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The 2023 Medicare Advantage Plans in Plymouth County MA.



2022 Plymouth County Massachusetts
Medicare Advantage Plans

There are 41 Medicare Advantage Plans available in Plymouth County MA from 8 different health insurance providers. 11 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2600 and the highest out of pocket is $7550. Plymouth County Massachusetts residents can also pick from 10 Medicare Special Needs Plans. The best Medicare Advantage plan in Plymouth County Massachusetts received a 5 overall star rating from CMS and the lowest rated plan is 3.5 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 Choice (Regional PPO)
(R7444-001)

$55.00$295.00$7,550YesBrowse
Formulary
AARP Medicare Advantage Plan 1 (HMO)
(H1944-005)

$0$250.00$5,700YesBrowse
Formulary
AARP Medicare Advantage Plan 2 (HMO)
(H1944-006)

$49.00$225.00$4,900YesBrowse
Formulary
AARP Medicare Advantage Walgreens (PPO)
(H3442-004)

$0$0$6,700YesBrowse
Formulary
Aetna Medicare Explorer Plan (PPO)
(H5521-159)

$0$0$6,700YesBrowse
Formulary
Aetna Medicare Value Plan (HMO)
(H5793-018)

$0$250.00$6,700YesBrowse
Formulary
CCA Medicare Preferred (PPO)
(H9414-001)

$0$195.00$6,500NoToo NewBrowse
Formulary
CCA Medicare Value (PPO)
(H9414-002)

$36.30$480.00$6,500NoToo NewBrowse
Formulary
Erickson Advantage Freedom (HMO-POS)
(H5652-006)

$70.00$200.00$4,300YesBrowse
Formulary
Erickson Advantage Liberty with Drugs (HMO-POS)
(H5652-008)

$0$400.00$6,700YesBrowse
Formulary
Erickson Advantage Signature with Drugs (HMO-POS)
(H5652-001)

$199.00$0$2,600YesBrowse
Formulary
Fallon Medicare Plus Blue HMO (HMO)
(H9001-031)

$181.00$0$3,400NoBrowse
Formulary
Fallon Medicare Plus Green HMO (HMO)
(H9001-030)

$90.00$300.00$5,200NoBrowse
Formulary
Fallon Medicare Plus Orange HMO (HMO)
(H9001-034)

$0$200.00$7,550NoBrowse
Formulary
Fallon Medicare Plus Super Saver HMO (HMO)
(H9001-032)

$61.00$480.00$7,550NoBrowse
Formulary
Medicare HMO Blue FlexRx (HMO-POS)
(H2261-023)

$96.00$260.00$3,900NoBrowse
Formulary
Medicare HMO Blue PlusRx (HMO)
(H2261-005)

$268.00$200.00$3,400NoBrowse
Formulary
Medicare HMO Blue SaverRx (HMO)
(H2261-024)

$0$300.00$7,550NoBrowse
Formulary
Medicare HMO Blue ValueRx (HMO)
(H2261-022)

$36.00$320.00$3,450NoBrowse
Formulary
Medicare PPO Blue PlusRx (PPO)
(H2230-002)

$264.00$200.00$3,400NoBrowse
Formulary
Medicare PPO Blue SaverRx (PPO)
(H2230-017)

$0$175.00$6,700NoBrowse
Formulary
Medicare PPO Blue ValueRx (PPO)
(H2230-018)

$76.00$290.00$4,900NoBrowse
Formulary
Tufts Medicare Preferred HMO Basic Rx (HMO)
(H2256-026)

$56.00$225.00$3,450NoBrowse
Formulary
Tufts Medicare Preferred HMO Prime Rx (HMO)
(H2256-015)

$191.00$0$3,450NoBrowse
Formulary
Tufts Medicare Preferred HMO Prime Rx Plus (HMO)
(H2256-001)

$225.00$0$3,450YesBrowse
Formulary
Tufts Medicare Preferred HMO Saver Rx (HMO)
(H2256-028)

$0$250.00$7,550NoBrowse
Formulary
Tufts Medicare Preferred HMO Smart Saver Rx (HMO)
(H2256-046)

$0$250.00$5,900NoBrowse
Formulary
Tufts Medicare Preferred HMO Value Rx (HMO)
(H2256-018)

$164.00$0$3,450NoBrowse
Formulary
Wellcare Assist Open (PPO)
(H9761-003)

$22.10$480.00$5,500NoToo NewBrowse
Formulary
Wellcare Giveback Open (PPO)
(H9761-002)

$0$350.00$7,550YesToo NewBrowse
Formulary
Wellcare No Premium (HMO)
(H6193-001)

$0$0$6,500NoToo NewBrowse
Formulary
Wellcare No Premium Open (PPO)
(H9761-001)

$0$0$6,500NoToo NewBrowse
Formulary
Wellcare Premium Enhanced Open (PPO)
(H9761-004)

$60.00$0$4,700NoToo NewBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Massachusetts

Suffolk County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage





2022 Medicare Special Needs Plans in Plymouth county Massachusetts

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
BMC HealthNet Plan Senior Care Options (HMO D-SNP) $36.30$480.0No Gap CoverageDual-Eligible
CCA Senior Care Options (HMO D-SNP) $36.30$480.0No Gap CoverageDual-Eligible
Erickson Advantage Champion (HMO-POS C-SNP) $199.0$0Some GenericsChronic or Disabling Condition
Erickson Advantage Guardian (HMO-POS I-SNP) $32.30$0Some GenericsInstitutional
NaviCare (HMO D-SNP) $36.30$480.0No Gap CoverageDual-EligibleToo New
Senior Whole Health (HMO D-SNP) $36.30$480.0No Gap CoverageDual-Eligible
Senior Whole Health NHC (HMO D-SNP) $36.30$480.0No Gap CoverageDual-Eligible
Tufts Health Plan Senior Care Options (HMO D-SNP) $36.30$480.0No Gap CoverageDual-EligibleToo New
UnitedHealthcare Senior Care Options (HMO D-SNP) $28.30$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Senior Care Options NHC (HMO D-SNP) $30.80$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.