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The 2023 Medicare Advantage Plans in St Clair County MO.



2022 St Clair County Missouri
Medicare Advantage Plans

There are 26 Medicare Advantage Plans available in St Clair County MO from 5 different health insurance providers. 7 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3400 and the highest out of pocket is $7550. St Clair County Missouri residents can also pick from 0 Medicare Special Needs Plans. The best Medicare Advantage plan in St Clair County Missouri received a 4.5 overall star rating from CMS and the lowest rated plan is 3.5 stars.



(Click the Plan Name for More Details)
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Name ⇅ Premium Deductible MOOP Gap Plan
Rating
Click
for
Formulary
AARP Medicare Advantage Choice (PPO)
(H8768-027)

$0$0$3,900YesBrowse
Formulary
AARP Medicare Advantage Plan 1 (HMO-POS)
(H2802-031)

$19.00$0$3,400YesBrowse
Formulary
AARP Medicare Advantage Plan 2 (HMO-POS)
(H2802-030)

$0$0$3,700YesBrowse
Formulary
Aetna Medicare Elite (PPO)
(H1608-047)

$0$0$5,000YesBrowse
Formulary
Aetna Medicare Premier Plus (PPO)
(H1608-018)

$0$0$5,700YesBrowse
Formulary
Humana Gold Choice H8145-125 (PFFS)
(H8145-125)

$54.00$195.00$-NoBrowse
Formulary
Humana Gold Plus H0028-016 (HMO)
(H0028-016)

$27.00$195.00$7,550NoBrowse
Formulary
Humana Gold Plus H4623-001 (HMO)
(H4623-001)

$0$0$3,450NoBrowse
Formulary
HumanaChoice H5216-032 (PPO)
(H5216-032)

$79.00$195.00$6,700NoBrowse
Formulary
HumanaChoice H5216-033 (PPO)
(H5216-033)

$34.00$0$5,900NoBrowse
Formulary
HumanaChoice R1532-002 (Regional PPO)
(R1532-002)

$63.00$480.00$6,700NoBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice Plan 2 (Region
(R3444-012)

$54.00$295.00$6,700YesBrowse
Formulary
UnitedHealthcare Medicare Advantage Choice Plan 3 (Region
(R3444-023)

$19.00$245.00$6,700YesBrowse
Formulary
Wellcare Assist (HMO)
(H9335-006)

$21.80$480.00$7,550NoToo NewBrowse
Formulary
Wellcare Community Assist (PPO)
(H7518-005)

$33.40$480.00$5,000NoNABrowse
Formulary
Wellcare Giveback (HMO)
(H9335-005)

$0$200.00$7,550NoToo NewBrowse
Formulary
Wellcare Low Premium Open (PPO)
(H7518-004)

$25.00$0$3,500NoNABrowse
Formulary
Wellcare No Premium (HMO)
(H9335-001)

$0$0$3,450NoToo NewBrowse
Formulary
Wellcare No Premium Open (PPO)
(H7518-001)

$0$0$3,900NoNABrowse
Formulary


Return to 2022 Medicare Advantage Plans in Missouri

St Francois County Medicare Advantage





Medicare Advantage Health Plans Without Drug Coverage







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.