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The 2023 Medicare Advantage Plans in St James County LA.



2022 St James County Louisiana
Medicare Advantage Plans

There are 30 Medicare Advantage Plans available in St James County LA from 9 different health insurance providers. 17 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 James County Louisiana residents can also pick from 0 Medicare Special Needs Plans. The best Medicare Advantage plan in St James County Louisiana 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
Aetna Medicare Freedom Plan (PPO)
(H5521-178)

$0$150.00$7,550YesBrowse
Formulary
Aetna Medicare Value Plus Plan (PPO)
(H5521-326)

$21.00$150.00$7,550YesBrowse
Formulary
Blue Advantage (HMO)
(H6453-008)

$0$0$4,900YesBrowse
Formulary
Blue Advantage (PPO)
(H1248-002)

$100.00$0$4,000YesBrowse
Formulary
Blue Advantage (PPO)
(H1248-007)

$0$195.00$7,550YesBrowse
Formulary
Humana Gold Plus H1951-047 (HMO)
(H1951-047)

$0$0$6,700NoBrowse
Formulary
HumanaChoice H5216-064 (PPO)
(H5216-064)

$45.00$0$6,700NoBrowse
Formulary
HumanaChoice H5216-202 (PPO)
(H5216-202)

$79.00$400.00$6,700NoBrowse
Formulary
HumanaChoice R0110-003 (Regional PPO)
(R0110-003)

$110.00$400.00$7,550NoBrowse
Formulary
Peoples Health Choices (PPO)
(H4544-001)

$0$0$6,700YesToo NewBrowse
Formulary
Peoples Health Choices 65 (HMO)
(H1961-014)

$0$0$6,700YesBrowse
Formulary
Vantage 100 (HMO-POS)
(H5576-022)

$222.00$0$-YesBrowse
Formulary
Vantage BASIC (HMO-POS)
(H5576-020)

$0$480.00$5,900YesBrowse
Formulary
Vantage PREMIUM (HMO-POS)
(H5576-018)

$171.00$0$3,500YesBrowse
Formulary
Vantage STANDARD (HMO-POS)
(H5576-017)

$36.40$480.00$4,900YesBrowse
Formulary
Wellcare Assist (HMO)
(H2491-010)

$21.20$480.00$3,400NoBrowse
Formulary
Wellcare Community Assist (PPO)
(H3047-004)

$36.40$480.00$6,000NoToo NewBrowse
Formulary
Wellcare Endurance (HMO)
(H2491-016)

$0$0$3,400YesBrowse
Formulary
Wellcare Giveback Open (PPO)
(H3047-002)

$0$195.00$7,550YesToo NewBrowse
Formulary
Wellcare No Premium (HMO)
(H2491-007)

$0$0$3,400YesBrowse
Formulary
Wellcare No Premium Baton Rouge General (HMO)
(H2491-014)

$0$0$3,400YesBrowse
Formulary
Wellcare No Premium Medicare (HMO)
(H5117-003)

$0$0$7,550YesNABrowse
Formulary
Wellcare No Premium Open (PPO)
(H3047-001)

$0$75.00$5,000YesToo NewBrowse
Formulary


Return to 2022 Medicare Advantage Plans in Louisiana

St John the Baptist 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.