South Carolina Medicare Advantage Companies for 2024 (All Plans)
South Carolina has a lot of Medicare Advantage companies, and each has a different selection of plans available with different premiums and benefits. Medicare Advantage plans in South Carolina can differ depending on your county or city. You could even get Medicare Advantage coverage in South Carolina without paying more than your original Medicare Part B rate.
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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
- Standalone Medicare Part D Plans in South Carolina are meant to help cover prescription drug costs
- You can choose from South Carolina HMO and PPO Medicare Advantage plans
- There are 14 Medicare Avantage companies in South Carolina
There are several options in South Carolina for Medicare Advantage plans. Medicare Advantage (Medicare Part C) is offered by 14 companies in South Carolina; and options such as HMO, PPO, and POS may be available depending on which county you live in.
To make sure you’re getting the best SC Medicare provider and plan for your needs, compare rates and out-of-pocket costs to find the ideal coverage and cost combination for you.
If you’re ready to compare Medicare plans from the top companies in your county or across South Carolina, enter your ZIP code for fast, free SC Medicare quotes today.
The Complete List of South Carolina Medicare Advantage Companies
There are many companies offering Part C Medicare Advantage in SC. Below, you’ll find a complete listing of health insurance companies that offer Medicare Advantage plans in South Carolina, the counties those plans are offered in, and the number of plans each company offers.
Medicare Advantage Companies in South Carolina
| Company | Number of Plans | Counties |
|---|---|---|
| Aetna Medicare | 6 | Spartanburg, Cherokee, Greenville, Laurens, Anderson, Williamsburg, Fairfield, Edgefield, Dorchester, Richland, Lexington, Marion, Lee, Georgetown, Oconee, Colleton, York, Charleston, Darlington, Marlboro, Kershaw, Berkeley, Florence, Sumter, Dillon, Horry, Pickens, Aiken, Orangeburg, Chesterfield, Chester, Union, Abbeville, Greenwood, Saluda, Calhoun, McCormick, Beaufort, Allendale, Bamberg, Clarendon, Lancaster, Jasper, Barnwell, Hampton, Newberry |
| Allwell | 2 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Jasper, Dillon, Pickens, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry |
| Blue Cross Blue Shield of South Carolina | 3 | Spartanburg, Cherokee, Fairfield, Saluda, Richland, Lexington, Marion, Greenville, Oconee, Calhoun, York, Marlboro, Anderson, Kershaw, Florence, Sumter, Dillon, Horry, Pickens, Aiken, Orangeburg, Chesterfield, Dorchester, Georgetown, Beaufort, Charleston, Berkeley |
| Bright Health | 1 | Spartanburg, Cherokee, Union, Greenville, Anderson, Pickens |
| Cigna | 5 | Spartanburg, Cherokee, Union, Greenville, York, Charleston, Anderson, Lancaster, Pickens, Chester |
| Clear Spring Health | 5 | Spartanburg, Fairfield, Saluda, Union, Greenville, Lee, Beaufort, Colleton, Jasper, Hampton, Chester |
| Clover Health | 2 | Dorchester, Beaufort, Colleton, Allendale, Charleston, Berkeley, Jasper, Hampton |
| Humana | 26 | Spartanburg, Greenville, Anderson, Pickens, Cherokee, Union, Abbeville, Oconee, York, Laurens, Lancaster, Chester, Williamsburg, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Marion, Lee, Georgetown, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, Charleston, Darlington, Marlboro, Bamberg, Clarendon, Kershaw, Berkeley, Florence, Sumter, Jasper, Dillon, Horry, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Newberry |
| Lasso Healthcare | 2 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry |
| Molina Healthcare | 1 | Spartanburg, Williamsburg, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry |
| NHC Advantage | 2 | Richland, Lexington, Greenville, Greenwood, Beaufort, Charleston, Laurens, Anderson, Sumter, Horry, Aiken |
| PruittHealth | 1 | Fairfield, Richland, Colleton, York, Bamberg, Berkeley, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Hampton |
| UnitedHealthcare | 12 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry |
| WellCare | 10 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Laurens, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Lancaster, Sumter, Jasper, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry |
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South Carolina Medicare Advantage Plans by Company
We’ve put together a list of all of plans available from each SC Medicare company to help you compare Medicare Advantage plans by company in South Carolina. Take a look at the plans here.
