Clinton, Massachusetts Medicare Companies and Plans (2024)
Clinton, Massachusetts Medicare plans include Advantage plans from private health insurance companies, as well as standalone Part D prescription drug coverage. For those that prefer original Medicare coverage, Clinton, MA supplemental plans are also available.
UPDATED: Jan 8, 2024Fact Checked
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UPDATED: Jan 8, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider. Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
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UPDATED: Jan 8, 2024Fact Checked
The Highlights
- Clinton, MA Medicare options include Advantage, standalone Part D, and Medicare Supplement
- Medicare Advantage plans may include Clinton, Massachusetts prescription drug coverage, or you may need to buy Part D coverage separately
- Options for Medicare Supplement in Clinton, Massachusetts include Medigap Core Plan and Medigap Supplement 1A Plan
If you’re eligible for Medicare in Clinton, Massachusetts, you have a lot of choices. Major health insurance companies provide Clinton, Massachusetts Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes Clinton, MA Part D coverage, or buy prescription coverage as a standalone policy.
Clinton, Massachusetts Medicare Supplement plans are available from a number of companies if you choose to stick with original Medicare. These plans can pay for the out-of-pocket costs that Clinton original Medicare plans don’t cover, like coinsurance and deductibles.
Ready to buy Clinton, Massachusetts Medicare coverage? Enter your ZIP code to compare Clinton, MA Medicare options available to you right now.
Medicare Advantage Companies in Clinton, Massachusetts
Medicare Advantage in Clinton, Massachusetts is offered by some of the same local health insurance companies you may have been covered by before. Take a look at which companies in Clinton, MA offer Medicare Advantage as well as which plans they offer to find the coverage and provider network that’s best for you.
Medicare Advantage Companies in Clinton, Massachusetts
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage Choice (Regional PPO) – R7444-001-0 | $49.00 | $295 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $6,700 |
| AARP Medicare Advantage Patriot (PPO) – H3442-005-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| AARP Medicare Advantage Plan 1 (HMO) – H1944-005-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $5,700 |
| AARP Medicare Advantage Plan 2 (HMO) – H1944-006-0 | $49.00 | $225 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $4,900 |
| AARP Medicare Advantage Walgreens (PPO) – H3442-004-0 | $0.00 | $195 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $6,700 |
| Aetna Medicare Eagle Plan (PPO) – H5521-296-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Aetna Medicare Explorer Plan (PPO) – H5521-160-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Aetna Medicare Explorer Premier Plan (PPO) – H5521-221-0 | $99.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Aetna Medicare Value Plan (HMO) – H5793-014-0 | $0.00 | $250 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| Commonwealth Care Alliance (Medicare-Medicaid Plan) – H0137-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0%, Tier 5: 0% | N/A |
| Fallon Medicare Plus Blue HMO (HMO) – H9001-031-15 | $254.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,400 |
| Fallon Medicare Plus Central Blue HMO (HMO) – H9001-035-0 | $129.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,400 |
| Fallon Medicare Plus Central Green HMO (HMO) – H9001-036-0 | $34.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $6,700 |
| Fallon Medicare Plus Central Orange HMO (HMO) – H9001-037-0 | $0.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $7,550 |
| Fallon Medicare Plus Green HMO (HMO) – H9001-030-15 | $120.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $6,700 |
| Fallon Medicare Plus Orange HMO (HMO) – H9001-034-15 | $0.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $7,550 |
| Fallon Medicare Plus Saver No Rx HMO (HMO) – H9001-029-15 | $71.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,550 |
| Fallon Medicare Plus Super Saver HMO (HMO) – H9001-032-15 | $51.00 | $445 . Tier Yes exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | $7,550 |
| Harvard Pilgrim Stride Basic Rx (HMO) – H1660-014-0 | $0.00 | $445 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 25% | $4,500 |
| Harvard Pilgrim Stride Value Rx (HMO) – H1660-016-1 | $79.00 | $350 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 26% | $3,400 |
| Harvard Pilgrim Stride Value Rx Plus (HMO) – H1660-017-1 | $195.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33% | $3,400 |
| Humana Honor (PPO) – H5216-059-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 |
| HumanaChoice H5216-138 (PPO) – H5216-138-0 | $0.00 | $295 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $16.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $7,550 |
| HumanaChoice H5216-249 (PPO) – H5216-249-0 | $0.00 | $275 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| HumanaChoice H5216-250 (PPO) – H5216-250-0 | $20.00 | $250 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,500 |
| Lasso Healthcare Growth (MSA) – H1924-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A |
| Lasso Healthcare Growth Plus (MSA) – H1924-004-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | N/A |
