDwise Medicare Inspire Plus (HMO)
(H7746-002)

$25.00$0$4,300YesToo NewBrowse
Formulary
Wellcare Assist (HMO)
(H3499-008)

$24.50$480.00$5,500NoBrowse
Formulary
Wellcare Giveback (HMO)
(H3499-007)

$0$200.00$7,550NoBrowse
Formulary
Wellcare No Premium Open (PPO)
(H6348-002)

$0$0$4,300NoNABrowse
Formulary


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Morgan County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Montgomery county Indiana

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Anthem MediBlue Dual Advantage (HMO D-SNP) $29.70$480.0No Gap CoverageDual-Eligible
Ascension Complete St. Vincent DSNP (HMO D-SNP) $29.70$480.0No Gap CoverageDual-EligibleToo New
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) $16.00$445.0No Gap CoverageChronic or Disabling Condition
Humana Gold Plus SNP-DE H5619-054 (HMO D-SNP) $25.50$480.0No Gap CoverageDual-Eligible
MDwise Medicare Inspire Duals (HMO D-SNP) $29.70$480.0No Gap CoverageDual-EligibleToo New
UnitedHealthcare Dual Complete (PPO D-SNP) $29.70$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP) $29.70$480.0No Gap CoverageInstitutional
Wellcare Dual Access (HMO D-SNP) $29.70$480.0No Gap CoverageDual-Eligible



Plan Type Is the type of organization offering the Medicare Plan.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

GAP
  • Many - Many Generics and Some Brands
  • Some - Some Generics and Few Brands

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable



Source: CMS. Data as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.


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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

Every year, Medicare evaluates plans based on a 5-star rating system.