Here are the new 2017 Medicare Advantage plans organized by county. We’ll publish links to the complete plan information (e.g., Summary of Benefits) as soon as the Centers for Medicare and Medicaid Services makes it available. The Medicare Annual Election Period starts 15 October, 2016 and ends 7 December, 2016.
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
|---|---|---|---|---|---|---|---|---|
| AARP MedicareComplete Plan 1 | H2802-041-0 | HMO | $0.00 | $55.00 | $5,900 | Y | Autauga | AL |
| AARP MedicareComplete Plan 1 | H2802-041-0 | HMO | $0.00 | $55.00 | $5,900 | Y | Baldwin | AL |
| HumanaChoice H6609-118 | H6609-118-0 | PPO | $65.00 | $360.00 | $6,700 | Y | Bibb | AL |
| HumanaChoice H6609-118 | H6609-118-0 | PPO | $65.00 | $360.00 | $6,700 | Y | Blount | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Cherokee | AL |
| HumanaChoice H6609-118 | H6609-118-0 | PPO | $65.00 | $360.00 | $6,700 | Y | Chilton | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Choctaw | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Conecuh | AL |
| AARP MedicareComplete Plan 1 | H2802-041-0 | HMO | $0.00 | $55.00 | $5,900 | Y | Cullman | AL |
| AARP MedicareComplete Plan 1 | H2802-041-0 | HMO | $0.00 | $55.00 | $5,900 | Y | Escambia | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Etowah | AL |
| HumanaChoice H6609-118 | H6609-118-0 | PPO | $65.00 | $360.00 | $6,700 | Y | Fayette | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Franklin | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Geneva | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Hale | AL |
| AARP MedicareComplete Plan 1 | H2802-041-0 | HMO | $0.00 | $55.00 | $5,900 | Y | Houston | AL |
| HumanaChoice H6609-118 | H6609-118-0 | PPO | $65.00 | $360.00 | $6,700 | Y | Jefferson | AL |
| AARP MedicareComplete Plan 1 | H2802-041-0 | HMO | $0.00 | $55.00 | $5,900 | Y | Lowndes | AL |
| AARP MedicareComplete Plan 1 | H2802-041-0 | HMO | $0.00 | $55.00 | $5,900 | Y | Macon | AL |
| AARP MedicareComplete Plan 1 | H2802-041-0 | HMO | $0.00 | $55.00 | $5,900 | Y | Madison | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Marengo | AL |
| Aetna Essentials Plan | H5521-116-0 | PPO | $0.00 | $0.00 | $4,900 | Y | Mobile | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Monroe | AL |
| AARP MedicareComplete Plan 1 | H2802-041-0 | HMO | $0.00 | $55.00 | $5,900 | Y | Montgom | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Pickens | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Pike | AL |
| AARP MedicareComplete Plan 1 | H2802-041-0 | HMO | $0.00 | $55.00 | $5,900 | Y | Russell | AL |
| AARP MedicareComplete Plan 1 | H2802-041-0 | HMO | $0.00 | $55.00 | $5,900 | Y | Saint Clair | AL |
| HumanaChoice H6609-118 | H6609-118-0 | PPO | $65.00 | $360.00 | $6,700 | Y | Shelby | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Talladega | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Tuscaloos | AL |
| HumanaChoice H6609-118 | H6609-118-0 | PPO | $65.00 | $360.00 | $6,700 | Y | Walker | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Washingt | AL |
| HumanaChoice H5415-077 | H5415-077-0 | PPO | $66.00 | $360.00 | $6,700 | Y | Winston | AL |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Arkansas | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Ashley | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Baxter | AR |
| Advantra Total Care | H2663-029-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Benton | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Bradley | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Calhoun | AR |
| Advantra Total Care | H2663-029-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Carroll | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Chicot | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Clark | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Clay | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Cleburne | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Cleveland | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Conway | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Craighead | AR |
| Advantra Total Care | H2663-029-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Crawford | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Crittende | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Cross | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Dallas | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Desha | AR |
| Advantra Total Care | H2663-029-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Franklin | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Fulton | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Garland | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Grant | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Greene | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Hot Spring | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Independ | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Izard | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Jackson | AR |
| AARP MedicareComplete Plan 1 | H2802-039-0 | HMO | $16.00 | $120.00 | $6,700 | Y | Jefferson | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Lawrence | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Lee | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Lincoln | AR |
| Advantra Total Care | H2663-029-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Logan | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Lonoke | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Marion | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Mississip | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Monroe | AR |
| Advantra Advantage | H2663-030-0 | HMO | $0.00 | $0.00 | $6,500 | Y | Montgom | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Nevada | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Newton | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Ouachita | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Perry | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Phillips | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Pike | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Poinsett | AR |
| Medi-Pak Advantage | H9699-004-3 | HMO | $0.00 | $0.00 | $6,700 | Y | Pope | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Prairie | AR |
| AARP MedicareComplete Plan 1 | H2802-039-0 | HMO | $16.00 | $120.00 | $6,700 | Y | Pulaski | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Randolph | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Saint Fran | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Saline | AR |
| Advantra Total Care | H2663-029-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Scott | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Searcy | AR |
| Advantra Total Care | H2663-029-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Sebastian | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Sharp | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Stone | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Union | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Van Buren | AR |
| Advantra Total Care | H2663-029-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Washingt | AR |
| Medi-Pak Advantage | H9699-004-2 | HMO | $9.00 | $0.00 | $6,700 | Y | White | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Woodruff | AR |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Yell | AR |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| CareMore Connect Plus | H2593-020-0 | HMO | $35.00 | $400.00 | $6,700 | Y | Pima | AZ |
| Bridgeway Health Solutions Medicare Advantage | H9287-002-0 | HMO | $35.10 | $400.00 | $6,700 | Y | Pinal | AZ |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Health Net Ruby Select | H0562-113-0 | HMO | $69.00 | $0.00 | $6,700 | Y | Alameda | CA |
| Health Net Ruby Select | H0562-112-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Fresno | CA |
| Aetna Medicare Choice Plan | H5521-125-0 | PPO | $73.00 | $0.00 | $6,700 | Y | Los Angel | CA |
| Alignment Health Plan smartHMO | H3815-013-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Orange | CA |
| Aetna Medicare Choice Plan | H5521-126-0 | PPO | $73.00 | $0.00 | $6,700 | Y | Riverside | CA |
| Blue Shield 65 Plus | H0504-037-0 | HMO | $29.00 | $0.00 | $3,400 | Y | Sacramen | CA |
| Aetna Medicare Choice Plan | H5521-126-0 | PPO | $73.00 | $0.00 | $6,700 | Y | San Berna | CA |
| Humana Gold Plus H5619-037 | H5619-037-0 | HMO | $16.50 | $400.00 | $6,700 | Y | San Diego | CA |
| Coordinated Choice Plan | H5928-037-0 | HMO | $36.20 | $400.00 | $6,700 | Y | San Joaqu | CA |
| Coordinated Choice Plan | H5928-037-0 | HMO | $36.20 | $400.00 | $6,700 | Y | Stanislaus | CA |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Anthem MediBlue Plus | H1394-003-0 | HMO | $0.00 | $0.00 | $5,500 | Y | Adams | CO |
