West Virginia Medicare Advantage Companies for 2024 (All Plans)
West Virginia 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 West Virginia can differ depending on your county or city. You could even get Medicare Advantage coverage in West Virginia 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
- There are 21 plans that cost the same as your original Medicare in WV
- There are 8 Medicare Avantage companies in West Virginia
- If you choose Medicare Advantage, you’ll still need to pay your West Virginia original Medicare premium
There are several options in West Virginia for Medicare Advantage plans. Medicare Advantage (Medicare Part C) is offered by eight companies in West Virginia; 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 WV 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 West Virginia, enter your ZIP code for fast, free WV Medicare quotes today.
The Complete List of West Virginia Medicare Advantage Companies
There are many companies offering Part C Medicare Advantage in WV. Below, you’ll find a complete listing of health insurance companies that offer Medicare Advantage plans in West Virginia, the counties those plans are offered in, and the number of plans each company offers.
Medicare Advantage Companies in West Virginia
| Company | Number of Plans | Counties |
|---|---|---|
| Aetna | 1 | Wirt, Cabell, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Wood, Harrison, Roane, Boone, Hancock, Doddridge, Pleasants, Clay, Gilmer, Barbour, Lincoln, Monongalia, Summers, Ohio, Brooke |
| Aetna Medicare | 5 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke |
| Highmark Inc | 2 | Wirt, Cabell, Mingo, Kanawha, Lewis, Marion, Nicholas, Tyler, Jefferson, Tucker, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Greenbrier, Putnam, Wood, Harrison, Hampshire, Doddridge, Berkeley, Pendleton, Wyoming, Barbour, Hardy, Monongalia, Summers, Ohio, Brooke, Wayne, Marshall, Logan, Morgan, Clay, Lincoln, Mineral |
| Humana | 16 | Grant, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Ritchie, Upshur, Jackson, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Harrison, Roane, Boone, Hancock, Doddridge, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Summers, Ohio, Brooke, Wirt, Preston, Fayette, Wood, Morgan, Hampshire, Pleasants, Lincoln, Monongalia, Mineral |
| Lasso Healthcare | 2 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke |
| The Health Plan | 8 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke, Kanawha, Jackson, Fayette, Putnam, Boone, Clay |
| UnitedHealthcare | 5 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Clay, McDowell, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke |
| WV Senior Advantage | 1 | Grant, Webster, Cabell, Wayne, Kanawha, Lewis, Braxton, Marion, Jefferson, Tucker, Preston, Ritchie, Upshur, Fayette, Mason, Taylor, Mercer, Raleigh, Marshall, Greenbrier, Calhoun, Randolph, Wood, Harrison, Morgan, Boone, Hancock, Pleasants, Clay, McDowell, Monroe, Berkeley, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke |
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West Virginia Medicare Advantage Plans by Company
We’ve put together a list of all of plans available from each WV Medicare company to help you compare Medicare Advantage plans by company in West Virginia. Take a look at the plans here.