| Medicare HMO Blue FlexRx (HMO-POS) – H2261-023-2 | $106.00 | $260 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 28% | $3,900 |
| Medicare HMO Blue PlusRx (HMO) – H2261-005-0 | $267.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 29% | $3,400 |
| Medicare HMO Blue SaverRx (HMO) – H2261-024-0 | $0.00 | $320 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $7,550 |
| Medicare HMO Blue ValueRx (HMO) – H2261-022-2 | $56.00 | $320 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $6.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $4,900 |
| Medicare PPO Blue PlusRx (PPO) – H2230-002-0 | $263.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 29% | $3,400 |
| Medicare PPO Blue SaverRx (PPO) – H2230-017-0 | $0.00 | $405 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | $7,550 |
| Medicare PPO Blue ValueRx (PPO) – H2230-018-2 | $86.00 | $320 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $6.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $4,900 |
| NaviCare (HMO D-SNP) – H9001-019-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00 | N/A |
| Senior Care Options Program (HMO D-SNP) – H2225-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 25%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Brand: 25%, Specialty Tier: 25% | N/A |
| Senior Whole Health (HMO D-SNP) – H2224-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15% | N/A |
| Senior Whole Health NHC (HMO D-SNP) – H2224-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15% | N/A |
| Tufts Health Plan Senior Care Options (HMO D-SNP) – H2256-029-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00, Tier 6: $0.00 | N/A |
| Tufts Health Unify (Medicare-Medicaid Plan) – H7419-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | N/A |
| Tufts Medicare Preferred HMO Basic No Rx (HMO) – H2256-041-0 | $20.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,450 |
| Tufts Medicare Preferred HMO Basic Rx (HMO) – H2256-036-0 | $43.00 | $225 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29%, Vaccines: $0.00 | $3,450 |
| Tufts Medicare Preferred HMO Prime No Rx (HMO) – H2256-039-0 | $152.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,450 |
| Tufts Medicare Preferred HMO Prime Rx (HMO) – H2256-033-0 | $195.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $8.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $3,450 |
| Tufts Medicare Preferred HMO Saver Rx (HMO) – H2256-028-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28%, Vaccines: $0.00 | $7,550 |
| Tufts Medicare Preferred HMO Value No Rx (HMO) – H2256-040-0 | $112.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,450 |
| Tufts Medicare Preferred HMO Value Rx (HMO) – H2256-034-0 | $160.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $8.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 29%, Vaccines: $0.00 | $3,450 |
| UnitedHealthcare Senior Care Options (HMO D-SNP) – H2226-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | N/A |
| UnitedHealthcare Senior Care Options NHC (HMO D-SNP) – H2226-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | N/A |
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Medicare Supplement Companies in Clinton, Massachusetts
Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With Clinton, Massachusetts Medicare Supplement plan, you can get coverage for some or all of those costs. Medicare Supplement plans in Massachusetts are standardized, but companies can choose which plans they will sell. Take a look at which companies sell Medicare Supplement (Medigap) insurance and which plans they offer.
Medicare Supplement Companies in Clinton, Massachusetts
| Company | Plans |
|---|---|
| AARP – UnitedHealthcare Insurance Company (Standard 15% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| AARP – UnitedHealthcare Insurance Company (Standard 15% Disc/Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Blue Cross and Blue Shield of Massachusetts | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Fallon Health and Life Assurance Company Inc. | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Harvard Pilgrim Health Care Inc. | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Harvard Pilgrim Health Care Inc. (10% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Harvard Pilgrim Health Care Inc. (15% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Harvard Pilgrim Health Care Inc. (5% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Health New England | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana (Humana Insurance Company) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana (Humana Insurance Company) (15% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana (Humana Insurance Company) (15% Disc/Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana (Humana Insurance Company) (Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana Healthy Living (Humana Insurance Company) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana Healthy Living (Humana Insurance Company) (15% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana Healthy Living (Humana Insurance Company) (15% Disc/Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana Healthy Living (Humana Insurance Company) (Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Tufts Insurance Company | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
Clinton, Massachusetts Standard Medicare Plan Coverage
Wondering what’s covered by each of the standard Massachusetts Medicare Supplement plans? Take a look at all of the Clinton, Massachusetts Medicare Supplement plans with coverage details.