| Anthem MediBlue Plus | H1394-003-0 | HMO | $0.00 | $0.00 | $5,500 | Y | Arapahoe | CO |
| Humana Gold Plus H2649-061 | H2649-061-2 | HMO | $38.00 | $295.00 | $6,700 | Y | Boulder | CO |
| Anthem MediBlue Plus | H1394-003-0 | HMO | $0.00 | $0.00 | $5,500 | Y | Broomfiel | CO |
| Humana Gold Plus H2649-061 | H2649-061-2 | HMO | $38.00 | $295.00 | $6,700 | Y | Clear Cre | CO |
| Humana Gold Plus H2649-061 | H2649-061-1 | HMO | $55.00 | $295.00 | $6,700 | Y | Denver | CO |
| Humana Gold Plus H2649-061 | H2649-061-1 | HMO | $55.00 | $295.00 | $6,700 | Y | Douglas | CO |
| Anthem MediBlue Plus | H1394-009-0 | HMO | $0.00 | $0.00 | $5,500 | Y | El Paso | CO |
| Humana Gold Plus H2649-061 | H2649-061-2 | HMO | $38.00 | $295.00 | $6,700 | Y | Elbert | CO |
| Humana Gold Plus H2649-061 | H2649-061-2 | HMO | $38.00 | $295.00 | $6,700 | Y | Fremont | CO |
| Humana Gold Plus H2649-061 | H2649-061-1 | HMO | $55.00 | $295.00 | $6,700 | Y | Jefferson | CO |
| Anthem MediBlue Plus | H1394-009-0 | HMO | $0.00 | $0.00 | $5,500 | Y | Larimer | CO |
| Anthem MediBlue Plus | H1394-009-0 | HMO | $0.00 | $0.00 | $5,500 | Y | Pueblo | CO |
| Humana Gold Plus H2649-061 | H2649-061-2 | HMO | $38.00 | $295.00 | $6,700 | Y | Teller | CO |
| Humana Gold Plus H2649-061 | H2649-061-2 | HMO | $38.00 | $295.00 | $6,700 | Y | Weld | CO |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Anthem MediBlue Select | H5854-010-0 | HMO | $0.00 | $223.00 | $6,700 | Y | Fairfield | CT |
| Anthem MediBlue Select | H5854-010-0 | HMO | $0.00 | $223.00 | $6,700 | Y | Hartford | CT |
| Anthem MediBlue Select | H5854-010-0 | HMO | $0.00 | $223.00 | $6,700 | Y | Litchfield | CT |
| Aetna Medicare Elite Plan | H5793-010-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Middlese | CT |
| Anthem MediBlue Select | H5854-010-0 | HMO | $0.00 | $223.00 | $6,700 | Y | New Have | CT |
| Aetna Medicare Standard Plan | H5521-013-0 | PPO | $99.00 | $0.00 | $6,700 | Y | New Lond | CT |
| Passage Plan 1 | H3528-010-0 | HMO | $24.00 | $0.00 | $6,700 | Y | Tolland | CT |
| Aetna Medicare Elite Plan | H5793-011-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Windham | CT |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Aetna Medicare Premier Plan | H5521-095-0 | PPO | $113.00 | $0.00 | $6,700 | Y | Kent | DE |
| Aetna Medicare Choice Plan | H3931-104-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Sussex | DE |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Alachua | FL |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Baker | FL |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Bay | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Bradford | FL |
| HumanaChoice Florida H5415-076 | H5415-076-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Brevard | FL |
| Coventry Summit Ideal | H1609-018-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Broward | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Calhoun | FL |
| Aetna Medicare Select Plan | H1609-025-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Charlotte | FL |
| HumanaChoice Florida H5415-071 | H5415-071-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Citrus | FL |
| Aetna Medicare Premier Plan | H5521-033-0 | PPO | $0.00 | $0.00 | $6,700 | Y | Clay | FL |
| HumanaChoice Florida H5415-071 | H5415-071-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Collier | FL |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Columbia | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | De Soto | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Dixie | FL |
| Coventry Summit Ideal | H1609-021-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Duval | FL |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Escambia | FL |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Flagler | FL |
| AARP MedicareComplete Choice Essential | R7444-004-0 | PPO | $0.00 | $0.00 | $6,700 | N | Franklin | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Gadsden | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Gilchrist | FL |
| HumanaChoice Florida H5415-076 | H5415-076-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Glades | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Gulf | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Hamilton | FL |
| HumanaChoice Florida H5415-071 | H5415-071-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Hardee | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Hendry | FL |
| HumanaChoice Florida H5415-071 | H5415-071-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Hernando | FL |
| HumanaChoice Florida H5415-071 | H5415-071-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Highlands | FL |
| Aetna Medicare Premier Plan | H5521-133-0 | PPO | $55.00 | $0.00 | $6,700 | Y | Hillsboro | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Holmes | FL |
| HumanaChoice Florida H5415-076 | H5415-076-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Indian Riv | FL |
| AARP MedicareComplete Choice Essential | R7444-004-0 | PPO | $0.00 | $0.00 | $6,700 | N | Jackson | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Jefferson | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Lafayette | FL |
| CareOne PLUS | H1019-057-0 | HMO | $0.00 | $0.00 | $4,500 | Y | Lake | FL |
| Aetna Medicare Premier Plan | H1609-027-0 | HMO | $39.00 | $0.00 | $6,700 | Y | Lee | FL |
| AARP MedicareComplete Choice Essential | R7444-004-0 | PPO | $0.00 | $0.00 | $6,700 | N | Leon | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Levy | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Liberty | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Madison | FL |
| Aetna Medicare Premier Plan | H5521-132-0 | PPO | $49.00 | $0.00 | $6,700 | Y | Manatee | FL |
| Aetna Medicare Premier Plan | H5521-033-0 | PPO | $0.00 | $0.00 | $6,700 | Y | Marion | FL |
| Aetna Medicare Premier Plan | H5521-033-0 | PPO | $0.00 | $0.00 | $6,700 | Y | Martin | FL |
| Coventry Summit Ideal | H1609-016-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Miami-Da | FL |
| AARP MedicareComplete Choice Essential | R7444-004-0 | PPO | $0.00 | $0.00 | $6,700 | N | Monroe | FL |
| AARP MedicareComplete Choice Essential | R7444-004-0 | PPO | $0.00 | $0.00 | $6,700 | N | Nassau | FL |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Okaloosa | FL |
| HumanaChoice Florida H5415-076 | H5415-076-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Okeechob | FL |
| Aetna Medicare Select Plan | H1609-024-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Orange | FL |
| Aetna Medicare Select Plan | H1609-024-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Osceola | FL |
| Coventry Summit Ideal | H1609-020-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Palm Beac | FL |
| Aetna Medicare Premier Plan | H5521-133-0 | PPO | $55.00 | $0.00 | $6,700 | Y | Pasco | FL |
| Aetna Medicare Premier Plan | H5521-033-0 | PPO | $0.00 | $0.00 | $6,700 | Y | Pinellas | FL |
| Aetna Medicare Premier Plan | H5521-033-0 | PPO | $0.00 | $0.00 | $6,700 | Y | Polk | FL |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Putnam | FL |
| Aetna Medicare Premier Plan | H5521-132-0 | PPO | $49.00 | $0.00 | $6,700 | Y | Saint John | FL |
| Aetna Medicare Premier Plan | H5521-033-0 | PPO | $0.00 | $0.00 | $6,700 | Y | Saint Luci | FL |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Santa Ros | FL |
| Aetna Medicare Select Plan | H1609-025-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Sarasota | FL |
| Aetna Medicare Select Plan | H1609-024-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Seminole | FL |
| CareOne PLUS | H1019-057-0 | HMO | $0.00 | $0.00 | $4,500 | Y | Sumter | FL |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Suwanne | FL |
| AARP MedicareComplete Choice Essential | R7444-004-0 | PPO | $0.00 | $0.00 | $6,700 | N | Taylor | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Union | FL |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Volusia | FL |
| AARP MedicareComplete Choice Essential | R7444-004-0 | PPO | $0.00 | $0.00 | $6,700 | N | Wakulla | FL |
| HumanaChoice Florida H5415-074 | H5415-074-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Walton | FL |
| HumanaChoice Florida H5415-073 | H5415-073-0 | PPO | $0.00 | $295.00 | $6,700 | Y | Washingt | FL |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Appling | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Atkinson | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Bacon | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Baker | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Baldwin | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Banks | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Barrow | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Bartow | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Ben Hill | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Berrien | GA |