Medicare Plans in West Virginia Offered by Aetna Medicare
Though plans can vary from county to county, Aetna Medicare offers these Medicare plans in West Virginia.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Aetna Medicare Advantra Value (PPO) | H1608-041 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO | $0.00 |
| Aetna Medicare Advantra Credit Value (PPO) | H1608-031 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO | $0.00 |
| Aetna Medicare Advantra Elite (HMO) | H1692-003 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local HMO | $0.00 |
| Aetna Medicare Advantra Gold (PPO) | H1608-026 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO | $68.00 |
| Aetna Medicare Advantra Silver (HMO) | H1692-002 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Braxton, Nicholas, Tyler, Tucker, Ritchie, Jackson, Fayette, Mason, Mercer, Raleigh, Greenbrier, Putnam, Calhoun, Logan, Wood, Roane, Boone, Hampshire, Pleasants, Pocahontas, Clay, McDowell, Monroe, Gilmer, Pendleton, Wyoming, Lincoln, Summers | Local HMO | $0.00 |
Medicare Plans in West Virginia Offered by Humana
Though plans can vary from county to county, Humana offers these Medicare plans in West Virginia.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Humana Gold Choice H8145-021 (PFFS) | H8145-021 | Grant, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Ritchie, Upshur, Jackson, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Harrison, Roane, Boone, Hancock, Doddridge, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Summers, Ohio, Brooke | PFFS | $8.00 |
| HumanaChoice R0923-001 (Regional PPO) | R0923-001 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Regional PPO* | $0.00 |
| HumanaChoice H5216-182 (PPO) | H5216-182 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO | $15.00 |
| Humana Value Plus H5216-125 (PPO) | H5216-125 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO | $22.10 |
| HumanaChoice R0923-002 (Regional PPO) | R0923-002 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Regional PPO | $63.00 |
| HumanaChoice H5216-105 (PPO) | H5216-105 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO* | $0.00 |
| Humana Gold Choice H8145-055 (PFFS) | H8145-055 | Grant, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Ritchie, Upshur, Jackson, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Harrison, Roane, Boone, Hancock, Doddridge, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Summers, Ohio, Brooke | PFFS* | $0.00 |
| HumanaChoice SNP-DE H5216-220 (PPO D-SNP) | H5216-220 | Grant, Wirt, Webster, Mingo, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Humana Honor (PPO) | H5216-225 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO* | $0.00 |
| HumanaChoice H5216-052 (PPO) | H5216-052 | Wirt, Marion, Tyler, Ritchie, Jackson, Wetzel, Marshall, Calhoun, Wood, Harrison, Doddridge, Pleasants, Gilmer, Monongalia, Ohio | Local PPO | $47.00 |
| HumanaChoice H5216-124 (PPO) | H5216-124 | Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Ritchie, Upshur, Jackson, Fayette, Taylor, Mercer, Wetzel, Raleigh, Marshall, Putnam, Calhoun, Logan, Wood, Harrison, Roane, Morgan, Boone, Hancock, Doddridge, Pleasants, Pocahontas, Clay, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Hardy, Lincoln, Monongalia, Mineral, Ohio, Brooke | Local PPO | $136.00 |
| HumanaChoice H5216-021 (PPO) | H5216-021 | Webster, Cabell, Wayne, Kanawha, Lewis, Braxton, Nicholas, Upshur, Fayette, Mason, Mercer, Putnam, Roane, Boone, Clay, Monroe, Lincoln | Local PPO | $45.00 |
| Humana Gold Plus H5619-113 (HMO) | H5619-113 | Cabell, Mingo, Wayne, Kanawha, Mason, Putnam, Logan, Boone, Lincoln | Local HMO | $0.00 |
| Humana Gold Plus SNP-DE H5619-126 (HMO D-SNP) | H5619-126 | Cabell, Wayne, Kanawha, Mason, Putnam, Boone, Lincoln | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| HumanaChoice H5525-023 (PPO) | H5525-023 | Mingo, Taylor, Raleigh, Logan, Hancock, Pocahontas, Wyoming, Mineral, Brooke | Local PPO | $68.00 |
| HumanaChoice H5216-022 (PPO) | H5216-022 | Jefferson, Morgan, Berkeley, Pendleton, Hardy | Local PPO | $68.00 |
Medicare Plans in West Virginia Offered by The Health Plan
Though plans can vary from county to county, The Health Plan offers these Medicare plans in West Virginia.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| The Health Plan SecureCare – Option II (HMO) | H3672-020 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local HMO | $65.00 |
| The Health Plan SecureChoice – Option II (PPO) | H8604-011 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO | $112.00 |