Medicare Plans in South Carolina Offered by WellCare
Though plans can vary from county to county, WellCare offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| WellCare Patriot (HMO-POS) | H1416-059 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Laurens, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Lancaster, Sumter, Jasper, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO * | $0.00 |
| WellCare Absolute (PPO) | H7326-003 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Laurens, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Lancaster, Sumter, Jasper, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO | $0.00 |
| WellCare Access (HMO D-SNP) | H1416-036 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Laurens, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Lancaster, Sumter, Jasper, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| WellCare Premier (PPO) | H7326-001 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Laurens, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Lancaster, Sumter, Jasper, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO | $0.00 |
| WellCare Elite (HMO) | H4847-001 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Laurens, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Lancaster, Sumter, Jasper, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO | $0.00 |
| WellCare Plus (HMO) | H4847-003 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Laurens, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Lancaster, Sumter, Jasper, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO | $21.70 |
| WellCare Prime (PPO) | H7326-002 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Laurens, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Lancaster, Sumter, Jasper, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO | $30.00 |
| WellCare Flex Complete (PPO) | H7326-004 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Laurens, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Lancaster, Sumter, Jasper, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO | $90.00 |
| WellCare Value (HMO) | H1416-056 | Spartanburg, Cherokee, Saluda, Union, Greenville, Abbeville, McCormick, Greenwood, Pickens, Newberry | Local HMO | $0.00 |
| WellCare Compass (HMO) | H4847-005 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Laurens, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Lancaster, Sumter, Jasper, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO | $13.30 |
Medicare Plans in South Carolina Offered by Clear Spring Health
Though plans can vary from county to county, Clear Spring Health offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Clear Spring Health Gold Plus (PPO) | H2334-005 | Spartanburg, Fairfield, Saluda, Union, Greenville, Lee, Beaufort, Colleton, Jasper, Hampton, Chester | Local PPO | $19.00 |
| Clear Spring Health Select Plan (HMO) | H9403-004 | Spartanburg, Fairfield, Saluda, Union, Greenville, Lee, Beaufort, Colleton, Jasper, Hampton, Chester | Local HMO | $0.00 |
| Clear Spring Health Choice Plan (PPO) | H2334-003 | Spartanburg, Fairfield, Saluda, Union, Greenville, Lee, Beaufort, Colleton, Jasper, Hampton, Chester | Local PPO | $0.00 |
| Clear Spring Health Deluxe Plan (HMO D-SNP) | H9403-001 | Spartanburg, Fairfield, Saluda, Union, Greenville, Lee, Beaufort, Colleton, Jasper, Hampton, Chester | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Clear Spring Health Silver Plan (HMO C-SNP) | H9403-003 | Spartanburg, Fairfield, Saluda, Union, Greenville, Lee, Beaufort, Colleton, Jasper, Hampton, Chester | Local HMO | $0.00 |
Medicare Plans in South Carolina Offered by UnitedHealthcare
Though plans can vary from county to county, UnitedHealthcare offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP) | R2604-004 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Regional PPO | $0.00 for people who qualify for both Medicare and Medicaid. |
| UnitedHealthcare Medicare Gold (Regional PPO C-SNP) | R2604-003 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Regional PPO | $19.00 |
| UnitedHealthcare Medicare Advantage Patriot (Regional PPO) | R2604-005 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Regional PPO* | $0.00 |
| AARP Medicare Advantage Choice (PPO) | H2577-006 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO | $0.00 |
| UnitedHealthcare Dual Complete (PPO D-SNP) | H0271-016 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO | $0.00 for people who qualify for both Medicare and Medicaid. |
| UnitedHealthcare Medicare Silver (Regional PPO C-SNP) | R2604-002 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Regional PPO | $9.70 |
| UnitedHealthcare Medicare Advantage Choice (Regional PPO) | R2604-001 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Regional PPO | $49.00 |
| AARP Medicare Advantage Patriot (HMO-POS) | H8748-019 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO * | $0.00 |
| AARP Medicare Advantage Plan 2 (HMO-POS) | H8748-025 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO | $24.00 |
| AARP Medicare Advantage Walgreens (PPO) | H2577-005 | Spartanburg, Cherokee, Greenville, Pickens | Local PPO | $0.00 |
| UnitedHealthcare Nursing Home Plan (PPO I-SNP) | H0710-053 | Spartanburg, Greenville, York, Anderson | Local PPO | $27.60 |
| AARP Medicare Advantage Plan 1 (HMO-POS) | H8748-002 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO | $0.00 |