| Aetna Medicare Select Plan | H1109-005-0 | HMO | $0.00 | $0.00 | $5,650 | Y | Bibb | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Bleckley | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Brantley | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Brooks | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Bryan | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Bulloch | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Burke | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Butts | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Calhoun | GA |
| Aetna Medicare Premier Plus Plan | H5521-115-0 | PPO | $29.00 | $0.00 | $5,500 | Y | Camden | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Candler | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Carroll | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Catoosa | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Charlton | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Chatham | GA |
| Peach State Health Plan Medicare Advantage | H7173-003-0 | HMO | $0.00 | $280.00 | $5,900 | Y | Chattaho | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Chattooga | GA |
| Aetna Medicare Connect Plus | H5521-135-0 | PPO | $125.00 | $230.00 | $5,900 | Y | Cherokee | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Clarke | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Clay | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Clayton | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Clinch | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Cobb | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Coffee | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Colquitt | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Columbia | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Cook | GA |
| Aetna Medicare Select Plan | H1109-005-0 | HMO | $0.00 | $0.00 | $5,650 | Y | Coweta | GA |
| Aetna Medicare Premier Plus Plan | H5521-115-0 | PPO | $29.00 | $0.00 | $5,500 | Y | Crawford | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Crisp | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Dade | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Dawson | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Decatur | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Dekalb | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Dodge | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Dooly | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Doughert | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Douglas | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Early | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Echols | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Effingham | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Elbert | GA |
| Aetna Medicare Premier Plus Plan | H5521-115-0 | PPO | $29.00 | $0.00 | $5,500 | Y | Emanuel | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Evans | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Fannin | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Fayette | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Floyd | GA |
| BCBSGa MediBlue Access | H9947-006-0 | PPO | $60.00 | $0.00 | $5,700 | Y | Forsyth | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Franklin | GA |
| BCBSGa MediBlue Access | H9947-006-0 | PPO | $60.00 | $0.00 | $5,700 | Y | Fulton | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Gilmer | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Glascock | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Glynn | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Gordon | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Grady | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Greene | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Gwinnett | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Habersha | GA |
| Aetna Medicare Select Plan | H1109-005-0 | HMO | $0.00 | $0.00 | $5,650 | Y | Hall | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Hancock | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Haralson | GA |
| BCBSGa MediBlue Access | H9947-006-0 | PPO | $60.00 | $0.00 | $5,700 | Y | Harris | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Hart | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Heard | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Henry | GA |
| Aetna Medicare Premier Plus Plan | H5521-115-0 | PPO | $29.00 | $0.00 | $5,500 | Y | Houston | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Irwin | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Jackson | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Jasper | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Jeff Davis | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Jefferson | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Jenkins | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Johnson | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Jones | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Lamar | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Lanier | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Laurens | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Lee | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Liberty | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Lincoln | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Long | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Lowndes | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Lumpkin | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Macon | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Madison | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Marion | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Mcduffie | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Mcintosh | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Meriweth | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Miller | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Mitchell | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Monroe | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Montgom | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Morgan | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Murray | GA |
| Aetna Medicare Select Plan | H1109-005-0 | HMO | $0.00 | $0.00 | $5,650 | Y | Muscogee | GA |
| BCBSGa MediBlue Access | H9947-006-0 | PPO | $60.00 | $0.00 | $5,700 | Y | Newton | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Oconee | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Oglethorp | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Paulding | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Peach | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Pickens | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Pierce | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Pike | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Polk | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Pulaski | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Putnam | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Quitman | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Rabun | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Randolph | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Richmond | GA |
| BCBSGa MediBlue Access | H9947-006-0 | PPO | $60.00 | $0.00 | $5,700 | Y | Rockdale | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Schley | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Screven | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Seminole | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Spalding | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Stephens | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Stewart | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Sumter | GA |
| BCBSGa MediBlue Access | H9947-006-0 | PPO | $60.00 | $0.00 | $5,700 | Y | Talbot | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Taliaferro | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Tattnall | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Taylor | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Telfair | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Terrell | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Thomas | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Tift | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Toombs | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Towns | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Treutlen | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Troup | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Turner | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Twiggs | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Union | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Upson | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Walker | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Walton | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Ware | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Warren | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | Washingt | GA |