| The Health Plan SecureCare – Option I, MA Only (HMO) | H3672-021 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local HMO * | $0.00 |
| The Health Plan SecureCare SNP (HMO D-SNP) | H3672-019 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| The Health Plan SecureCare Capitol Plan, MA Only (HMO) | H3672-024 | Kanawha, Jackson, Fayette, Putnam, Boone, Clay | Local HMO * | $0.00 |
| The Health Plan SecureCare Capitol Plan (HMO) | H3672-023 | Kanawha, Jackson, Fayette, Putnam, Boone, Clay | Local HMO | $65.00 |
| The Health Plan SecureChoice Capitol Plan (PPO) | H8604-013 | Kanawha, Jackson, Fayette, Putnam, Boone, Clay | Local PPO | $98.00 |
| WVU Medicine – The Health Plan SecureCare (HMO) | H3672-025 | Marion, Upshur, Wetzel, Marshall, Wood, Harrison, Berkeley, Monongalia, Mineral | Local HMO | $23.00 |
Medicare Plans in West Virginia Offered by Lasso Healthcare
Though plans can vary from county to county, Lasso Healthcare offers these Medicare plans in West Virginia.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Lasso Healthcare Growth (MSA) | H1924-001 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | MSA* | MSAs do not have a monthly premium. |
| Lasso Healthcare Growth Plus (MSA) | H1924-004 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Pleasants, Pocahontas, Clay, McDowell, Monroe, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | MSA* | MSAs do not have a monthly premium. |
Medicare Plans in West Virginia Offered by UnitedHealthcare
Though plans can vary from county to county, UnitedHealthcare offers these Medicare plans in West Virginia.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| UnitedHealthcare Dual Complete (PPO D-SNP) | H0271-013 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Clay, McDowell, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO | $0.00 for people who qualify for both Medicare and Medicaid. |
| AARP Medicare Advantage Choice Plan 1 (PPO) | H8211-001 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Clay, McDowell, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO | $34.00 |
| AARP Medicare Advantage Choice Plan 3 (PPO) | H8211-006 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Clay, McDowell, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO | $0.00 |
| AARP Medicare Advantage Patriot (PPO) | H8211-005 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Clay, McDowell, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO* | $0.00 |
| AARP Medicare Advantage Choice Plan 2 (PPO) | H8211-002 | Grant, Wirt, Webster, Cabell, Mingo, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Jefferson, Tucker, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Marshall, Greenbrier, Putnam, Calhoun, Randolph, Logan, Wood, Harrison, Roane, Morgan, Boone, Hampshire, Hancock, Doddridge, Clay, McDowell, Berkeley, Gilmer, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local PPO | $49.00 |
Medicare Plans in West Virginia Offered by WV Senior Advantage
Though plans can vary from county to county, WV Senior Advantage offers these Medicare plans in West Virginia.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| WV Senior Advantage (HMO I-SNP) | H9153-001 | Grant, Webster, Cabell, Wayne, Kanawha, Lewis, Braxton, Marion, Jefferson, Tucker, Preston, Ritchie, Upshur, Fayette, Mason, Taylor, Mercer, Raleigh, Marshall, Greenbrier, Calhoun, Randolph, Wood, Harrison, Morgan, Boone, Hancock, Pleasants, Clay, McDowell, Monroe, Berkeley, Pendleton, Wyoming, Barbour, Hardy, Lincoln, Monongalia, Summers, Mineral, Ohio, Brooke | Local HMO | $37.50 |
Medicare Plans in West Virginia Offered by Highmark Inc
Though plans can vary from county to county, Highmark Inc offers these Medicare plans in West Virginia.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Freedom Blue PPO Standard (PPO) | H5106-013 | Wirt, Cabell, Mingo, Kanawha, Lewis, Marion, Nicholas, Tyler, Jefferson, Tucker, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Mercer, Wetzel, Greenbrier, Putnam, Wood, Harrison, Hampshire, Doddridge, Berkeley, Pendleton, Wyoming, Barbour, Hardy, Monongalia, Summers, Ohio, Brooke | Local PPO | $167.00 |
| Freedom Blue PPO Distinct (PPO) | H5106-029 | Cabell, Wayne, Kanawha, Jefferson, Ritchie, Upshur, Taylor, Marshall, Putnam, Logan, Wood, Harrison, Morgan, Doddridge, Clay, Berkeley, Lincoln, Mineral, Ohio | Local PPO | $25.00 |
Medicare Plans in West Virginia Offered by Aetna
Though plans can vary from county to county, Aetna offers these Medicare plans in West Virginia.
