2025 Medicare Advantage Plans
2025 Medicare Advantage Plans
Plan Type
Company
CMS Star Ratings:
★★★★★
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Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-017-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-017-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure Flex (HMO D-SNP)
Contract ID:
H3146-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure Flex (HMO D-SNP)
Contract ID:
H3146-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure Primary (HMO D-SNP)
Contract ID:
H3146-023-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure Primary (HMO D-SNP)
Contract ID:
H3146-023-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-016-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-016-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Dual Choice (PPO D-SNP)
Contract ID:
H5521-539-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0 - $257
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Dual Choice (PPO D-SNP)
Contract ID:
H5521-539-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0 - $257
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Primary (HMO)
Contract ID:
H5521-500-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $5 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Primary (HMO)
Contract ID:
H5521-500-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $5 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-245-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-245-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-140-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $35
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $10 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-140-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $35
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-249-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-249-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier Plus (PPO)
Contract ID:
H5521-319-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $5 copay
- $6,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier Plus (PPO)
Contract ID:
H5521-319-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $5 copay
- $6,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Value Plus (HMO)
Contract ID:
H5521-251-000
Monthly premium
$19.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Value Plus (HMO)
Contract ID:
H5521-251-000
Monthly premium
$19.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Eagle (PPO)
Contract ID:
H5521-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $40
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- N/A
- N/A
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Eagle (PPO)
Contract ID:
H5521-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $40
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- N/A
- N/A
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Value Plus (HMO)
Contract ID:
H3146-011-000
Monthly premium
$23.90
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $10 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Value Plus (HMO)
Contract ID:
H3146-011-000
Monthly premium
$23.90
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Prime (HMO-POS)
Contract ID:
H3146-014-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $12 copay
- $0 copay
- $5 copay
- $4,150
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Prime (HMO-POS)
Contract ID:
H3146-014-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $12 copay
- $0 copay
- $5 copay
- $4,150
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice R0110-019 (Regional PPO)
Contract ID:
R0110-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $7,550
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice R0110-019 (Regional PPO)
Contract ID:
R0110-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $7,550
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Full Access R0110-020 (Regional PPO)
Contract ID:
R0110-020-000
Monthly premium
$92.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Full Access R0110-020 (Regional PPO)
Contract ID:
R0110-020-000
Monthly premium
$92.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-142-002 (PPO)
Contract ID:
H5216-142-002
Monthly premium
$21.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-142-002 (PPO)
Contract ID:
H5216-142-002
Monthly premium
$21.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice Giveback H5216-154 (PPO)
Contract ID:
H5216-154-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $400 (Tiers 3-5)
- $64.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- $5 copay
- $15 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice Giveback H5216-154 (PPO)
Contract ID:
H5216-154-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $400 (Tiers 3-5)
- $64.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- $5 copay
- $15 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-157 (PPO)
Contract ID:
H5216-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- N/A
- N/A
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-157 (PPO)
Contract ID:
H5216-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- N/A
- N/A
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana USAA Honor Giveback H5216-217 (PPO)
Contract ID:
H5216-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $60.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $10 copay
- $50 copay
- N/A
- N/A
- $6,700
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana USAA Honor Giveback H5216-217 (PPO)
Contract ID:
H5216-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $60.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $10 copay
- $50 copay
- N/A
- N/A
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus - Diabetes and Heart H5216-244 (PPO C-SNP)
Contract ID:
H5216-244-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus - Diabetes and Heart H5216-244 (PPO C-SNP)
Contract ID:
H5216-244-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
Contract ID:
H5216-277-000
Monthly premium
$0 or $257
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
Contract ID:
H5216-277-000
Monthly premium
$0 or $257
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-280-002 (PPO)
Contract ID:
H5216-280-002
Monthly premium
$46.60
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $590 (Tiers 3-5)
- $1.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $20 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-280-002 (PPO)
Contract ID:
H5216-280-002
Monthly premium
$46.60
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $590 (Tiers 3-5)
- $1.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $20 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana USAA Honor Giveback H5216-286 (PPO)
Contract ID:
H5216-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- N/A
- N/A
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana USAA Honor Giveback H5216-286 (PPO)
Contract ID:
H5216-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- N/A
- N/A
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice Giveback H5216-345 (PPO)
Contract ID:
H5216-345-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $450 (Tiers 3-5)
- $105.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice Giveback H5216-345 (PPO)
Contract ID:
H5216-345-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $450 (Tiers 3-5)
- $105.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-346 (PPO)
Contract ID:
H5216-346-000
Monthly premium
$2.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $1,000
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $5 copay
- $12 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-346 (PPO)
Contract ID:
H5216-346-000
Monthly premium
$2.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $1,000
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $5 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-347 (PPO)
Contract ID:
H5216-347-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-347 (PPO)
Contract ID:
H5216-347-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-423 (PPO)
Contract ID:
H5216-423-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-423 (PPO)
Contract ID:
H5216-423-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-142-001 (PPO)
Contract ID:
H5216-142-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $350 (Tiers 3-5)
- $5.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-142-001 (PPO)
Contract ID:
H5216-142-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $350 (Tiers 3-5)
- $5.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
Contract ID:
H5619-082-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
Contract ID:
H5619-082-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-083 (HMO)
Contract ID:
H5619-083-000
Monthly premium
$1.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- $4 copay
- $12 copay
- $6,700
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-083 (HMO)
Contract ID:
H5619-083-000
Monthly premium
$1.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- $4 copay
- $12 copay
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-152 (HMO)
Contract ID:
H5619-152-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-152 (HMO)
Contract ID:
H5619-152-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus - Diabetes and Heart H5619-161 (HMO C-SNP)
Contract ID:
H5619-161-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $2.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $5 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus - Diabetes and Heart H5619-161 (HMO C-SNP)
Contract ID:
H5619-161-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $2.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus Giveback H5619-169 (HMO)
Contract ID:
H5619-169-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $300
- $450 (Tiers 3-5)
- $109.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus Giveback H5619-169 (HMO)
Contract ID:
H5619-169-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $300
- $450 (Tiers 3-5)
- $109.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-171 (HMO)
Contract ID:
H5619-171-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $400
- $450 (Tiers 3-5)
- $4.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-171 (HMO)
Contract ID:
H5619-171-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $400
- $450 (Tiers 3-5)
- $4.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Humana Gold Choice H8145-069 (PFFS)
Contract ID:
H8145-069-000
Monthly premium
$18.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $7 copay
- $17 copay
- $6,700
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Humana Gold Choice H8145-069 (PFFS)
Contract ID:
H8145-069-000
Monthly premium
$18.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $7 copay
- $17 copay
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5525-024 (PPO)
Contract ID:
H5525-024-000
Monthly premium
$30.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5525-024 (PPO)
Contract ID:
H5525-024-000
Monthly premium
$30.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-017-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-017-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure Flex (HMO D-SNP)
Contract ID:
H3146-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure Flex (HMO D-SNP)
Contract ID:
H3146-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure Primary (HMO D-SNP)
Contract ID:
H3146-023-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure Primary (HMO D-SNP)
Contract ID:
H3146-023-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-016-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Assure (HMO D-SNP)
Contract ID:
H3146-016-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Dual Choice (PPO D-SNP)
Contract ID:
H5521-539-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0 - $257
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Dual Choice (PPO D-SNP)
Contract ID:
H5521-539-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0 - $257
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Primary (HMO)
Contract ID:
H5521-500-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $5 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Primary (HMO)
Contract ID:
H5521-500-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $50 copay
- $0 copay
- $5 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-245-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-245-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-140-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $35
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $10 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-140-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $35
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-249-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier (PPO)
Contract ID:
H5521-249-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier Plus (PPO)
Contract ID:
H5521-319-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $5 copay
- $6,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Premier Plus (PPO)
Contract ID:
H5521-319-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $5 copay
- $6,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Value Plus (HMO)
Contract ID:
H5521-251-000
Monthly premium
$19.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Value Plus (HMO)
Contract ID:
H5521-251-000
Monthly premium
$19.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Eagle (PPO)
Contract ID:
H5521-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $40
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- N/A
- N/A
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★
★
Aetna Medicare Eagle (PPO)
Contract ID:
H5521-279-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $40
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $35 copay
- N/A
- N/A
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Value Plus (HMO)
Contract ID:
H3146-011-000
Monthly premium
$23.90
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $10 copay
- $6,750
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Value Plus (HMO)
Contract ID:
H3146-011-000
Monthly premium
$23.90
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $250 (Tiers 3-5)
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $25 copay
- $0 copay
- $10 copay
- $6,750
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Prime (HMO-POS)
Contract ID:
H3146-014-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $12 copay
- $0 copay
- $5 copay
- $4,150
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Aetna Medicare Prime (HMO-POS)
Contract ID:
H3146-014-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- $0
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $12 copay
- $0 copay
- $5 copay
- $4,150
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice R0110-019 (Regional PPO)
Contract ID:
R0110-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $7,550
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice R0110-019 (Regional PPO)
Contract ID:
R0110-019-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- N/A
- N/A
- $7,550
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Full Access R0110-020 (Regional PPO)
Contract ID:
R0110-020-000
Monthly premium
$92.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Full Access R0110-020 (Regional PPO)
Contract ID:
R0110-020-000
Monthly premium
$92.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-142-002 (PPO)
Contract ID:
H5216-142-002
Monthly premium
$21.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-142-002 (PPO)
Contract ID:
H5216-142-002
Monthly premium
$21.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice Giveback H5216-154 (PPO)
Contract ID:
H5216-154-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $400 (Tiers 3-5)