| Aetna Medicare Premier Plus Plan | H5521-115-0 | PPO | $29.00 | $0.00 | $5,500 | Y | Wayne | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Webster | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Wheeler | GA |
| Aetna Medicare Essential Plan | H5521-091-0 | PPO | $0.00 | $175.00 | $5,900 | Y | White | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Whitfield | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Wilcox | GA |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Wilkes | GA |
| EON CHOICE | H9589-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Wilkinson | GA |
| Aetna Premier Plan | H5521-114-0 | PPO | $0.00 | $0.00 | $5,900 | Y | Worth | GA |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Kaiser Permanente Senior Advantage Hawaii Island | H1230-014-0 | HMO | $194.00 | $400.00 | $3,400 | Y | Hawaii | HI |
| HumanaChoice H6609-150 | H6609-150-0 | PPO | $0.00 | $250.00 | $4,900 | Y | Honolulu | HI |
| HumanaChoice H6609-150 | H6609-150-0 | PPO | $0.00 | $250.00 | $4,900 | Y | Kauai | HI |
| HumanaChoice H6609-150 | H6609-150-0 | PPO | $0.00 | $250.00 | $4,900 | Y | Maui | HI |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Benton | IA |
| Coventry Advantra Silver | H1609-001-0 | HMO | $0.00 | $0.00 | $4,100 | Y | Black Haw | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Boone | IA |
| HealthPartners UnityPoint Health Align | H3416-001-5 | PPO | $0.00 | $200.00 | $5,000 | Y | Bremer | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Buchanan | IA |
| Coventry Advantra Silver | H1609-001-0 | HMO | $0.00 | $0.00 | $4,100 | Y | Buena Vis | IA |
| HealthPartners UnityPoint Health Align | H3416-001-5 | PPO | $0.00 | $200.00 | $5,000 | Y | Butler | IA |
| Coventry Advantra Silver | H1609-001-0 | HMO | $0.00 | $0.00 | $4,100 | Y | Calhoun | IA |
| AARP MedicareComplete Plan 1 | H5253-044-0 | HMO | $36.00 | $0.00 | $3,400 | Y | Carroll | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Cedar | IA |
| Coventry Advantra Silver | H1609-001-0 | HMO | $0.00 | $0.00 | $4,100 | Y | Cherokee | IA |
| HealthPartners UnityPoint Health Align | H3416-001-5 | PPO | $0.00 | $200.00 | $5,000 | Y | Clayton | IA |
| Humana Gold Plus H0028-008 | H0028-008-2 | HMO | $19.00 | $399.00 | $6,700 | Y | Clinton | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Dallas | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Delaware | IA |
| HealthPartners UnityPoint Health Align | H3416-001-5 | PPO | $0.00 | $200.00 | $5,000 | Y | Fayette | IA |
| HealthPartners UnityPoint Health Align | H3416-001-4 | PPO | $0.00 | $200.00 | $5,000 | Y | Greene | IA |
| HealthPartners UnityPoint Health Align | H3416-001-5 | PPO | $0.00 | $200.00 | $5,000 | Y | Grundy | IA |
| HealthPartners UnityPoint Health Align | H3416-001-5 | PPO | $0.00 | $200.00 | $5,000 | Y | Hamilton | IA |
| HealthPartners UnityPoint Health Align | H3416-001-5 | PPO | $0.00 | $200.00 | $5,000 | Y | Hardin | IA |
| Coventry Advantra Silver | H1609-001-0 | HMO | $0.00 | $0.00 | $4,100 | Y | Henry | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Iowa | IA |
| Coventry Advantra Silver | H1609-001-0 | HMO | $0.00 | $0.00 | $4,100 | Y | Jackson | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Jasper | IA |
| Coventry Advantra Silver | H1609-001-0 | HMO | $0.00 | $0.00 | $4,100 | Y | Jefferson | IA |
| Humana Gold Plus H0028-008 | H0028-008-2 | HMO | $19.00 | $399.00 | $6,700 | Y | Johnson | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Jones | IA |
| Humana Gold Plus H0028-008 | H0028-008-2 | HMO | $19.00 | $399.00 | $6,700 | Y | Linn | IA |
| Coventry Advantra Silver | H1609-001-0 | HMO | $0.00 | $0.00 | $4,100 | Y | Louisa | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Lyon | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Madison | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Marion | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Marshall | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Mills | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Montgom | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Muscatine | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Plymouth | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Polk | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Pottawatt | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Scott | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Sioux | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Story | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Warren | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Washingt | IA |
| HealthPartners UnityPoint Health Align | H3416-001-5 | PPO | $0.00 | $200.00 | $5,000 | Y | Webster | IA |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Woodbur | IA |
| HealthPartners UnityPoint Health Align | H3416-001-5 | PPO | $0.00 | $200.00 | $5,000 | Y | Wright | IA |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Ada | ID |
| SelectHealth Advantage Enhanced | H1994-008-0 | HMO | $31.00 | $0.00 | $5,900 | Y | Adams | ID |
| True Blue Rx | H1350-019-2 | HMO | $89.00 | $0.00 | $6,700 | Y | Bannock | ID |
| True Blue Rx | H1350-019-2 | HMO | $89.00 | $0.00 | $6,700 | Y | Bingham | ID |
| SelectHealth Advantage | H1994-004-0 | HMO | $47.00 | $150.00 | $6,700 | Y | Blaine | ID |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Boise | ID |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Bonner | ID |
| True Blue Rx | H1350-019-2 | HMO | $89.00 | $0.00 | $6,700 | Y | Bonnevill | ID |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Boundary | ID |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Canyon | ID |
| True Blue Rx | H1350-019-2 | HMO | $89.00 | $0.00 | $6,700 | Y | Cassia | ID |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Clark | ID |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Elmore | ID |
| True Blue Rx | H1350-019-2 | HMO | $89.00 | $0.00 | $6,700 | Y | Fremont | ID |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Gem | ID |
| True Blue Rx | H1350-019-2 | HMO | $89.00 | $0.00 | $6,700 | Y | Jefferson | ID |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Kootenai | ID |
| True Blue Rx | H1350-019-2 | HMO | $89.00 | $0.00 | $6,700 | Y | Madison | ID |
| True Blue Rx | H1350-019-2 | HMO | $89.00 | $0.00 | $6,700 | Y | Minidoka | ID |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Nez Perce | ID |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Owyhee | ID |
| True Blue Rx | H1350-019-1 | HMO | $74.00 | $0.00 | $6,700 | Y | Payette | ID |
| True Blue Rx | H1350-019-2 | HMO | $89.00 | $0.00 | $6,700 | Y | Power | ID |
| True Blue Rx | H1350-019-2 | HMO | $89.00 | $0.00 | $6,700 | Y | Twin Falls | ID |
| SelectHealth Advantage Enhanced | H1994-008-0 | HMO | $31.00 | $0.00 | $5,900 | Y | Washingt | ID |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Adams | IL |
| Community Flex-Plan | H3071-003-0 | HMO | $28.70 | $400.00 | $3,950 | Y | Boone | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Brown | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Bureau | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Cass | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Champaig | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Christian | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Clark | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Coles | IL |
| Community Flex-Plan | H3071-003-0 | HMO | $28.70 | $400.00 | $3,950 | Y | Cook | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Crawford | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Cumberla | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Dekalb | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Dewitt | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Douglas | IL |
| Aetna Medicare Value Plan | H3931-106-0 | HMO | $25.00 | $0.00 | $3,400 | Y | Dupage | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Edgar | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Effingham | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Ford | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Franklin | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Fulton | IL |