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Aetna Medicare Advantra Cares (HMO D-SNP) | H1692-005 | Wirt, Cabell, Wayne, Kanawha, Lewis, Braxton, Marion, Nicholas, Tyler, Preston, Ritchie, Upshur, Jackson, Fayette, Mason, Taylor, Wetzel, Raleigh, Marshall, Greenbrier, Putnam, Calhoun, Wood, Harrison, Roane, Boone, Hancock, Doddridge, Pleasants, Clay, Gilmer, Barbour, Lincoln, Monongalia, Summers, Ohio, Brooke | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
West Virginia Medicare Advantage Plans With No Additional Cost
If you decide to get Medicare Advantage in West Virginia, you still have to pay your original Medicare Part B premium. Many WV 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 | Pendleton, Mason, Wirt, McDowell, Preston, Jackson, Lincoln, Braxton, Greenbrier, Tyler, Lewis, Boone, Upshur, Monongalia, Fayette, Hardy, Wood, Tucker, Putnam, Morgan, Pocahontas, Roane, Calhoun, Monroe, Hancock, Jefferson, Webster, Taylor, Clay, Hampshire, Berkeley, Mercer, Gilmer, Mineral, Doddridge, Raleigh, Pleasants, Wyoming, Ohio, Brooke, Mingo, Nicholas, Summers, Marshall, Randolph, Harrison, Cabell, Marion, Grant, Kanawha, Logan, Wayne, Wetzel, Barbour, Ritchie | This Plan does NOT include prescription drug coverage. | N/A |
| Lasso Healthcare Growth Plus (MSA) – H1924-004-0 | Pendleton, Mason, Wirt, McDowell, Preston, Jackson, Lincoln, Braxton, Greenbrier, Tyler, Lewis, Boone, Upshur, Monongalia, Fayette, Hardy, Wood, Tucker, Putnam, Morgan, Pocahontas, Roane, Calhoun, Monroe, Hancock, Jefferson, Webster, Taylor, Clay, Hampshire, Berkeley, Mercer, Gilmer, Mineral, Doddridge, Raleigh, Pleasants, Wyoming, Ohio, Brooke, Mingo, Nicholas, Summers, Marshall, Randolph, Harrison, Cabell, Marion, Grant, Kanawha, Logan, Wayne, Wetzel, Barbour, Ritchie | This Plan does NOT include prescription drug coverage. | N/A |
| AARP Medicare Advantage Choice Plan 3 (PPO) – H8211-006-0 | Pendleton, Mason, Wirt, McDowell, Preston, Jackson, Lincoln, Braxton, Greenbrier, Lewis, Boone, Upshur, Monongalia, Fayette, Hardy, Wood, Tucker, Putnam, Morgan, Roane, Calhoun, Hancock, Jefferson, Webster, Taylor, Clay, Hampshire, Berkeley, Mercer, Gilmer, Mineral, Doddridge, Wyoming, Ohio, Brooke, Mingo, Nicholas, Summers, Marshall, Randolph, Harrison, Cabell, Marion, Grant, Kanawha, Logan, Wayne, Wetzel, Barbour, Ritchie | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $6,700 |
| AARP Medicare Advantage Patriot (PPO) – H8211-005-0 | Pendleton, Mason, Wirt, McDowell, Preston, Jackson, Lincoln, Braxton, Greenbrier, Lewis, Boone, Upshur, Monongalia, Fayette, Hardy, Wood, Tucker, Putnam, Morgan, Roane, Calhoun, Hancock, Jefferson, Webster, Taylor, Clay, Hampshire, Berkeley, Mercer, Gilmer, Mineral, Doddridge, Wyoming, Ohio, Brooke, Mingo, Nicholas, Summers, Marshall, Randolph, Harrison, Cabell, Marion, Grant, Kanawha, Logan, Wayne, Wetzel, Barbour, Ritchie | This Plan does NOT include prescription drug coverage. | $5,400 |