Medicare Plans in South Carolina Offered by Humana
Though plans can vary from county to county, Humana offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Humana Together in Health (PPO I-SNP) | H5216-243 | Spartanburg, Greenville, Anderson, Pickens | Local PPO | $27.60 |
| HumanaChoice H5216-237 (PPO) | H5216-237 | Spartanburg, Cherokee, Union, Greenville, Abbeville, Oconee, York, Laurens, Anderson, Pickens | Local PPO | $42.00 |
| Humana Gold Plus H5619-086 (HMO) | H5619-086 | Spartanburg, Cherokee, Union, Greenville, Abbeville, Oconee, York, Laurens, Anderson, Lancaster, Pickens, Chester | Local HMO | $0.00 |
| HumanaChoice H5216-157 (PPO) | H5216-157 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO* | $0.00 |
| HumanaChoice – Diabetes and Heart (PPO C-SNP) | H5216-245 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO | $5.20 |
| HumanaChoice R3392-002 (Regional PPO) | R3392-002 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Regional PPO | $87.00 |
| HumanaChoice R3392-001 (Regional PPO) | R3392-001 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Regional PPO* | $0.00 |
| HumanaChoice H5216-241 (PPO) | H5216-241 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO | $28.70 |
| HumanaChoice – Diabetes (PPO C-SNP) | H5216-244 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO | $0.00 |
| Humana Gold Choice H8145-069 (PFFS) | H8145-069 | Spartanburg, Edgefield, Richland, Greenville, Abbeville, Lee, Oconee, York, Bamberg, Anderson, Jasper, Aiken | PFFS | $53.00 |
| HumanaChoice H5216-210 (PPO) | H5216-210 | Spartanburg, Cherokee, Fairfield, Saluda, Richland, Lexington, Union, Greenville, Abbeville, Oconee, Greenwood, York, Laurens, Anderson, Kershaw, Lancaster, Pickens, Chester, Newberry | Local PPO | $0.00 |
| Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP) | H5619-082 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Humana Honor (PPO) | H5216-217 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO* | $0.00 |
| HumanaChoice H5216-154 (PPO) | H5216-154 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO | $0.00 |
| Humana Gold Plus H5619-118 (HMO) | H5619-118 | Williamsburg, Marion, Lee, Darlington, Marlboro, Clarendon, Florence, Sumter, Dillon, Chesterfield | Local HMO | $0.00 |
| HumanaChoice H5216-209 (PPO) | H5216-209 | Williamsburg, Marion, Lee, Darlington, Marlboro, Clarendon, Florence, Sumter, Dillon, Chesterfield | Local PPO | $0.00 |
| Humana Gold Plus H5619-132 (HMO) | H5619-132 | Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Georgetown, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, Charleston, Bamberg, Kershaw, Berkeley, Jasper, Horry, Aiken, Orangeburg, Barnwell, Hampton, Newberry | Local HMO | $0.00 |
| HumanaChoice H5525-024 (PPO) | H5525-024 | Fairfield, Lee, Georgetown, Calhoun, Bamberg, Kershaw, Lancaster, Orangeburg, Chester | Local PPO | $56.00 |
| HumanaChoice H5216-238 (PPO) | H5216-238 | Edgefield, Dorchester, Georgetown, McCormick, Beaufort, Calhoun, Colleton, Allendale, Charleston, Bamberg, Berkeley, Jasper, Horry, Aiken, Orangeburg, Barnwell, Hampton | Local PPO | $0.00 |
| HumanaChoice H5216-142 (PPO) | H5216-142 | Edgefield, Saluda, Richland, Lexington, Aiken, Barnwell, Newberry | Local PPO | $24.00 |
| HumanaChoice H5216-075 (PPO) | H5216-075 | Dorchester, Colleton, Charleston, Berkeley | Local PPO | $70.00 |
| Humana Gold Plus H5619-083 (HMO) | H5619-083 | Dorchester, Colleton, Charleston, Berkeley | Local HMO | $29.00 |
| Humana Gold Plus H5619-080 (HMO) | H5619-080 | Richland | Local HMO | $14.00 |
| Humana Gold Plus – Diabetes and Heart (HMO C-SNP) | H5619-087 | Greenville, Anderson | Local HMO | $0.00 |
| HumanaChoice H7617-001 (PPO) | H7617-001 | Greenville | Local PPO | $115.00 |
| Humana Gold Plus H5178-001 (HMO) | H5178-001 | Greenville | Local HMO | $130.00 |
Medicare Plans in South Carolina Offered by Aetna Medicare
Though plans can vary from county to county, Aetna Medicare offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Aetna Medicare Premier Plus Plan (PPO) | H5521-319 | Spartanburg, Cherokee, Greenville, Laurens, Anderson | Local PPO | $0.00 |
| Aetna Medicare Premier Plan (PPO) | H5521-140 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Dorchester, Richland, Lexington, Marion, Greenville, Lee, Georgetown, Oconee, Colleton, York, Charleston, Darlington, Laurens, Marlboro, Anderson, Kershaw, Berkeley, Florence, Sumter, Dillon, Horry, Pickens, Aiken, Orangeburg, Chesterfield, Chester | Local PPO | $0.00 |
| Aetna Medicare Value Plus Plan (HMO) | H3146-011 | Spartanburg, Cherokee, Union, Greenville, Abbeville, Oconee, Greenwood, York, Laurens, Anderson, Pickens | Local HMO | $21.00 |
| Aetna Medicare Eagle Plan (PPO) | H5521-279 | Spartanburg, Cherokee, Fairfield, Saluda, Marion, Greenville, Calhoun, York, Marlboro, Kershaw, Sumter, Dillon, Pickens, Chesterfield | Local PPO* | $0.00 |
| Aetna Medicare Value Plan (PPO) | H5521-251 | Williamsburg, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Abbeville, Lee, Georgetown, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, Charleston, Darlington, Marlboro, Bamberg, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local PPO | $16.00 |
| Aetna Medicare Elite Plan (PPO) | H5521-253 | Beaufort, Jasper, Hampton | Local PPO | $0.00 |
Medicare Plans in South Carolina Offered by Allwell
