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The 2023 Medicare Advantage Plans in Smith County TN.



2022 Smith County Tennessee
Medicare Advantage Plans

There are 36 Medicare Advantage Plans available in Smith County TN from 9 different health insurance providers. 16 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 $6700. Smith County Tennessee residents can also pick from 11 Medicare Special Needs Plans. The best Medicare Advantage plan in Smith County Tennessee 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 Plan 1 (HMO)
(H5253-083)

$0$0$5,900YesBrowse
Formulary
AARP Medicare Advantage Plan 2 (HMO)
(H5253-084)

$31.00$0$4,900YesBrowse
Formulary
AARP Medicare Advantage Walgreens (PPO)
(H2577-007)

$0$0$5,900YesBrowse
Formulary
Aetna Medicare Premier Plan (PPO)
(H5521-254)

$0$0$6,700YesBrowse
Formulary
Aetna Medicare Value Plus Plan (HMO)
(H3146-012)

$24.00$95.00$6,700YesBrowse
Formulary
Amerivantage Balance (HMO)
(H2593-025)

$30.80$480.00$6,700YesBrowse
Formulary
Amerivantage Balance Plus (HMO)
(H5828-008)

$23.30$480.00$4,900YesToo NewBrowse
Formulary
Amerivantage Classic (HMO)
(H2593-023)

$0$0$6,500YesBrowse
Formulary
Amerivantage Classic Plus (HMO-POS)
(H5828-006)

$0$0$4,900YesToo NewBrowse
Formulary
Ascension Complete Saint Thomas Access (PPO)
(H8121-002)

$0$0$2,900NoToo NewBrowse
Formulary
Ascension Complete Saint Thomas Access Plus (PPO)
(H8121-001)

$0$0$3,450NoToo NewBrowse
Formulary
Ascension Complete Saint Thomas Reward (HMO)
(H2853-001)

$0$480.00$2,900NoToo NewBrowse
Formulary
Ascension Complete Saint Thomas Secure (HMO)
(H2853-002)

$0$0$2,900YesToo NewBrowse
Formulary
BlueAdvantage Diamond (PPO)
(H7917-010)

$217.00$0$3,700YesBrowse
Formulary
BlueAdvantage Emerald (PPO)
(H7917-036)

$36.00$0$4,900YesBrowse
Formulary
BlueAdvantage Ruby (PPO)
(H7917-014)

$92.00$0$4,300YesBrowse
Formulary
BlueAdvantage Sapphire (PPO)
(H7917-030)

$0$0$5,700YesBrowse
Formulary
Cigna Preferred Medicare (HMO)
(H4513-049)

$0$0$5,900NoBrowse
Formulary
Cigna Premier Medicare (HMO-POS)
(H4513-036)

$57.00$200.00$6,700NoBrowse
Formulary
Cigna True Choice Medicare (PPO)
(H7849-010)

$0$0$5,900NoBrowse
Formulary
Humana Gold Plus H4461-037 (HMO)
(H4461-037)

$0$0$5,900NoBrowse
Formulary
HumanaChoice H5216-097 (PPO)
(H5216-097)

$68.00$150.00$6,700NoBrowse
Formulary
HumanaChoice H5216-180 (PPO)
(H5216-180)

$29.30$480.00$6,700NoBrowse
Formulary
HumanaChoice H5216-274 (PPO)
(H5216-274)

$0$0$6,700NoBrowse
Formulary
HumanaChoice R7315-002 (Regional PPO)
(R7315-002)

$84.00$380.00$6,700NoBrowse
Formulary
Wellcare Assist (HMO)
(H1416-042)

$22.00$480.00$4,900NoBrowse
Formulary
Wellcare Giveback (HMO)
(H1416-073)

$0$0$6,700NoBrowse
Formulary
Wellcare Giveback Open (PPO)
(H9428-002)

$0$90.00$6,700YesNABrowse
Formulary
Wellcare No Premium (HMO-POS)
(H1416-077)

$0$0$5,500NoBrowse
Formulary
Wellcare No Premium Open (PPO)
(H9428-001)

$0$75.00$5,500YesNABrowse
Formulary


Return to 2022 Medicare Advantage Plans in Tennessee

Stewart County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage

Plan Name ⇅ Premium Type MOOP Overall
Rating
AARP Medicare Advantage Patriot (HMO)
(H5253-113)

$0Local HMO *$3,200
BlueAdvantage Freedom (PPO)
(H7917-039)

$0Local PPO *$4,900
Cigna Fundamental Medicare (HMO)
(H4513-033)

$0Local HMO *$6,700
Humana Honor (PPO)
(H5216-235)

$0Local PPO *$3,400
HumanaChoice R7315-001 (Regional PPO)
(R7315-001)

$0Regional PPO *$3,400
Wellcare Patriot Giveback (HMO-POS)
(H1416-061)

$0Local HMO *$4,500





2022 Medicare Special Needs Plans in Smith county Tennessee

Plan Name ⇅ Monthly
Premium
Part D
Deductible
 Gap  Special Needs
Type
Overall
Rating
Amerivantage Dual Coordination (HMO D-SNP) $32.70$480.0No Gap CoverageDual-Eligible
Amerivantage Dual Premier (HMO D-SNP) $32.70$400.0No Gap CoverageDual-EligibleToo New
Amerivantage Full Dual Coordination (HMO D-SNP) $32.70$400.0No Gap CoverageDual-EligibleToo New
BlueCare Plus (HMO D-SNP) $32.70$480.0No Gap CoverageDual-Eligible
BlueCare Plus Choice (HMO D-SNP) $27.20$480.0No Gap CoverageDual-Eligible
Cigna TotalCare Plus (HMO D-SNP) $23.70$480.0No Gap CoverageDual-Eligible
Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP) $27.90$480.0No Gap CoverageDual-Eligible
Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP) $27.80$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete (HMO D-SNP) $32.70$480.0No Gap CoverageDual-Eligible
UnitedHealthcare Dual Complete ONE (HMO D-SNP) $32.70$480.0No Gap CoverageDual-Eligible
Wellcare Dual Access (HMO D-SNP) $30.20$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.