| Aetna Medicare Advantra Credit Value (PPO) – H1608-031-0 | Pendleton, Mason, Wirt, McDowell, Preston, Jackson, Lincoln, Braxton, Greenbrier, Tyler, Lewis, Boone, Upshur, Monongalia, Fayette, Hardy, Wood, Tucker, Putnam, Morgan, Pocahontas, Roane, Calhoun, Monroe, Hancock, Jefferson, Webster, Taylor, Clay, Hampshire, Berkeley, Mercer, Gilmer, Mineral, Doddridge, Raleigh, Pleasants, Wyoming, Ohio, Brooke, Mingo, Nicholas, Summers, Marshall, Randolph, Harrison, Cabell, Marion, Grant, Kanawha, Logan, Wayne, Wetzel, Barbour, Ritchie | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $7,550 |
| Aetna Medicare Advantra Elite (HMO) – H1692-004-0 | Preston, Tyler, Lewis, Upshur, Monongalia, Hardy, Tucker, Morgan, Hancock, Jefferson, Taylor, Hampshire, Berkeley, Mineral, Doddridge, Ohio, Brooke, Marshall, Randolph, Harrison, Marion, Grant, Wetzel, Barbour | Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,000 |
| Aetna Medicare Advantra Silver (HMO) – H1692-002-0 | Preston, Tyler, Lewis, Upshur, Monongalia, Hardy, Tucker, Morgan, Hancock, Jefferson, Taylor, Hampshire, Berkeley, Mineral, Doddridge, Ohio, Brooke, Marshall, Randolph, Harrison, Marion, Grant, Wetzel, Barbour | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Advantra Value (PPO) – H1608-040-0 | Pendleton, Mason, Wirt, McDowell, Jackson, Lincoln, Braxton, Greenbrier, Boone, Fayette, Wood, Putnam, Pocahontas, Roane, Calhoun, Monroe, Webster, Clay, Mercer, Gilmer, Raleigh, Pleasants, Wyoming, Mingo, Nicholas, Summers, Cabell, Kanawha, Logan, Wayne, Ritchie | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Humana Honor (PPO) – H5216-225-0 | Mason, Lincoln, Boone, Putnam, Mingo, Cabell, Kanawha, Logan, Wayne | This Plan does NOT include prescription drug coverage. | $6,700 |
| HumanaChoice H5216-105 (PPO) – H5216-105-0 | Pendleton, Mason, Wirt, McDowell, Preston, Jackson, Lincoln, Braxton, Greenbrier, Tyler, Lewis, Boone, Upshur, Monongalia, Fayette, Hardy, Wood, Tucker, Putnam, Morgan, Pocahontas, Roane, Calhoun, Monroe, Hancock, Jefferson, Webster, Taylor, Clay, Hampshire, Berkeley, Mercer, Gilmer, Mineral, Doddridge, Raleigh, Pleasants, Wyoming, Ohio, Brooke, Mingo, Nicholas, Summers, Marshall, Randolph, Harrison, Cabell, Marion, Grant, Kanawha, Logan, Wayne, Wetzel, Barbour, Ritchie | This Plan does NOT include prescription drug coverage. | $4,500 |
| HumanaChoice R0923-001 (Regional PPO) – R0923-001-0 | Pendleton, Mason, Wirt, McDowell, Preston, Jackson, Lincoln, Braxton, Greenbrier, Tyler, Lewis, Boone, Upshur, Monongalia, Fayette, Hardy, Wood, Tucker, Putnam, Morgan, Pocahontas, Roane, Calhoun, Monroe, Hancock, Jefferson, Webster, Taylor, Clay, Hampshire, Berkeley, Mercer, Gilmer, Mineral, Doddridge, Raleigh, Pleasants, Wyoming, Ohio, Brooke, Mingo, Nicholas, Summers, Marshall, Randolph, Harrison, Cabell, Marion, Grant, Kanawha, Logan, Wayne, Wetzel, Barbour, Ritchie | This Plan does NOT include prescription drug coverage. | $4,900 |
| The Health Plan SecureCare – Option I, MA Only (HMO) – H3672-021-0 | Jackson, Boone, Fayette, Putnam, Clay, Kanawha | This Plan does NOT include prescription drug coverage. | $6,700 |
