2022 Pima County Arizona
Medicare Advantage Plans

There are 48 Medicare Advantage Plans available in Pima County AZ from 18 different health insurance providers. 25 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2499 and the highest out of pocket is $7550. Pima County Arizona residents can also pick from 28 Medicare Special Needs Plans. The best Medicare Advantage plan in Pima County Arizona received a 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 Plan 1 (HMO)
(H0609-025)
$0 $0 $2,600 YesBrowse
Formulary
AARP Medicare Advantage Plan 2 (HMO)
(H0609-045)
$0 $0 $3,400 YesBrowse
Formulary
AARP Medicare Advantage Plus (HMO-POS)
(H5253-035)
$15.00 $0 $4,800 YesBrowse
Formulary
AARP Medicare Advantage Walgreens Plan 1 (PPO)
(H2228-075)
$0 $0 $5,000 YesBrowse
Formulary
AARP Medicare Advantage Walgreens Plan 2 (PPO)
(H2228-096)
$25.00 $0 $4,000 YesBrowse
Formulary
Aetna Medicare Freedom Plan (PPO)
(H5521-100)
$0 $0 $5,500 YesBrowse
Formulary
Aetna Medicare Platinum Plan (HMO-POS)
(H3931-129)
$0 $100.00 $6,200 YesBrowse
Formulary
Aetna Medicare Platinum Plan (PPO)
(H5521-184)
$85.00 $0 $6,500 YesBrowse
Formulary
Aetna Medicare Premier Plan (HMO-POS)
(H4835-004)
$0 $0 $2,700 YesBrowse
Formulary
Alignment Health Plan the ONE (HMO)
(H3443-002)
$0 $0 $2,499 YesToo NewBrowse
Formulary
Amerivantage Classic (HMO)
(H2593-001)
$0 $0 $7,550 YesBrowse
Formulary
Amerivantage Classic Plus (HMO)
(H1423-004)
$0 $0 $2,700 YesToo NewBrowse
Formulary
Amerivantage Smart Value (HMO)
(H2593-018)
$0 $0 $3,450 NoBrowse
Formulary
Amerivantage Smart Value Plus (HMO)
(H1423-005)
$0 $0 $3,400 NoToo NewBrowse
Formulary
AVA (PPO)
(H9614-001)
$0 $0 $3,900 YesToo NewBrowse
Formulary
Banner Medicare Advantage Plus (PPO)
(H7273-002)
$25.00 $0 $4,500 YesToo NewBrowse
Formulary
Banner Medicare Advantage Prime (HMO)
(H5843-002)
$0 $0 $2,775 YesToo NewBrowse
Formulary
Blue Medicare Advantage Classic (HMO)
(H0302-008)
$0 $0 $3,400 NoBrowse
Formulary
BlueJourney (PPO)
(H5140-002)
$59.00 $0 $5,000 NoNABrowse
Formulary
BluePathway Plan 2 (HMO)
(H6936-005)
$0 $0 $2,900 NoBrowse
Formulary
Bright Advantage Classic Care Plan (HMO)
(H4853-001)
$0 $0 $2,800 YesBrowse
Formulary
Bright Advantage Classic Choice Plan (HMO)
(H4853-002)
$39.20 $480.00 $3,200 YesBrowse
Formulary
Cigna Preferred Medicare (HMO)
(H0354-024)
$0 $0 $2,900 YesBrowse
Formulary
Clover Health Choice (PPO)
(H5141-040)
$0 $0 $3,400 NoBrowse
Formulary
Global Classic (HMO)
(H9078-003)
$0 $0 $3,400 YesToo NewBrowse
Formulary
Humana Gold Plus H0028-021 (HMO)
(H0028-021)
$0 $0 $2,800 NoBrowse
Formulary
Humana Value Plus H5216-197 (PPO)
(H5216-197)
$29.60 $450.00 $7,550 NoBrowse
Formulary
HumanaChoice H5216-034 (PPO)
(H5216-034)
$119.00 $225.00 $7,550 NoBrowse
Formulary
HumanaChoice H5216-137 (PPO)
(H5216-137)
$0 $445.00 $7,550 NoBrowse
Formulary
HumanaChoice H5216-224 (PPO)
(H5216-224)
$17.00 $195.00 $4,500 NoBrowse
Formulary
HumanaChoice H5216-263 (PPO)
(H5216-263)
$0 $285.00 $5,900 NoBrowse
Formulary
HumanaChoice R7220-002 (Regional PPO)
(R7220-002)
$60.00 $440.00 $6,700 NoBrowse
Formulary
Imperial Insurance Company Traditional (HMO)
(H2793-003)
$0 $0 $2,999 YesNABrowse
Formulary
Imperial Insurance Traditional Plus (HMO)
(H2793-007)
$0 $480.00 $7,550 NoNABrowse
Formulary
SCAN Classic (HMO)
(H1822-001)
$0 $0 $2,800 YesToo NewBrowse
Formulary
SCAN Venture (HMO)
(H1822-004)
$0 $0 $2,999 YesToo NewBrowse
Formulary
Wellcare Assist (HMO)
(H0351-055)
$35.00 $480.00 $3,400 NoBrowse
Formulary
Wellcare Giveback (HMO)
(H0351-056)
$0 $0 $3,450 NoBrowse
Formulary
Wellcare No Premium (HMO)
(H0351-052)
$0 $0 $3,000 YesBrowse
Formulary
Wellcare No Premium Open (PPO)
(H8553-001)
$0 $200.00 $5,000 YesToo NewBrowse
Formulary
Wellcare No Premium Rx Plus Open (PPO)
(H8553-003)
$0 $300.00 $6,000 YesToo NewBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Arizona





