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The 2023 Medicare Advantage Plans in Pine County MN.



2022 Pine County Minnesota
Medicare Advantage Plans

There are 42 Medicare Advantage Plans available in Pine County MN from 7 different health insurance providers. 4 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2700 and the highest out of pocket is $6700. Pine County Minnesota residents can also pick from 4 Medicare Special Needs Plans. The best Medicare Advantage plan in Pine County Minnesota received a 5 overall star rating from CMS and the lowest rated plan is 4 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 Headwaters (PPO)
(H7404-005)

$0$395.00$6,700YesBrowse
Formulary
AARP Medicare Advantage Lakeshore (PPO)
(H7404-006)

$58.00$295.00$4,900YesBrowse
Formulary
AARP Medicare Advantage Premier (PPO)
(H7404-004)

$34.90$480.00$4,900NoBrowse
Formulary
AARP Medicare Advantage Riverbank (PPO)
(H7404-022)

$99.00$0$3,500YesBrowse
Formulary
EssentiaCare Grand (PPO)
(H8783-002)

$109.00$250.00$3,500NoBrowse
Formulary
EssentiaCare Secure (PPO)
(H8783-001)

$35.00$400.00$4,500NoBrowse
Formulary
Humana Value Plus H5216-176 (PPO)
(H5216-176)

$33.50$315.00$6,700NoBrowse
Formulary
HumanaChoice H5216-063 (PPO)
(H5216-063)

$98.00$250.00$3,200NoBrowse
Formulary
HumanaChoice H5216-080 (PPO)
(H5216-080)

$110.00$350.00$6,700NoBrowse
Formulary
HumanaChoice H5216-092 (PPO)
(H5216-092)

$38.00$350.00$6,700NoBrowse
Formulary
HumanaChoice H5216-167 (PPO)
(H5216-167)

$78.00$350.00$4,000NoBrowse
Formulary
Medica Prime Solution Basic w-Rx (Cost)
(H2450-016)

$118.50$480.00$3,400NoBrowse
Formulary
Medica Prime Solution Basic w-Rx 2 (Cost)
(H2450-001)

$155.50$0$3,400NoBrowse
Formulary
Medica Prime Solution Enhanced w-Rx (Cost)
(H2450-017)

$215.90$480.00$3,000NoBrowse
Formulary
Medica Prime Solution Enhanced w-Rx 2 (Cost)
(H2450-002)

$229.30$0$3,000NoBrowse
Formulary
Medica Prime Solution Standard w-Rx (Cost)
(H2450-049)

$42.00$480.00$4,500NoBrowse
Formulary
Medica Prime Solution Thrift w-Rx (Cost)
(H2450-007)

$78.40$480.00$6,700NoBrowse
Formulary
Platinum Blue Choice Plan with Rx (Cost)
(H2461-009)

$130.60$480.00$3,500NoBrowse
Formulary
Platinum Blue Complete Plan with Rx (Cost)
(H2461-010)

$232.50$480.00$2,700NoBrowse
Formulary
Platinum Blue Core Plan with Rx (Cost)
(H2461-008)

$43.20$480.00$6,000NoBrowse
Formulary
UCare Aware (HMO-POS)
(H2459-029)

$26.00$395.00$5,400NoBrowse
Formulary
UCare Classic (HMO-POS)
(H2459-021)

$215.00$200.00$3,000YesBrowse
Formulary
UCare Complete (HMO-POS)
(H2459-026)

$99.00$235.00$3,200NoBrowse
Formulary
UCare Essentials Rx (HMO-POS)
(H2459-023)

$72.00$395.00$3,800NoBrowse
Formulary
UCare Prime (HMO-POS)
(H2459-020)

$0$480.00$6,000NoBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Minnesota

Pipestone County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Pine county Minnesota

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Medica DUAL Solution (HMO D-SNP) $38.90$480.0No Gap CoverageDual-Eligible
SecureBlue (HMO D-SNP) $38.90$480.0No Gap CoverageDual-Eligible
UCare Connect + Medicare (HMO D-SNP) $38.90$480.0No Gap CoverageDual-Eligible
UCares Minnesota Senior Health Options (HMO D-SNP) $38.90$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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MedicareHelp.org is a privately-owned Non-governmental agency. The government website can be found at HealthCare.gov.

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.