| UnitedHealthcare Dual Complete (PPO D-SNP) – H0271-013-0 | Pendleton, Mason, Wirt, McDowell, Preston, Jackson, Lincoln, Braxton, Greenbrier, Lewis, Boone, Upshur, Monongalia, Fayette, Hardy, Wood, Tucker, Putnam, Morgan, Roane, Calhoun, Hancock, Jefferson, Webster, Taylor, Clay, Hampshire, Berkeley, Mercer, Gilmer, Mineral, Doddridge, Wyoming, Ohio, Brooke, Mingo, Nicholas, Summers, Marshall, Randolph, Harrison, Cabell, Marion, Grant, Kanawha, Logan, Wayne, Wetzel, Barbour, Ritchie | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | N/A |
| HumanaChoice SNP-DE H5216-220 (PPO D-SNP) – H5216-220-0 | Pendleton, Wirt, McDowell, Preston, Jackson, Braxton, Greenbrier, Tyler, Lewis, Upshur, Monongalia, Fayette, Hardy, Wood, Tucker, Morgan, Pocahontas, Roane, Calhoun, Monroe, Hancock, Jefferson, Webster, Taylor, Clay, Hampshire, Berkeley, Mercer, Gilmer, Mineral, Doddridge, Raleigh, Pleasants, Wyoming, Ohio, Brooke, Mingo, Nicholas, Summers, Marshall, Randolph, Harrison, Marion, Grant, Logan, Wetzel, Barbour, Ritchie | Preferred Generic: $1.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | N/A |
| The Health Plan SecureCare SNP (HMO D-SNP) – H3672-019-0 | Pocahontas, Hancock, Taylor, Mineral, Raleigh, Wyoming, Brooke, Mingo, Logan | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% | N/A |
| Humana Gold Plus H5619-113 (HMO) – H5619-113-0 | Mason, Lincoln, Boone, Putnam, Mingo, Cabell, Kanawha, Logan, Wayne | Preferred Generic: $3.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Aetna Medicare Advantra Cares (HMO D-SNP) – H1692-005-0 | Mason, Wirt, Preston, Jackson, Lincoln, Braxton, Greenbrier, Tyler, Lewis, Boone, Upshur, Monongalia, Fayette, Wood, Putnam, Roane, Calhoun, Hancock, Taylor, Clay, Gilmer, Doddridge, Raleigh, Pleasants, Ohio, Brooke, Nicholas, Summers, Marshall, Harrison, Cabell, Marion, Kanawha, Wayne, Wetzel, Barbour, Ritchie | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | N/A |
| Humana Gold Plus SNP-DE H5619-126 (HMO D-SNP) – H5619-126-0 | Upshur, Wood, Morgan, Jefferson, Taylor, Berkeley, Mineral, Doddridge, Ohio, Marshall, Harrison, Ritchie | Preferred Generic: $1.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | N/A |
| Aetna Medicare Advantra Elite (HMO) – H1692-003-0 | Preston, Tyler, Lewis, Upshur, Monongalia, Hardy, Tucker, Morgan, Hancock, Jefferson, Taylor, Hampshire, Berkeley, Mineral, Doddridge, Ohio, Brooke, Marshall, Randolph, Harrison, Marion, Grant, Wetzel, Barbour | Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| Aetna Medicare Advantra Value (PPO) – H1608-041-0 | Preston, Tyler, Lewis, Upshur, Monongalia, Hardy, Tucker, Morgan, Hancock, Jefferson, Taylor, Hampshire, Berkeley, Mineral, Doddridge, Ohio, Brooke, Marshall, Randolph, Harrison, Marion, Grant, Wetzel, Barbour | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,550 |
| The Health Plan SecureCare Capitol Plan, MA Only (HMO) – H3672-024-0 | Jackson, Boone, Fayette, Putnam, Clay, Kanawha | This Plan does NOT include prescription drug coverage. | $6,700 |
Standalone Medicare Part D Plans in West Virginia
There is a wide variety of Medicare Part D plans available in every state, and West Virginia is no exception. Keep in mind that plans vary by county, and don’t forget to check that your WV Medicare Advantage plan doesn’t already include Part D prescription drug coverage.
