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The 2023 Medicare Advantage Plans in Pinal County AZ.



2022 Pinal County Arizona
Medicare Advantage Plans

There are 39 Medicare Advantage Plans available in Pinal County AZ from 12 different health insurance providers. 19 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2500 and the highest out of pocket is $7550. Pinal County Arizona residents can also pick from 18 Medicare Special Needs Plans. The best Medicare Advantage plan in Pinal County Arizona 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 Plan 1 (HMO)
(H0609-026)

$0$0$3,900YesBrowse
Formulary
AARP Medicare Advantage Plan 2 (HMO)
(H0609-027)

$0$0$3,000YesBrowse
Formulary
AARP Medicare Advantage Plan 3 (HMO)
(H0609-044)

$30.00$0$2,500YesBrowse
Formulary
AARP Medicare Advantage Plan 4 (HMO)
(H0609-046)

$0$0$3,900YesBrowse
Formulary
Aetna Medicare Freedom Plan (PPO)
(H5521-100)

$0$0$5,500YesBrowse
Formulary
Aetna Medicare Platinum Plan (HMO-POS)
(H3931-129)

$0$100.00$6,200YesBrowse
Formulary
Aetna Medicare Platinum Plan (PPO)
(H5521-184)

$85.00$0$6,500YesBrowse
Formulary
Aetna Medicare Premier Plan (HMO-POS)
(H4835-003)

$0$0$3,200YesBrowse
Formulary
Banner Medicare Advantage Plus (PPO)
(H7273-001)

$25.00$0$4,500YesToo NewBrowse
Formulary
Banner Medicare Advantage Prime (HMO)
(H5843-001)

$0$0$2,775YesToo NewBrowse
Formulary
Blue Medicare Advantage Classic (HMO)
(H0302-006)

$0$0$4,250NoBrowse
Formulary
Blue Medicare Advantage Plus (HMO)
(H0302-001)

$48.00$0$4,250NoBrowse
Formulary
Cigna Alliance Medicare (HMO)
(H0354-028)

$0$0$2,500YesBrowse
Formulary
Cigna Preferred Medicare (HMO)
(H0354-001)

$0$0$3,100YesBrowse
Formulary
Devoted Health Core (HMO)
(H8173-001)

$0$0$3,200YesToo NewBrowse
Formulary
Devoted Health Flex (HMO)
(H8173-003)

$45.00$0$4,200YesToo NewBrowse
Formulary
Devoted Health Select (HMO)
(H8173-002)

$39.70$480.00$3,200NoToo NewBrowse
Formulary
Humana Gold Plus H0028-021 (HMO)
(H0028-021)

$0$0$2,800NoBrowse
Formulary
Humana Gold Plus H2463-001 (HMO)
(H2463-001)

$0$225.00$4,900NoBrowse
Formulary
Humana Value Plus H5216-197 (PPO)
(H5216-197)

$29.60$450.00$7,550NoBrowse
Formulary
HumanaChoice H5216-034 (PPO)
(H5216-034)

$119.00$225.00$7,550NoBrowse
Formulary
HumanaChoice H5216-137 (PPO)
(H5216-137)

$0$445.00$7,550NoBrowse
Formulary
HumanaChoice H5216-224 (PPO)
(H5216-224)

$17.00$195.00$4,500NoBrowse
Formulary
HumanaChoice H5216-265 (PPO)
(H5216-265)

$0$250.00$4,700NoBrowse
Formulary
HumanaChoice R7220-002 (Regional PPO)
(R7220-002)

$60.00$440.00$6,700NoBrowse
Formulary
Imperial Insurance Company Traditional (HMO)
(H2793-003)

$0$0$2,999YesNABrowse
Formulary
Imperial Insurance Traditional Plus (HMO)
(H2793-007)

$0$480.00$7,550NoNABrowse
Formulary
SCAN Classic (HMO)
(H1822-001)

$0$0$2,800YesToo NewBrowse
Formulary
SCAN Venture (HMO)
(H1822-004)

$0$0$2,999YesToo NewBrowse
Formulary
Wellcare Assist (HMO)
(H0351-055)

$35.00$480.00$3,400NoBrowse
Formulary
Wellcare Giveback (HMO)
(H0351-056)

$0$0$3,450NoBrowse
Formulary
Wellcare No Premium (HMO)
(H0351-052)

$0$0$3,000YesBrowse
Formulary
Wellcare No Premium Essentials (HMO)
(H5590-005)

$0$0$3,450YesBrowse
Formulary


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Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Pinal county Arizona

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Banner Medicare Advantage Dual (HMO D-SNP) $26.30$480.0Few GenericsDual-Eligible
Banner Medicare Advantage Dual (HMO D-SNP) $37.30$480.0Few GenericsDual-Eligible
Cigna Achieve Medicare (HMO C-SNP) $0$0SomeChronic or Disabling Condition
Devoted Health Advance (HMO C-SNP) $0$0Few GenericsChronic or Disabling ConditionToo New
Health Choice Pathway (HMO D-SNP) $40.00$480.0No Gap CoverageDual-Eligible
Imperial Insurance Value (HMO C-SNP) $0$0ManyChronic or Disabling ConditionNA
Mercy Care Advantage (HMO D-SNP) $40.00$480.0No Gap CoverageDual-Eligible
Mercy Care Advantage (HMO D-SNP) $40.00$480.0No Gap CoverageDual-Eligible
Mercy Care Advantage (HMO D-SNP) $40.00$480.0No Gap CoverageDual-Eligible
Molina Medicare Complete Care (HMO D-SNP) $40.00$480.0No Gap CoverageDual-EligibleNA
SCAN Balance (HMO C-SNP) $0$0ManyChronic or Disabling ConditionToo New
SCAN Heart First (HMO C-SNP) $0$0ManyChronic or Disabling ConditionToo New
UnitedHealthcare Chronic Complete (HMO C-SNP) $0$0Some GenericsChronic or Disabling Condition
UnitedHealthcare Dual Complete LP (HMO D-SNP) $40.00$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete ONE (HMO D-SNP) $40.00$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Nursing Home Plan (PPO I-SNP) $40.00$480.0No Gap CoverageInstitutional
Wellcare Dual Liberty (HMO D-SNP) $40.00$480.0No Gap CoverageDual-Eligible
Wellcare Specialty No Premium (HMO C-SNP) $0$0ManyChronic 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.


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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.