- $64.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- $5 copay
- $15 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice Giveback H5216-154 (PPO)
Contract ID:
H5216-154-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $400 (Tiers 3-5)
- $64.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- $5 copay
- $15 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-157 (PPO)
Contract ID:
H5216-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- N/A
- N/A
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-157 (PPO)
Contract ID:
H5216-157-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- N/A
- N/A
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana USAA Honor Giveback H5216-217 (PPO)
Contract ID:
H5216-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $60.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $10 copay
- $50 copay
- N/A
- N/A
- $6,700
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana USAA Honor Giveback H5216-217 (PPO)
Contract ID:
H5216-217-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $60.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $10 copay
- $50 copay
- N/A
- N/A
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus - Diabetes and Heart H5216-244 (PPO C-SNP)
Contract ID:
H5216-244-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus - Diabetes and Heart H5216-244 (PPO C-SNP)
Contract ID:
H5216-244-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
Contract ID:
H5216-277-000
Monthly premium
$0 or $257
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice SNP-DE H5216-277 (PPO D-SNP)
Contract ID:
H5216-277-000
Monthly premium
$0 or $257
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-280-002 (PPO)
Contract ID:
H5216-280-002
Monthly premium
$46.60
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $590 (Tiers 3-5)
- $1.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $20 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-280-002 (PPO)
Contract ID:
H5216-280-002
Monthly premium
$46.60
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $590 (Tiers 3-5)
- $1.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $10 copay
- $0 copay
- $20 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana USAA Honor Giveback H5216-286 (PPO)
Contract ID:
H5216-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- N/A
- N/A
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana USAA Honor Giveback H5216-286 (PPO)
Contract ID:
H5216-286-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- N/A
- $140.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $20 copay
- $55 copay
- N/A
- N/A
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice Giveback H5216-345 (PPO)
Contract ID:
H5216-345-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $450 (Tiers 3-5)
- $105.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice Giveback H5216-345 (PPO)
Contract ID:
H5216-345-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $350
- $450 (Tiers 3-5)
- $105.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-346 (PPO)
Contract ID:
H5216-346-000
Monthly premium
$2.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $1,000
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $5 copay
- $12 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-346 (PPO)
Contract ID:
H5216-346-000
Monthly premium
$2.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $1,000
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $5 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-347 (PPO)
Contract ID:
H5216-347-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-347 (PPO)
Contract ID:
H5216-347-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-423 (PPO)
Contract ID:
H5216-423-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-423 (PPO)
Contract ID:
H5216-423-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $450 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-142-001 (PPO)
Contract ID:
H5216-142-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $350 (Tiers 3-5)
- $5.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5216-142-001 (PPO)
Contract ID:
H5216-142-001
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $275
- $350 (Tiers 3-5)
- $5.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $4 copay
- $12 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
Contract ID:
H5619-082-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)
Contract ID:
H5619-082-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $0
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $0 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-083 (HMO)
Contract ID:
H5619-083-000
Monthly premium
$1.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- $4 copay
- $12 copay
- $6,700
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-083 (HMO)
Contract ID:
H5619-083-000
Monthly premium
$1.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $5 copay
- $45 copay
- $4 copay
- $12 copay
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-152 (HMO)
Contract ID:
H5619-152-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-152 (HMO)
Contract ID:
H5619-152-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $350 (Tiers 3-5)
- $3.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $15 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus - Diabetes and Heart H5619-161 (HMO C-SNP)
Contract ID:
H5619-161-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $2.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $5 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus - Diabetes and Heart H5619-161 (HMO C-SNP)
Contract ID:
H5619-161-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $450 (Tiers 3-5)
- $2.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $40 copay
- $0 copay
- $5 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus Giveback H5619-169 (HMO)
Contract ID:
H5619-169-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $300
- $450 (Tiers 3-5)
- $109.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus Giveback H5619-169 (HMO)
Contract ID:
H5619-169-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $300
- $450 (Tiers 3-5)
- $109.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $45 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-171 (HMO)
Contract ID:
H5619-171-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $400
- $450 (Tiers 3-5)
- $4.00
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
Humana Gold Plus H5619-171 (HMO)
Contract ID:
H5619-171-000
Monthly premium
$0.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $400
- $450 (Tiers 3-5)
- $4.00
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $30 copay
- $0 copay
- $0 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Humana Gold Choice H8145-069 (PFFS)
Contract ID:
H8145-069-000
Monthly premium
$18.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $7 copay
- $17 copay
- $6,700
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★★★
Humana Gold Choice H8145-069 (PFFS)
Contract ID:
H8145-069-000
Monthly premium
$18.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $0
- $340 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $0 copay
- $20 copay
- $7 copay
- $17 copay
- $6,700
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5525-024 (PPO)
Contract ID:
H5525-024-000
Monthly premium
$30.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- N/A
Outline of coverage
Additional benefits
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
- Dental
- Vision
- Hearing
- SilverSneakers Membership
CMS Star Ratings:
★★★
★
★
HumanaChoice H5525-024 (PPO)
Contract ID:
H5525-024-000
Monthly premium
$30.00
- Medical Deductible
- Rx Deductible
- Part B Giveback
- $500
- $350 (Tiers 3-5)
- N/A
Outline of coverage
- Primary doctor
- Specialist
- Rx Tier 1
- Rx Tier 2
- Max. out-of-Pocket
- $15 copay
- $50 copay
- $7 copay
- $17 copay
- $9,350
Additional benefits
- Dental
- Vision
- Hearing
- SilverSneakers Membership