| AARP MedicareComplete Plan 1 | H2802-025-0 | HMO | $26.00 | $195.00 | $3,950 | Y | Grundy | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Hancock | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Henry | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Iroquois | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Jasper | IL |
| HealthPartners UnityPoint Health Align | H3416-001-5 | PPO | $0.00 | $200.00 | $5,000 | Y | Jo Daviess | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Johnson | IL |
| Aetna Medicare Value Plan | H5521-086-0 | PPO | $0.00 | $0.00 | $4,800 | Y | Kane | IL |
| Aetna Medicare Standard Plan | H5521-153-0 | PPO | $55.00 | $0.00 | $3,500 | Y | Kankakee | IL |
| HumanaChoice H5216-013 | H5216-013-0 | PPO | $119.00 | $400.00 | $6,700 | Y | Kendall | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Knox | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | La Salle | IL |
| HumanaChoice H5216-013 | H5216-013-0 | PPO | $119.00 | $400.00 | $6,700 | Y | Lake | IL |
| AARP MedicareComplete | H5253-046-0 | HMO | $36.00 | $225.00 | $3,900 | Y | Lee | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Livingston | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Logan | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Macon | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Macoupin | IL |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Madison | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Marshall | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Mason | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Mcdonou | IL |
| Community Flex-Plan | H3071-003-0 | HMO | $28.70 | $400.00 | $3,950 | Y | Mchenry | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Mclean | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Menard | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Mercer | IL |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Monroe | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Montgom | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Morgan | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Moultrie | IL |
| Community Flex-Plan | H3071-003-0 | HMO | $28.70 | $400.00 | $3,950 | Y | Ogle | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Peoria | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Perry | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Piatt | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Pike | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Putnam | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Richland | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Rock Islan | IL |
| AARP MedicareComplete | H2802-028-0 | HMO | $0.00 | $150.00 | $2,900 | Y | Saint Clair | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Saline | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Sangamon | IL |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Schuyler | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Scott | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Stark | IL |
| AARP MedicareComplete | H5253-046-0 | HMO | $36.00 | $225.00 | $3,900 | Y | Stephens | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Tazewell | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Vermilion | IL |
| Community Flex-Plan | H3071-003-0 | HMO | $28.70 | $400.00 | $3,950 | Y | Will | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Williamso | IL |
| Community Flex-Plan | H3071-003-0 | HMO | $28.70 | $400.00 | $3,950 | Y | Winnebag | IL |
| Health Alliance Medicare POS 10 | H1463-018-0 | HMO | $124.00 | $0.00 | $4,000 | N | Woodford | IL |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Adams | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Allen | IN |
| Anthem MediBlue Plus | H9954-006-0 | HMO | $0.00 | $75.00 | $4,900 | Y | Bartholo | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Benton | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Blackford | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Boone | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Brown | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Carroll | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Cass | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Clark | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Clay | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Clinton | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Crawford | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | De Kalb | IN |
| Anthem MediBlue Plus | H9954-002-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Dearborn | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Decatur | IN |
| Anthem MediBlue Plus | H9954-006-0 | HMO | $0.00 | $75.00 | $4,900 | Y | Delaware | IN |
| Anthem MediBlue Plus | H9954-005-0 | HMO | $0.00 | $120.00 | $4,900 | Y | Elkhart | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Fayette | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Floyd | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Fountain | IN |
| AARP MedicareComplete Plan 2 | H2802-015-0 | HMO | $76.00 | $0.00 | $4,200 | Y | Fulton | IN |
| Anthem MediBlue Plus | H9954-002-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Gibson | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Greene | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Hamilton | IN |
| Anthem MediBlue Plus | H9954-006-0 | HMO | $0.00 | $75.00 | $4,900 | Y | Hancock | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Harrison | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Hendricks | IN |
| Anthem MediBlue Plus | H9954-006-0 | HMO | $0.00 | $75.00 | $4,900 | Y | Henry | IN |
| Anthem MediBlue Plus | H9954-002-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Howard | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Huntingto | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Jackson | IN |
| HumanaChoice H5525-008 | H5525-008-0 | PPO | $69.00 | $400.00 | $6,700 | Y | Jasper | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Jay | IN |
| AARP MedicareComplete Plan 1 | H2802-016-0 | HMO | $0.00 | $100.00 | $4,900 | Y | Jefferson | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Jennings | IN |
| Anthem MediBlue Plus | H9954-006-0 | HMO | $0.00 | $75.00 | $4,900 | Y | Johnson | IN |
| Anthem MediBlue Plus | H9954-005-0 | HMO | $0.00 | $120.00 | $4,900 | Y | La Porte | IN |
| Anthem MediBlue Plus | H9954-005-0 | HMO | $0.00 | $120.00 | $4,900 | Y | Lagrange | IN |
| Anthem MediBlue Plus | H9954-005-0 | HMO | $0.00 | $120.00 | $4,900 | Y | Lake | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Lawrence | IN |
| Anthem MediBlue Plus | H9954-006-0 | HMO | $0.00 | $75.00 | $4,900 | Y | Madison | IN |
| Aetna Medicare Premier Plan | H5521-151-0 | PPO | $49.00 | $300.00 | $6,700 | Y | Marion | IN |
| Anthem MediBlue Plus | H9954-005-0 | HMO | $0.00 | $120.00 | $4,900 | Y | Marshall | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Martin | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Miami | IN |
| Anthem MediBlue Plus | H9954-006-0 | HMO | $0.00 | $75.00 | $4,900 | Y | Monroe | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Montgom | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Morgan | IN |
| HumanaChoice H5525-008 | H5525-008-0 | PPO | $69.00 | $400.00 | $6,700 | Y | Newton | IN |
| AARP MedicareComplete Plan 2 | H2802-015-0 | HMO | $76.00 | $0.00 | $4,200 | Y | Noble | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Orange | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Owen | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Parke | IN |
| Anthem MediBlue Plus | H9954-005-0 | HMO | $0.00 | $120.00 | $4,900 | Y | Porter | IN |
| Aetna Medicare Premier Plan | H5521-152-0 | PPO | $30.00 | $0.00 | $4,800 | Y | Posey | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Pulaski | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Putnam | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Randolph | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Rush | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Scott | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Shelby | IN |
| AARP MedicareComplete Plan 2 | H2802-015-0 | HMO | $76.00 | $0.00 | $4,200 | Y | St Joseph | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Starke | IN |
| AARP MedicareComplete Plan 2 | H2802-015-0 | HMO | $76.00 | $0.00 | $4,200 | Y | Steuben | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Sullivan | IN |
| Anthem MediBlue Plus | H9954-006-0 | HMO | $0.00 | $75.00 | $4,900 | Y | Tippecan | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Tipton | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Union | IN |
| Aetna Medicare Premier Plan | H5521-152-0 | PPO | $30.00 | $0.00 | $4,800 | Y | Vanderbu | IN |
| Health Alliance Medicare HMO 20 | H1463-001-0 | HMO | $85.00 | $0.00 | $3,500 | N | Vermillio | IN |