Though plans can vary from county to county, Allwell offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Allwell Medicare (HMO) | H1436-004 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Jasper, Dillon, Pickens, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO | $0.00 |
| Allwell Dual Medicare (HMO D-SNP) | H1436-005 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Jasper, Dillon, Pickens, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in South Carolina Offered by Cigna
Though plans can vary from county to county, Cigna offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Cigna Preferred Medicare (HMO) | H7020-004 | Spartanburg, Cherokee, Union, Greenville, York, Charleston, Anderson, Lancaster, Pickens, Chester | Local HMO | $0.00 |
| Cigna Preferred Plus Medicare (HMO) | H7020-006 | Spartanburg, Cherokee, Union, Greenville, York, Anderson, Lancaster, Pickens, Chester | Local HMO | $29.00 |
| Cigna Preferred Savings Medicare (HMO) | H7020-007 | Spartanburg, Greenville, York | Local HMO | $0.00 |
| Cigna Fundamental Medicare (HMO) | H7020-005 | Spartanburg, Cherokee, Union, Greenville, York, Anderson, Lancaster, Pickens, Chester | Local HMO * | $0.00 |
| Cigna True Choice Medicare (PPO) | H7849-018 | York, Lancaster, Chester | Local PPO | $0.00 |
Medicare Plans in South Carolina Offered by Blue Cross Blue Shield of South Carolina
Though plans can vary from county to county, Blue Cross Blue Shield of South Carolina offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| BlueCross Total Value (PPO) | H8003-004 | Spartanburg, Cherokee, Fairfield, Saluda, Richland, Lexington, Marion, Greenville, Oconee, Calhoun, York, Marlboro, Anderson, Kershaw, Florence, Sumter, Dillon, Horry, Pickens, Aiken, Orangeburg, Chesterfield | Local PPO | $0.00 |
| BlueCross Total (PPO) | H8003-001 | Spartanburg, Cherokee, Fairfield, Saluda, Dorchester, Richland, Lexington, Marion, Greenville, Georgetown, Oconee, Beaufort, Calhoun, York, Charleston, Marlboro, Anderson, Kershaw, Berkeley, Florence, Sumter, Dillon, Horry, Pickens, Aiken, Orangeburg, Chesterfield | Local PPO | $19.00 |
| BlueCross Secure (HMO) | H7165-002 | Richland, Greenville | Local HMO | $10.00 |
Medicare Plans in South Carolina Offered by Lasso Healthcare
Though plans can vary from county to county, Lasso Healthcare offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Lasso Healthcare Growth (MSA) | H1924-001 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | MSA* | MSAs do not have a monthly premium. |
| Lasso Healthcare Growth Plus (MSA) | H1924-004 | Spartanburg, Williamsburg, Cherokee, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, Oconee, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Lancaster, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | MSA* | MSAs do not have a monthly premium. |
Medicare Plans in South Carolina Offered by Molina Healthcare
Though plans can vary from county to county, Molina Healthcare offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Molina Medicare Complete Care (HMO D-SNP) | H8176-001 | Spartanburg, Williamsburg, Fairfield, Edgefield, Saluda, Dorchester, Richland, Lexington, Union, Marion, Greenville, Abbeville, Lee, Georgetown, McCormick, Greenwood, Beaufort, Calhoun, Colleton, Allendale, York, Charleston, Darlington, Laurens, Marlboro, Bamberg, Anderson, Clarendon, Kershaw, Berkeley, Florence, Sumter, Jasper, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Chesterfield, Hampton, Chester, Newberry | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Medicare Plans in South Carolina Offered by Bright Health
Though plans can vary from county to county, Bright Health offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Bright Advantage (HMO) | H7409-001 | Spartanburg, Cherokee, Union, Greenville, Anderson, Pickens | Local HMO | $0.00 |
Medicare Plans in South Carolina Offered by PruittHealth
Though plans can vary from county to county, PruittHealth offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| PruittHealth Premier (HMO I-SNP) | H6345-002 | Fairfield, Richland, Colleton, York, Bamberg, Berkeley, Dillon, Horry, Pickens, Aiken, Orangeburg, Barnwell, Hampton | Local HMO | $27.60 |
Medicare Plans in South Carolina Offered by Clover Health
Though plans can vary from county to county, Clover Health offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Clover Health Choice (PPO) | H5141-036 | Dorchester, Beaufort, Colleton, Allendale, Charleston, Berkeley, Jasper, Hampton | Local PPO | $0.00 |
| Clover Health Choice Value (PPO) | H5141-037 | Dorchester, Beaufort, Colleton, Allendale, Charleston, Berkeley, Jasper, Hampton | Local PPO | $27.60 |
Medicare Plans in South Carolina Offered by NHC Advantage
Though plans can vary from county to county, NHC Advantage offers these Medicare plans in South Carolina.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| NHC Advantage Gold (HMO I-SNP) | H4172-002 | Richland, Lexington, Greenville, Greenwood, Beaufort, Charleston, Laurens, Anderson, Sumter, Horry, Aiken | Local HMO | $176.00 |
| NHC Advantage (HMO I-SNP) | H4172-001 | Richland, Lexington, Greenville, Greenwood, Beaufort, Charleston, Laurens, Anderson, Sumter, Horry, Aiken | Local HMO | $30.20 |
South Carolina Medicare Advantage Plans With No Additional Cost
If you decide to get Medicare Advantage in South Carolina, you still have to pay your original Medicare Part B premium. Many SC Medicare companies offer Advantage plans that don’t cost any more than your original Medicare premium. Take a look at your options.