Clinton, Massachusetts Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap Core Plan | Premiums range from $108-$204 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Supplement 1 Plan | Premiums range from $206-$330 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Supplement 1A Plan | Premiums range from $161-$320 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
Standalone Medicare Part D Plans in Clinton, Massachusetts
Prescription drug coverage for Medicare in Clinton, Massachusetts is covered by a Part D plan. You can purchase Part D coverage in Clinton, Massachusetts as a standalone plan if it’s not included in your Medicare Advantage coverage. Take a look at the options for standalone Part D plans here.
Standalone Medicare Part D Plans in Clinton, Massachusetts
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 177 – 0 by Aetna Medicare |
Monthly Premium: $7.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 49% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 125 – 0 by Elixir Insurance |
Monthly Premium: $14.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 171 – 0 by WellCare |
Monthly Premium: $14.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $8.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 137 – 0 by WellCare |
Monthly Premium: $16.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $8.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 182 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 17% Tier 4: 35% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 281 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 49% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 072 – 0 by Mutual of Omaha Rx |
Monthly Premium: $25.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 45% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 276 – 0 by WellCare |
Monthly Premium: $26.40 Annual Deductible: $400 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 25% |
| Express Scripts Medicare – Saver (PDP) S5660 – 219 – 0 by Express Scripts Medicare |
Monthly Premium: $27.40 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| WellCare Classic (PDP) S4802 – 076 – 0 by WellCare |
Monthly Premium: $31.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 34% Tier 5: 25% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 348 – 0 by UnitedHealthcare |
Monthly Premium: $31.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $31.00 Tier 4: 40% Tier 5: 25% |
| Express Scripts Medicare – Value (PDP) S5660 – 105 – 0 by Express Scripts Medicare |
Monthly Premium: $32.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 004 – 0 by Aetna Medicare |
Monthly Premium: $32.90 Annual Deductible: $225 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 41% Tier 5: 29% |
| Elixir RxSecure (PDP) S7694 – 002 – 0 by Elixir Insurance |
Monthly Premium: $34.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 32% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 102 – 0 by Humana |
Monthly Premium: $35.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 036 – 0 by WellCare |
Monthly Premium: $35.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $42.00 Tier 4: 37% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 008 – 0 by Cigna |
Monthly Premium: $36.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $41.00 Tier 4: 50% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 385 – 0 by UnitedHealthcare |
Monthly Premium: $37.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 247 – 0 by Cigna |
Monthly Premium: $40.90 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Blue MedicareRx Value Plus (PDP) S2893 – 001 – 0 by Anthem Blue Cross and Blue Shield |
Monthly Premium: $50.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $36.00 Tier 4: 40% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5884 – 149 – 0 by Humana |
Monthly Premium: $65.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| SilverScript Plus (PDP) S5601 – 005 – 0 by Aetna Medicare |
Monthly Premium: $72.00 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 45% Tier 5: 33% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 126 – 0 by WellCare |
Monthly Premium: $74.40 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 47% Tier 5: 33% |
| Express Scripts Medicare – Choice (PDP) S5660 – 206 – 0 by Express Scripts Medicare |
Monthly Premium: $76.40 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| AARP MedicareRx Preferred (PDP) S5820 – 002 – 0 by UnitedHealthcare |
Monthly Premium: $86.00 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 002 – 0 by Mutual of Omaha Rx |
Monthly Premium: $87.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 39% Tier 5: 25% |
| Blue MedicareRx Premier (PDP) S2893 – 003 – 0 by Anthem Blue Cross and Blue Shield |
Monthly Premium: $135.00 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: $30.00 Tier 4: 35% Tier 5: 33% |
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Jeff Root
Licensed Insurance Agent
Jeff is a well-known speaker and expert in life insurance and financial planning. He has spoken at top insurance conferences around the U.S., including the InsuranceNewsNet Super Conference, the 8% Nation Insurance Wealth Conference, and the Digital Life Insurance Agent Mastermind. He has been featured and quoted in Nerdwallet, Bloomberg, Forbes, U.S. News & Money, USA Today, and other leading...
Licensed Insurance Agent
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