| Anthem MediBlue Plus | H9954-002-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Vigo | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Wabash | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Warren | IN |
| Anthem MediBlue Plus | H9954-002-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Warrick | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Washingt | IN |
| Anthem MediBlue Plus | H9954-002-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Wells | IN |
| CareSource Advantage Zero Premium | H9162-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | White | IN |
| CareSource Advantage | H9162-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Whitley | IN |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Advantra Freedom | H1608-016-0 | PPO | $0.00 | $0.00 | $6,200 | Y | Allen | KS |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Bourbon | KS |
| Coventry Medicare Advantage Total Care | H2663-028-0 | HMO | $0.00 | $0.00 | $5,700 | Y | Butler | KS |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Cowley | KS |
| Humana Gold Plus H2649-062 | H2649-062-2 | HMO | $45.00 | $175.00 | $6,700 | Y | Douglas | KS |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Franklin | KS |
| Coventry Medicare Advantage Total Care | H2663-028-0 | HMO | $0.00 | $0.00 | $5,700 | Y | Harvey | KS |
| Humana Gold Plus H2649-062 | H2649-062-2 | HMO | $45.00 | $175.00 | $6,700 | Y | Jefferson | KS |
| Advantra Advantage | H2663-026-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Johnson | KS |
| Humana Gold Plus H2649-062 | H2649-062-2 | HMO | $45.00 | $175.00 | $6,700 | Y | Leavenwo | KS |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Linn | KS |
| Advantra Advantage | H2663-026-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Miami | KS |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Pottawat | KS |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Reno | KS |
| Coventry Medicare Advantage Total Care | H2663-028-0 | HMO | $0.00 | $0.00 | $5,700 | Y | Sedgwick | KS |
| Humana Gold Plus H2649-062 | H2649-062-2 | HMO | $45.00 | $175.00 | $6,700 | Y | Shawnee | KS |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Sumner | KS |
| Advantra Advantage | H2663-027-0 | HMO | $0.00 | $0.00 | $6,500 | Y | Wyandott | KS |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Anderson | KY |
| CareSource Advantage | H1493-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Bath | KY |
| Humana Gold Plus H6622-019 | H6622-019-0 | HMO | $77.00 | $100.00 | $3,900 | Y | Boone | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Bourbon | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Boyd | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Bullitt | KY |
| Humana Gold Plus H6622-019 | H6622-019-0 | HMO | $77.00 | $100.00 | $3,900 | Y | Campbell | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Carter | KY |
| CareSource Advantage | H1493-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Casey | KY |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Clark | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Clay | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Daviess | KY |
| CareSource Advantage | H1493-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Estill | KY |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Fayette | KY |
| CareSource Advantage | H1493-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Fleming | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Floyd | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Franklin | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Gallatin | KY |
| CareSource Advantage | H1493-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Garrard | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Grant | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Greenup | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Hardin | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Harlan | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Harrison | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Henderso | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Henry | KY |
| CareSource Advantage | H1493-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Jackson | KY |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Jefferson | KY |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Jessamine | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Johnson | KY |
| Humana Gold Plus H6622-019 | H6622-019-0 | HMO | $77.00 | $100.00 | $3,900 | Y | Kenton | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Knott | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Leslie | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Letcher | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Livingston | KY |
| AARP MedicareComplete Plan 1 | H5253-067-0 | HMO | $36.00 | $200.00 | $5,300 | Y | Madison | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Magoffin | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Martin | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Mclean | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Meade | KY |
| CareSource Advantage | H1493-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Menifee | KY |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Mercer | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Montgom | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Morgan | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Nelson | KY |
| CareSource Advantage | H1493-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Nicholas | KY |
| CareSource Advantage | H1493-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Oldham | KY |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Owen | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Owsley | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Pendleto | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Perry | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Pike | KY |
| CareSource Advantage | H1493-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Robertson | KY |
| CareSource Advantage | H1493-001-0 | HMO | $32.10 | $0.00 | $4,600 | Y | Rockcastl | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Scott | KY |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Shelby | KY |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Spencer | KY |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Trimble | KY |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Washingt | KY |
| Anthem MediBlue Plus | H1849-018-0 | HMO | $0.00 | $0.00 | $4,900 | Y | Webster | KY |
| HumanaChoice H5525-022 | H5525-022-0 | PPO | $67.00 | $360.00 | $6,700 | Y | Whitley | KY |
| CareSource Advantage Zero Premium | H1493-004-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Woodford | KY |
| Peoples Health Choices Gold | H1961-017-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Acadia | LA |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Allen | LA |
| Aetna Medicare Connect Plus | H5521-136-0 | PPO | $125.00 | $400.00 | $5,900 | Y | Ascension | LA |
| Humana Gold Plus H1951-047 | H1951-047-2 | HMO | $33.00 | $400.00 | $6,700 | Y | Assumpti | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Avoyelles | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Beauregar | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Bienville | LA |
| Aetna Medicare Connect Plus | H5521-136-0 | PPO | $125.00 | $400.00 | $5,900 | Y | Bossier | LA |
| Aetna Medicare Connect Plus | H5521-136-0 | PPO | $125.00 | $400.00 | $5,900 | Y | Caddo | LA |
| Peoples Health Choices Gold | H1961-017-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Calcasieu | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Caldwell | LA |
| Peoples Health Choices Gold | H1961-017-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Cameron | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Catahoula | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Claiborne | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Concordia | LA |
| AAA8 Vantage BASIC | H5576-020-1 | HMO | $0.00 | $350.00 | $6,700 | Y | De Soto | LA |
| Aetna Medicare Connect Plus | H5521-136-0 | PPO | $125.00 | $400.00 | $5,900 | Y | East Bato | LA |
| AAA8 Vantage BASIC | H5576-020-1 | HMO | $0.00 | $350.00 | $6,700 | Y | East Carro | LA |
| Humana Gold Plus H1951-048 | H1951-048-2 | HMO | $36.00 | $400.00 | $6,700 | Y | East Felici | LA |
| Peoples Health Choices Gold | H1961-017-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Evangelin | LA |
| AAA8 Vantage BASIC | H5576-020-1 | HMO | $0.00 | $350.00 | $6,700 | Y | Franklin | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Grant | LA |
| Peoples Health Choices Gold | H1961-017-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Iberia | LA |