Zero-Cost {?{?state}} Medicare Advantage Plans
| Plan Name | County | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|
| Lasso Healthcare Growth (MSA) – H1924-001-0 | Lancaster, Marlboro, Lee, York, Colleton, Williamsburg, Greenville, Kershaw, Georgetown, Dorchester, Dillon, Sumter, Anderson, Jasper, Chester, Saluda, Barnwell, Spartanburg, Laurens, Aiken, Richland, Charleston, Darlington, McCormick, Fairfield, Cherokee, Calhoun, Chesterfield, Berkeley, Allendale, Union, Florence, Clarendon, Orangeburg, Oconee, Lexington, Horry, Greenwood, Bamberg, Edgefield, Marion, Newberry, Abbeville, Beaufort, Pickens, Hampton | This Plan does NOT include prescription drug coverage. | N/A |
| Lasso Healthcare Growth Plus (MSA) – H1924-004-0 | Lancaster, Marlboro, Lee, York, Colleton, Williamsburg, Greenville, Kershaw, Georgetown, Dorchester, Dillon, Sumter, Anderson, Jasper, Chester, Saluda, Barnwell, Spartanburg, Laurens, Aiken, Richland, Charleston, Darlington, McCormick, Fairfield, Cherokee, Calhoun, Chesterfield, Berkeley, Allendale, Union, Florence, Clarendon, Orangeburg, Oconee, Lexington, Horry, Greenwood, Bamberg, Edgefield, Marion, Newberry, Abbeville, Beaufort, Pickens, Hampton | This Plan does NOT include prescription drug coverage. | N/A |
| AARP Medicare Advantage Choice (PPO) – H2577-006-0 | Lancaster, Marlboro, Lee, York, Colleton, Williamsburg, Greenville, Kershaw, Georgetown, Dorchester, Dillon, Sumter, Anderson, Jasper, Chester, Saluda, Barnwell, Spartanburg, Laurens, Aiken, Richland, Charleston, Darlington, McCormick, Fairfield, Cherokee, Calhoun, Chesterfield, Berkeley, Allendale, Union, Florence, Clarendon, Orangeburg, Oconee, Lexington, Horry, Bamberg, Edgefield, Marion, Newberry, Abbeville, Beaufort, Pickens, Hampton | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $5,900 |
| AARP Medicare Advantage Patriot (HMO-POS) – H8748-019-0 | Lancaster, Marlboro, Lee, York, Colleton, Williamsburg, Greenville, Kershaw, Georgetown, Dorchester, Dillon, Sumter, Anderson, Jasper, Chester, Saluda, Barnwell, Spartanburg, Laurens, Aiken, Richland, Charleston, Darlington, McCormick, Fairfield, Cherokee, Calhoun, Chesterfield, Berkeley, Allendale, Union, Florence, Clarendon, Orangeburg, Oconee, Lexington, Horry, Bamberg, Edgefield, Marion, Newberry, Abbeville, Beaufort, Pickens, Hampton | This Plan does NOT include prescription drug coverage. | $4,500 |
| AARP Medicare Advantage Plan 1 (HMO-POS) – H8748-002-0 | Lancaster, Marlboro, Lee, York, Colleton, Williamsburg, Greenville, Kershaw, Georgetown, Dorchester, Dillon, Sumter, Anderson, Jasper, Chester, Saluda, Barnwell, Spartanburg, Laurens, Aiken, Richland, Charleston, Darlington, McCormick, Fairfield, Cherokee, Calhoun, Chesterfield, Berkeley, Allendale, Union, Florence, Clarendon, Orangeburg, Oconee, Lexington, Horry, Bamberg, Edgefield, Marion, Newberry, Abbeville, Beaufort, Pickens, Hampton | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,900 |
| Cigna Fundamental Medicare (HMO) – H7020-005-0 | Greenville, Spartanburg, Cherokee, Pickens | This Plan does NOT include prescription drug coverage. | $5,900 |
| Cigna Preferred Medicare (HMO) – H7020-004-0 | Jasper, Beaufort, Hampton | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $5,900 |
| Cigna True Choice Medicare (PPO) – H7849-018-0 | Kershaw, Sumter, Chester, Aiken, Richland, Fairfield, Orangeburg, Lexington, Edgefield | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $6,800 |
| Humana Gold Plus H5619-086 (HMO) – H5619-086-0 | Charleston | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Humana Honor (PPO) – H5216-217-0 | Greenville, Anderson, Spartanburg, Laurens, Cherokee | This Plan does NOT include prescription drug coverage. | $6,700 |
| HumanaChoice – Diabetes (PPO C-SNP) – H5216-244-0 | Greenville, Kershaw, Anderson, Saluda, Spartanburg, Richland, Fairfield, Calhoun, Oconee, Lexington, Pickens | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | N/A |
| HumanaChoice H5216-154 (PPO) – H5216-154-0 | Kershaw, Georgetown, Jasper, Saluda, Barnwell, Aiken, Richland, McCormick, Fairfield, Calhoun, Allendale, Orangeburg, Lexington, Horry, Greenwood, Bamberg, Edgefield, Newberry, Beaufort, Hampton | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $7,550 |
| HumanaChoice H5216-157 (PPO) – H5216-157-0 | Lancaster, Marlboro, Lee, York, Colleton, Williamsburg, Greenville, Kershaw, Georgetown, Dorchester, Dillon, Sumter, Anderson, Jasper, Chester, Saluda, Barnwell, Spartanburg, Laurens, Aiken, Richland, Charleston, Darlington, McCormick, Fairfield, Cherokee, Calhoun, Chesterfield, Berkeley, Allendale, Union, Florence, Clarendon, Orangeburg, Oconee, Lexington, Horry, Greenwood, Bamberg, Edgefield, Marion, Newberry, Abbeville, Beaufort, Pickens, Hampton | This Plan does NOT include prescription drug coverage. | $6,700 |
| HumanaChoice H5216-210 (PPO) – H5216-210-0 | Greenville, Anderson, Spartanburg, Cherokee, Union, Pickens | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| HumanaChoice R3392-001 (Regional PPO) – R3392-001-0 | Georgetown, Jasper, Barnwell, Aiken, McCormick, Calhoun, Allendale, Orangeburg, Horry, Bamberg, Edgefield, Beaufort, Hampton | This Plan does NOT include prescription drug coverage. | $6,700 |