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Pima county Arizona

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Alignment Health Plan Heart and Diabetes (HMO C-SNP)     $0 $0  Few Generics Chronic or Disabling ConditionToo New
Amerivantage Comfort (HMO I-SNP)     $0 $0  Many Institutional
Amerivantage Comfort Plus (HMO I-SNP)     $0 $0  Many InstitutionalToo New
Amerivantage Diabetes Care (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Amerivantage Diabetes Care Plus (HMO C-SNP)     $0 $0  Many Chronic or Disabling ConditionToo New
Amerivantage ESRD Care (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Amerivantage Heart Care (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Amerivantage Heart Care Plus (HMO C-SNP)     $0 $0  Many Chronic or Disabling ConditionToo New
Amerivantage Lung Care (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition
Amerivantage Lung Care Plus (HMO C-SNP)     $0 $0  Many Chronic or Disabling ConditionToo New
Banner Medicare Advantage Dual (HMO D-SNP)     $35.40 $480.0  Few Generics Dual-Eligible
Banner Medicare Advantage Dual (HMO D-SNP)     $33.70 $480.0  Few Generics Dual-Eligible
Bright Advantage Embrace Assist Plan (HMO C-SNP)     $40.00 $480.0  Some Generics Chronic or Disabling Condition
Bright Advantage Embrace Care Plan (HMO C-SNP)     $0 $0  Some Generics Chronic or Disabling Condition
Bright Advantage Embrace Choice Plan (HMO C-SNP)     $40.00 $480.0  Some Generics Chronic or Disabling Condition
Bright Advantage Harmony Choice Plan (HMO C-SNP)     $40.00 $480.0  Some Generics Chronic or Disabling Condition
Global Special Care (HMO C-SNP)     $0 $0  Some Chronic or Disabling ConditionToo New
Global Special Care Savings (HMO C-SNP)     $0 $0  Some Chronic or Disabling ConditionToo New
Imperial Insurance Value (HMO C-SNP)     $0 $0  Many Chronic or Disabling ConditionNA
Mercy Care Advantage (HMO D-SNP)     $40.00 $480.0  No Gap Coverage Dual-Eligible
Mercy Care Advantage (HMO D-SNP)     $40.00 $480.0  No Gap Coverage Dual-Eligible
SCAN Balance (HMO C-SNP)     $0 $0  Many Chronic or Disabling ConditionToo New
SCAN Heart First (HMO C-SNP)     $0 $0  Many Chronic or Disabling ConditionToo New
UnitedHealthcare Chronic Complete (HMO C-SNP)     $0 $0  Some Generics Chronic or Disabling Condition
UnitedHealthcare Dual Complete LP (HMO D-SNP)     $40.00 $480.0  No Gap Coverage Dual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP)     $40.00 $480.0  No Gap Coverage Institutional
Wellcare Dual Liberty (HMO D-SNP)     $40.00 $480.0  No Gap Coverage Dual-Eligible
Wellcare Specialty No Premium (HMO C-SNP)     $0 $0  Many Chronic or Disabling Condition



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.


*Licensed Agent Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options.

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