| Aetna Medicare Connect Plus | H5521-136-0 | PPO | $125.00 | $400.00 | $5,900 | Y | Iberville | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Jackson | LA |
| Aetna Medicare Connect Plus | H5521-136-0 | PPO | $125.00 | $400.00 | $5,900 | Y | Jefferson | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Jefferson | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | La Salle | LA |
| Peoples Health Choices Gold | H1961-017-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Lafayette | LA |
| Aetna Medicare Connect Plus | H5521-136-0 | PPO | $125.00 | $400.00 | $5,900 | Y | Lafourche | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Lincoln | LA |
| Humana Gold Plus H1951-048 | H1951-048-1 | HMO | $0.00 | $400.00 | $6,700 | Y | Livingston | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Madison | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Morehous | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Natchitoc | LA |
| Aetna Medicare Connect Plus | H5521-136-0 | PPO | $125.00 | $400.00 | $5,900 | Y | Orleans | LA |
| AAA8 Vantage BASIC | H5576-020-1 | HMO | $0.00 | $350.00 | $6,700 | Y | Ouachita | LA |
| Humana Gold Plus H1951-047 | H1951-047-2 | HMO | $33.00 | $400.00 | $6,700 | Y | Plaquemi | LA |
| Humana Gold Plus H1951-048 | H1951-048-2 | HMO | $36.00 | $400.00 | $6,700 | Y | Pointe Co | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Rapides | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Red River | LA |
| AAA8 Vantage BASIC | H5576-020-1 | HMO | $0.00 | $350.00 | $6,700 | Y | Richland | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Sabine | LA |
| AAA9 Vantage CAPITOL | H5576-021-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Saint Bern | LA |
| Humana Gold Plus H1951-047 | H1951-047-1 | HMO | $0.00 | $400.00 | $6,700 | Y | Saint Char | LA |
| Humana Gold Plus H1951-048 | H1951-048-2 | HMO | $36.00 | $400.00 | $6,700 | Y | Saint Hele | LA |
| Humana Gold Plus H1951-047 | H1951-047-2 | HMO | $33.00 | $400.00 | $6,700 | Y | Saint Jam | LA |
| Peoples Health Choices Gold | H1961-017-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Saint Land | LA |
| Peoples Health Choices Gold | H1961-017-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Saint Mart | LA |
| Peoples Health Choices 65 #14 | H1961-014-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Saint Mar | LA |
| Aetna Medicare Connect Plus | H5521-136-0 | PPO | $125.00 | $400.00 | $5,900 | Y | Saint Tam | LA |
| Humana Gold Plus H1951-047 | H1951-047-2 | HMO | $33.00 | $400.00 | $6,700 | Y | St John Th | LA |
| AAA9 Vantage CAPITOL | H5576-021-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Tangipah | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Tensas | LA |
| Humana Gold Plus H1951-047 | H1951-047-2 | HMO | $33.00 | $400.00 | $6,700 | Y | Terrebon | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Union | LA |
| Peoples Health Choices Gold | H1961-017-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Vermilion | LA |
| WellCare Value | H2491-007-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Washingt | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Webster | LA |
| Humana Gold Plus H1951-048 | H1951-048-1 | HMO | $0.00 | $400.00 | $6,700 | Y | West Bato | LA |
| AAA8 Vantage BASIC | H5576-020-1 | HMO | $0.00 | $350.00 | $6,700 | Y | West Carr | LA |
| Humana Gold Plus H1951-048 | H1951-048-2 | HMO | $36.00 | $400.00 | $6,700 | Y | West Feli | LA |
| AAA8 Vantage BASIC | H5576-020-2 | HMO | $0.00 | $350.00 | $6,700 | Y | Winn | LA |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| AARP MedicareComplete Plan 3 | H1944-022-0 | HMO | $76.00 | $0.00 | $3,400 | Y | Bristol | MA |
| AARP MedicareComplete Plan 3 | H1944-023-0 | HMO | $76.00 | $0.00 | $3,400 | Y | Essex | MA |
| AARP MedicareComplete Plan 3 | H1944-022-0 | HMO | $76.00 | $0.00 | $3,400 | Y | Hampden | MA |
| AARP MedicareComplete Plan 3 | H1944-021-0 | HMO | $76.00 | $0.00 | $3,400 | Y | Middlese | MA |
| AARP MedicareComplete Plan 3 | H1944-022-0 | HMO | $76.00 | $0.00 | $3,400 | Y | Plymouth | MA |
| AARP MedicareComplete Plan 3 | H1944-021-0 | HMO | $76.00 | $0.00 | $3,400 | Y | Suffolk | MA |
| Harvard Pilgrim Stride Value Rx Plus | H1660-001-0 | HMO | $148.00 | $0.00 | $3,400 | Y | Worcester | MA |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| MedStar Medicare Choice | H9915-008-0 | HMO | $17.00 | $200.00 | $6,700 | Y | Calvert | MD |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Aetna Medicare Freedom Plan | H5521-143-0 | PPO | $39.00 | $0.00 | $6,700 | Y | Androsco | ME |
| AARP MedicareComplete Choice | R5329-001-0 | PPO | $83.00 | $0.00 | $3,500 | Y | Aroostook | ME |
| Aetna Medicare Freedom Plan | H5521-142-0 | PPO | $19.00 | $0.00 | $6,700 | Y | Cumberla | ME |
| Aetna Medicare Elite Plan | H3597-009-0 | HMO | $39.00 | $0.00 | $6,700 | Y | Franklin | ME |
| AARP MedicareComplete Choice | R5329-001-0 | PPO | $83.00 | $0.00 | $3,500 | Y | Hancock | ME |
| Humana Gold Plus H5619-040 | H5619-040-1 | HMO | $32.00 | $400.00 | $6,700 | Y | Kennebec | ME |
| Aetna Medicare Freedom Plan | H5521-143-0 | PPO | $39.00 | $0.00 | $6,700 | Y | Knox | ME |
| Aetna Medicare Elite Plan | H3597-009-0 | HMO | $39.00 | $0.00 | $6,700 | Y | Lincoln | ME |
| Aetna Medicare Freedom Plan | H5521-144-0 | PPO | $69.00 | $140.00 | $6,700 | Y | Oxford | ME |
| Humana Gold Plus H5619-040 | H5619-040-2 | HMO | $47.00 | $400.00 | $6,700 | Y | Penobsco | ME |
| Aetna Medicare Freedom Plan | H5521-144-0 | PPO | $69.00 | $140.00 | $6,700 | Y | Piscataqui | ME |
| Aetna Medicare Freedom Plan | H5521-142-0 | PPO | $19.00 | $0.00 | $6,700 | Y | Sagadaho | ME |
| AARP MedicareComplete Choice | R5329-001-0 | PPO | $83.00 | $0.00 | $3,500 | Y | Somerset | ME |
| Aetna Medicare Elite Plan | H3597-009-0 | HMO | $39.00 | $0.00 | $6,700 | Y | Waldo | ME |
| AARP MedicareComplete Choice | R5329-001-0 | PPO | $83.00 | $0.00 | $3,500 | Y | Washingt | ME |
| Aetna Medicare Freedom Plan | H5521-142-0 | PPO | $19.00 | $0.00 | $6,700 | Y | York | ME |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Alcona | MI |
| Blue Cross Medicare Private Fee for Service | H4262-001-3 | PFFS | $200.00 | $0.00 | N/A | N | Alger | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Allegan | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Alpena | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Antrim | MI |
| HAP Senior Plus Option 1 | H2322-008-0 | PPO | $124.00 | $0.00 | $4,200 | Y | Arenac | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Baraga | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Barry | MI |
| HAP Senior Plus Option 1 | H2322-008-0 | PPO | $124.00 | $0.00 | $4,200 | Y | Bay | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Benzie | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Berrien | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Branch | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Calhoun | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Cass | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Charlevoi | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Cheboyga | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Chippewa | MI |
| Aetna Medicare Premier Plan | H5521-148-0 | PPO | $55.00 | $300.00 | $3,500 | Y | Clare | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Clinton | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Crawford | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Delta | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Dickinson | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Eaton | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Emmet | MI |
| BCN Advantage HMO HealthySaver | H5883-009-3 | HMO | $25.00 | $100.00 | $4,500 | Y | Genesee | MI |
| Aetna Medicare Premier Plan | H5521-148-0 | PPO | $55.00 | $300.00 | $3,500 | Y | Gladwin | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Gogebic | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Grand Tra | MI |
| HAP Senior Plus Option 1 | H2322-008-0 | PPO | $124.00 | $0.00 | $4,200 | Y | Gratiot | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Hillsdale | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Houghton | MI |
| HAP Senior Plus Option 1 | H2322-008-0 | PPO | $124.00 | $0.00 | $4,200 | Y | Huron | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Ingham | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Ionia | MI |
| HAP Senior Plus Option 1 | H2322-008-0 | PPO | $124.00 | $0.00 | $4,200 | Y | Iosco | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Iron | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Isabella | MI |
| HAP Senior Plus Option 1 | H2322-008-0 | PPO | $124.00 | $0.00 | $4,200 | Y | Jackson | MI |