| UnitedHealthcare Medicare Advantage Patriot (Regional PPO) – R2604-005-0 | Lancaster, Marlboro, Lee, York, Colleton, Williamsburg, Greenville, Kershaw, Georgetown, Dorchester, Dillon, Sumter, Anderson, Jasper, Chester, Saluda, Barnwell, Spartanburg, Laurens, Aiken, Richland, Charleston, Darlington, McCormick, Fairfield, Cherokee, Calhoun, Chesterfield, Berkeley, Allendale, Union, Florence, Clarendon, Orangeburg, Oconee, Lexington, Horry, Greenwood, Bamberg, Edgefield, Marion, Newberry, Abbeville, Beaufort, Pickens, Hampton | This Plan does NOT include prescription drug coverage. | $6,700 |
| WellCare Absolute (PPO) – H7326-003-0 | Saluda, Richland, Lexington, Newberry | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $6,700 |
| WellCare Elite (HMO) – H4847-002-0 | Lancaster, Lee, York, Colleton, Williamsburg, Kershaw, Dorchester, Sumter, Anderson, Jasper, Chester, Barnwell, Aiken, McCormick, Calhoun, Chesterfield, Berkeley, Allendale, Clarendon, Orangeburg, Oconee, Lexington, Horry, Greenwood, Bamberg, Edgefield, Marion, Newberry, Abbeville, Beaufort, Hampton | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $3,400 |
| WellCare Patriot (HMO-POS) – H4847-006-0 | Colleton, Dorchester, Charleston, Berkeley | This Plan does NOT include prescription drug coverage. | $3,450 |
| WellCare Premier (PPO) – H7326-001-0 | Lancaster, Lee, York, Colleton, Williamsburg, Greenville, Kershaw, Georgetown, Dorchester, Sumter, Anderson, Jasper, Chester, Saluda, Barnwell, Spartanburg, Laurens, Aiken, Richland, Charleston, McCormick, Fairfield, Cherokee, Calhoun, Chesterfield, Berkeley, Allendale, Union, Clarendon, Orangeburg, Oconee, Lexington, Horry, Greenwood, Bamberg, Edgefield, Marion, Newberry, Abbeville, Beaufort, Pickens, Hampton | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $5,500 |
| WellCare Access (HMO D-SNP) – H4847-004-0 | Lancaster, Lee, York, Colleton, Williamsburg, Kershaw, Georgetown, Dorchester, Sumter, Anderson, Jasper, Chester, Barnwell, Laurens, Aiken, Richland, Charleston, Fairfield, Calhoun, Chesterfield, Berkeley, Allendale, Clarendon, Orangeburg, Oconee, Lexington, Horry, Bamberg, Edgefield, Beaufort, Hampton | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 25% | N/A |
| Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP) – H5619-082-0 | Richland | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | N/A |
| UnitedHealthcare Dual Complete (PPO D-SNP) – H0271-016-0 | York, Greenville, Anderson, Spartanburg, Laurens, Cherokee, Union, Oconee, Greenwood, Abbeville, Pickens | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | N/A |
| UnitedHealthcare Dual Complete Choice (Regional PPO D-SNP) – R2604-004-0 | Lancaster, Marlboro, Lee, York, Colleton, Williamsburg, Greenville, Kershaw, Georgetown, Dorchester, Dillon, Sumter, Anderson, Jasper, Chester, Saluda, Barnwell, Spartanburg, Laurens, Aiken, Richland, Charleston, Darlington, McCormick, Fairfield, Cherokee, Calhoun, Chesterfield, Berkeley, Allendale, Union, Florence, Clarendon, Orangeburg, Oconee, Lexington, Horry, Greenwood, Bamberg, Edgefield, Marion, Newberry, Abbeville, Beaufort, Pickens, Hampton | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | N/A |
| Absolute Total Care (Medicare-Medicaid Plan) – H1723-001-0 | Greenville, Spartanburg, Cherokee, Pickens | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| Aetna Medicare Eagle Plan (PPO) – H5521-279-0 | Jasper, Beaufort, Hampton | This Plan does NOT include prescription drug coverage. | $7,500 |
| Aetna Medicare Premier Plan (PPO) – H5521-249-0 | Kershaw, Sumter, Chester, Aiken, Richland, Fairfield, Orangeburg, Lexington, Edgefield | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $6,700 |
| Allwell Medicare (HMO) – H1436-002-0 | Charleston | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $7,550 |
| BlueCross Total Value (PPO) – H8003-005-0 | Greenville, Anderson, Spartanburg, Laurens, Cherokee | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 29% | $7,550 |
| First Choice VIP Care Plus (Medicare-Medicaid Plan) – H8213-001-0 | Greenville, Kershaw, Anderson, Saluda, Spartanburg, Richland, Fairfield, Calhoun, Oconee, Lexington, Pickens | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| Humana Gold Plus H5619-118 (HMO) – H5619-118-0 | Kershaw, Georgetown, Jasper, Saluda, Barnwell, Aiken, Richland, McCormick, Fairfield, Calhoun, Allendale, Orangeburg, Lexington, Horry, Greenwood, Bamberg, Edgefield, Newberry, Beaufort, Hampton | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| HumanaChoice H5216-209 (PPO) – H5216-209-0 | Saluda, Richland, Lexington, Newberry | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Molina Dual Options (Medicare-Medicaid Plan) – H2533-001-0 | Colleton, Dorchester, Charleston, Berkeley | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | N/A |
| Allwell Dual Medicare (HMO D-SNP) – H1436-005-0 | York, Greenville, Anderson, Spartanburg, Cherokee, Oconee, Pickens | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 25% | N/A |
| Molina Medicare Complete Care (HMO D-SNP) – H8176-001-0 | Richland | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $45.00, Non-Preferred Drug: 34%, Specialty Tier: 25% | N/A |
| Clear Spring Health Choice Plan (PPO) – H2334-003-0 | Charleston | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 29% | $7,550 |
| Clear Spring Health Select Plan (HMO) – H9403-004-0 | Greenville, Anderson, Spartanburg, Laurens, Cherokee | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,550 |