Standalone Medicare Part D Plans in West Virginia
| Plan | Details | Tiers |
|---|---|---|
| AARP MedicareRx Preferred (PDP) S5820 – 005 – 0 by UnitedHealthcare |
Monthly Premium: $87.20 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 – 351 – 0 by UnitedHealthcare |
Monthly Premium: $34.30 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: $33.00 Tier 4: 40% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 388 – 0 by UnitedHealthcare |
Monthly Premium: $35.90 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% |
| Blue Rx PDP Complete (PDP) S5593 – 003 – 0 by Highmark Inc. |
Monthly Premium: $164.40 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 35% Tier 5: 33% |
| Blue Rx PDP Plus (PDP) S5593 – 002 – 0 by Highmark Inc. |
Monthly Premium: $94.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $7.00 Tier 3: 20% Tier 4: 40% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 215 – 0 by Cigna |
Monthly Premium: $30.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 285 – 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: 50% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 251 – 0 by Cigna |
Monthly Premium: $45.60 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 – 032 – 0 by Clear Spring Health |
Monthly Premium: $13.60 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: 42% Tier 5: 25% |
| Clear Spring Health Value Rx (PDP) S6946 – 003 – 0 by Clear Spring Health |
Monthly Premium: $29.20 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: 34% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 126 – 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 – 006 – 0 by Elixir Insurance |
Monthly Premium: $35.00 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 – 176 – 0 by Express Scripts Medicare |
Monthly Premium: $82.40 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% |
| Express Scripts Medicare – Saver (PDP) S5660 – 222 – 0 by Express Scripts Medicare |
Monthly Premium: $25.90 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 – 108 – 0 by Express Scripts Medicare |
Monthly Premium: $36.70 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: $21.00 Tier 4: 50% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 104 – 0 by Humana |
Monthly Premium: $35.00 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% |
| Humana Premier Rx Plan (PDP) S5884 – 152 – 0 by Humana |
Monthly Premium: $67.30 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 – 185 – 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: 19% Tier 4: 35% Tier 5: 25% |
| Indy Health EliteRx (PDP) S3535 – 005 – 0 by Indy Health Insurance Company |
Monthly Premium: $47.10 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $3.00 Tier 2: $5.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| Indy Health SaverRx (PDP) S3535 – 009 – 0 by Indy Health Insurance Company |
Monthly Premium: $34.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $10.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 25% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 005 – 0 by Mutual of Omaha Rx |
Monthly Premium: $74.00 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: 39% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 075 – 0 by Mutual of Omaha Rx |
Monthly Premium: $24.80 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% |
| SecureRx – Option 1 (PDP) S8067 – 003 – 0 by Avalon Insurance Company |
Monthly Premium: $107.50 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $3.00 Tier 2: $10.00 Tier 3: $38.00 Tier 4: $88.00 Tier 5: 33% |
| SecureRx – Option 3 (PDP) S8067 – 001 – 0 by Avalon Insurance Company |
Monthly Premium: $60.90 Annual Deductible: $265 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $8.00 Tier 2: $12.00 Tier 3: $40.00 Tier 4: 50% Tier 5: 28% |
| SilverScript Choice (PDP) S5601 – 012 – 0 by Aetna Medicare |
Monthly Premium: $32.90 Annual Deductible: $345 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: 40% Tier 5: 26% |
| SilverScript Plus (PDP) S5601 – 013 – 0 by Aetna Medicare |
Monthly Premium: $72.80 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 – 181 – 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: 49% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 080 – 0 by WellCare |
Monthly Premium: $33.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $33.00 Tier 4: 34% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 040 – 0 by WellCare |
Monthly Premium: $35.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 280 – 0 by WellCare |
Monthly Premium: $26.40 Annual Deductible: $415 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 – 129 – 0 by WellCare |
Monthly Premium: $75.60 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: 50% Tier 5: 33% |
| WellCare Value Script (PDP) S4802 – 141 – 0 by WellCare |
Monthly Premium: $17.80 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: $43.00 Tier 4: 47% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 175 – 0 by WellCare |
Monthly Premium: $15.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
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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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