| Clear Spring Health Silver Plan (HMO C-SNP) – H9403-003-0 | Greenville, Kershaw, Anderson, Saluda, Spartanburg, Richland, Fairfield, Calhoun, Oconee, Lexington, Pickens | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 28% | N/A |
| Clear Spring Health Deluxe Plan (HMO D-SNP) – H9403-001-0 | Georgetown, Dorchester, Charleston, Berkeley, Beaufort | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | N/A |
| Aetna Medicare Premier Plan (PPO) – H5521-140-0 | Jasper, Beaufort, Hampton | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $7,500 |
| BlueCross Total Value (PPO) – H8003-004-0 | Kershaw, Sumter, Chester, Aiken, Richland, Fairfield, Orangeburg, Lexington, Edgefield | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 29% | $7,550 |
| Cigna Preferred Savings Medicare (HMO) – H7020-007-0 | Greenville, Kershaw, Anderson, Saluda, Spartanburg, Richland, Fairfield, Calhoun, Oconee, Lexington, Pickens | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $6,950 |
| Aetna Medicare Premier Plan (PPO) – H5521-247-0 | Jasper, Beaufort, Hampton | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Clover Health Choice (PPO) – H5141-036-0 | Kershaw, Georgetown, Jasper, Saluda, Barnwell, Aiken, Richland, McCormick, Fairfield, Calhoun, Allendale, Orangeburg, Lexington, Horry, Greenwood, Bamberg, Edgefield, Newberry, Beaufort, Hampton | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,550 |
| Humana Gold Plus H5619-132 (HMO) – H5619-132-2 | Greenville, Anderson, Spartanburg, Cherokee, Union, Pickens | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| HumanaChoice H5216-238 (PPO) – H5216-238-2 | Colleton, Dorchester, Charleston, Berkeley | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| AARP Medicare Advantage Walgreens (PPO) – H2577-005-0 | Greenville, Spartanburg, Cherokee, Pickens | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% | $6,700 |
| Aetna Medicare Premier Plus Plan (PPO) – H5521-319-0 | Greenville, Anderson, Spartanburg, Laurens, Cherokee | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,500 |
| Allwell Medicare (HMO) – H1436-004-0 | Greenville, Kershaw, Anderson, Saluda, Spartanburg, Richland, Fairfield, Calhoun, Oconee, Lexington, Pickens | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $7,550 |
| BlueCross Secure (HMO) – H7165-001-0 | Kershaw, Georgetown, Jasper, Saluda, Barnwell, Aiken, Richland, McCormick, Fairfield, Calhoun, Allendale, Orangeburg, Lexington, Horry, Greenwood, Bamberg, Edgefield, Newberry, Beaufort, Hampton | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $37.00, Non-Preferred Drug: 45%, Specialty Tier: 31% | $6,700 |
| Bright Advantage (HMO) – H7409-001-0 | Greenville, Anderson, Spartanburg, Cherokee, Union, Pickens | Preferred Generic: $0.00, Generic: 25%, Preferred Brand: 25%, Non-Preferred Drug: 25%, Specialty Tier: 25%, Select Care Drugs: $0.00 | $6,400 |
| Humana Gold Plus – Diabetes and Heart (HMO C-SNP) – H5619-087-0 | McCormick, Greenwood, Newberry, Abbeville | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29%, Select Care Drugs: $0.00 | N/A |
| WellCare Elite (HMO) – H4847-001-0 | Greenville, Georgetown, Saluda, Spartanburg, Laurens, Richland, Charleston, Fairfield, Cherokee, Union, Pickens | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $3,400 |
| WellCare Patriot (HMO-POS) – H1416-059-0 | Greenville, Saluda, Spartanburg, McCormick, Cherokee, Union, Greenwood, Newberry, Abbeville, Pickens | This Plan does NOT include prescription drug coverage. | $3,450 |
| WellCare Value (HMO) – H1416-056-0 | Greenville, Saluda, Spartanburg, Cherokee, Union, Pickens | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 33% | $5,900 |
| WellCare Access (HMO D-SNP) – H1416-036-0 | Greenville, Saluda, Spartanburg, McCormick, Cherokee, Union, Greenwood, Newberry, Abbeville, Pickens | Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: 47%, Specialty Tier: 25% | N/A |
| Aetna Medicare Premier Plan (PPO) – H5521-245-0 | Kershaw, Sumter, Chester, Aiken, Richland, Fairfield, Orangeburg, Lexington, Edgefield | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Humana Gold Plus H5619-132 (HMO) – H5619-132-1 | Kershaw, Georgetown, Jasper, Saluda, Barnwell, Aiken, Richland, McCormick, Fairfield, Calhoun, Allendale, Orangeburg, Lexington, Horry, Greenwood, Bamberg, Edgefield, Newberry, Beaufort, Hampton | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| HumanaChoice H5216-238 (PPO) – H5216-238-1 | Georgetown, Jasper, Barnwell, Aiken, McCormick, Calhoun, Allendale, Orangeburg, Horry, Bamberg, Edgefield, Beaufort, Hampton | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Elite Plan (PPO) – H5521-253-0 | Jasper, Beaufort, Hampton | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,500 |
| HumanaChoice H5216-142 (PPO) – H5216-142-1 | Saluda, Richland, Lexington, Newberry | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,800 |
| Cigna Preferred Medicare (HMO) – H7020-008-0 | Charleston | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $5,900 |
| WellCare Value (HMO) – H1416-057-0 | McCormick, Greenwood, Newberry, Abbeville | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 33% | $5,900 |
Standalone Medicare Part D Plans in South Carolina
There is a wide variety of Medicare Part D plans available in every state, and South Carolina is no exception. Keep in mind that plans vary by county, and don’t forget to check that your SC Medicare Advantage plan doesn’t already include Part D prescription drug coverage.
Standalone Medicare Part D Plans in South Carolina
| Plan | Details | Tiers |
|---|---|---|
| AARP MedicareRx Preferred (PDP) S5820 – 008 – 0 by UnitedHealthcare |
Monthly Premium: $95.50 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% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 354 – 0 by UnitedHealthcare |
Monthly Premium: $46.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $10.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 391 – 0 by UnitedHealthcare |
Monthly Premium: $36.70 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% |
| BlueCross Rx Plus (PDP) S5953 – 002 – 0 by Blue Cross Blue Shield of South Carolina |
Monthly Premium: $205.30 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $20.00 Tier 4: 40% Tier 5: 33% |
| BlueCross Rx Value (PDP) S5953 – 001 – 0 by Blue Cross Blue Shield of South Carolina |
Monthly Premium: $86.20 Annual Deductible: $300 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $20.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 27% |
| Cigna Secure Rx (PDP) S5617 – 218 – 0 by Cigna |
Monthly Premium: $20.40 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: $42.00 Tier 4: 50% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 288 – 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: 47% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 254 – 0 by Cigna |
Monthly Premium: $48.80 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% |
| Clear Spring Health Premier Rx (PDP) S6946 – 035 – 0 by Clear Spring Health |
Monthly Premium: $14.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 45% Tier 5: 25% |
| Clear Spring Health Value Rx (PDP) S6946 – 006 – 0 by Clear Spring Health |
Monthly Premium: $22.50 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: $42.00 Tier 4: 33% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 123 – 0 by Elixir Insurance |
Monthly Premium: $15.60 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% |
| Elixir RxSecure (PDP) S7694 – 009 – 0 by Elixir Insurance |
Monthly Premium: $24.80 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: 34% Tier 5: 25% |
| Express Scripts Medicare – Choice (PDP) S5660 – 210 – 0 by Express Scripts Medicare |
Monthly Premium: $69.80 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% |
| Express Scripts Medicare – Saver (PDP) S5660 – 225 – 0 by Express Scripts Medicare |
Monthly Premium: $28.90 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% |
| Express Scripts Medicare – Value (PDP) S5660 – 111 – 0 by Express Scripts Medicare |
Monthly Premium: $54.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $41.00 Tier 4: 50% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 134 – 0 by Humana |
Monthly Premium: $38.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 34% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5884 – 155 – 0 by Humana |
Monthly Premium: $69.00 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% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 188 – 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: 18% Tier 4: 35% Tier 5: 25% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 008 – 0 by Mutual of Omaha Rx |
Monthly Premium: $100.00 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: 20% Tier 4: 34% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 078 – 0 by Mutual of Omaha Rx |
Monthly Premium: $25.80 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% |
| SilverScript Choice (PDP) S5601 – 018 – 0 by Aetna Medicare |
Monthly Premium: $22.90 Annual Deductible: $355 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: 42% Tier 5: 26% |
| SilverScript Plus (PDP) S5601 – 019 – 0 by Aetna Medicare |
Monthly Premium: $76.00 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: 50% Tier 5: 33% |
| SilverScript SmartRx (PDP) S5601 – 184 – 0 by Aetna Medicare |
Monthly Premium: $7.30 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: 48% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 070 – 0 by WellCare |
Monthly Premium: $34.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $30.00 Tier 4: 33% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 043 – 0 by WellCare |
Monthly Premium: $23.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $42.00 Tier 4: 36% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 283 – 0 by WellCare |
Monthly Premium: $26.90 Annual Deductible: $445 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% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 132 – 0 by WellCare |
Monthly Premium: $79.20 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 47% Tier 5: 33% |
| WellCare Value Script (PDP) S4802 – 144 – 0 by WellCare |
Monthly Premium: $19.70 Annual Deductible: $350 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: 26% |
| WellCare Wellness Rx (PDP) S4802 – 178 – 0 by WellCare |
Monthly Premium: $16.70 Annual Deductible: $350 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: 26% |
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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...
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