| BCN Advantage HMO HealthySaver | H5883-009-3 | HMO | $25.00 | $100.00 | $4,500 | Y | Kalamazo | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Kalkaska | MI |
| BCN Advantage HMO HealthySaver | H5883-009-2 | HMO | $15.00 | $100.00 | $4,500 | Y | Kent | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Keweena | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Lake | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Lapeer | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Leelanau | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Lenawee | MI |
| BCN Advantage HMO HealthySaver | H5883-009-3 | HMO | $25.00 | $100.00 | $4,500 | Y | Livingston | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Luce | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Mackinac | MI |
| BCN Advantage HMO HealthySaver | H5883-009-3 | HMO | $25.00 | $100.00 | $4,500 | Y | Macomb | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Manistee | MI |
| Blue Cross Medicare Private Fee for Service | H4262-001-4 | PFFS | $180.00 | $0.00 | N/A | N | Marquett | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Mason | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Mecosta | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Menomin | MI |
| Aetna Medicare Premier Plan | H5521-148-0 | PPO | $55.00 | $300.00 | $3,500 | Y | Midland | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Missauke | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Monroe | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Montcalm | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Montmor | MI |
| BCN Advantage HMO HealthySaver | H5883-009-1 | HMO | $18.00 | $100.00 | $4,500 | Y | Muskegon | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Newaygo | MI |
| Aetna Medicare Premier Plan | H5521-149-0 | PPO | $75.00 | $245.00 | $5,000 | Y | Oakland | MI |
| BCN Advantage HMO HealthySaver | H5883-009-1 | HMO | $18.00 | $100.00 | $4,500 | Y | Oceana | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Ogemaw | MI |
| Medicare Plus Blue PPO Core | H9572-005-0 | PPO | $55.00 | $0.00 | $6,700 | N | Ontonago | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Osceola | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Oscoda | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Otsego | MI |
| BCN Advantage HMO HealthySaver | H5883-009-1 | HMO | $18.00 | $100.00 | $4,500 | Y | Ottawa | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Presque I | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Roscomm | MI |
| HAP Senior Plus Option 1 | H2322-008-0 | PPO | $124.00 | $0.00 | $4,200 | Y | Saginaw | MI |
| BCN Advantage HMO HealthySaver | H5883-009-3 | HMO | $25.00 | $100.00 | $4,500 | Y | Saint Clair | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Saint Jose | MI |
| HAP Senior Plus Option 1 | H2322-008-0 | PPO | $124.00 | $0.00 | $4,200 | Y | Sanilac | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Schoolcra | MI |
| HAP Senior Plus Option 1 | H2322-008-0 | PPO | $124.00 | $0.00 | $4,200 | Y | Shiawass | MI |
| HAP Senior Plus Option 1 | H2322-008-0 | PPO | $124.00 | $0.00 | $4,200 | Y | Tuscola | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Van Buren | MI |
| BCN Advantage HMO HealthySaver | H5883-009-3 | HMO | $25.00 | $100.00 | $4,500 | Y | Washtena | MI |
| Aetna Medicare Premier Plan | H5521-149-0 | PPO | $75.00 | $245.00 | $5,000 | Y | Wayne | MI |
| BCN Advantage HMO-POS Core | H5883-010-0 | HMO | $20.00 | $0.00 | $6,700 | N | Wexford | MI |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Aitkin | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Anoka | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Becker | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Beltrami | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Benton | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Big Stone | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Blue Earth | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Brown | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Carlton | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Carver | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Cass | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Chippewa | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Chisago | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Clay | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Clearwate | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Cook | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Cottonwo | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Crow Win | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Dakota | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Dodge | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Douglas | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Faribault | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Fillmore | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Freeborn | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Goodhue | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Grant | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Hennepin | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Houston | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Hubbard | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Isanti | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Itasca | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Jackson | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Kanabec | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Kandiyohi | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Kittson | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Koochichi | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Lac Qui Pa | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Lake | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Lake Of T | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Le Sueur | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Lincoln | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Lyon | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Mahnome | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Marshall | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Martin | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Mcleod | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Meeker | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Mille Lacs | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Morrison | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Mower | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Murray | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Nicollet | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Nobles | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Norman | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Olmsted | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Otter Tail | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Penningt | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Pine | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Pipestone | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Polk | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Pope | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Ramsey | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Red Lake | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Redwood | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Renville | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Rice | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Rock | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Roseau | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Saint Loui | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Scott | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Sherburn | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Sibley | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Stearns | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Steele | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Stevens | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Swift | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Todd | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Traverse | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Wabasha | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Wadena | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Waseca | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Washingt | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Watonwa | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Wilkin | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Winona | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Wright | MN |
| HealthPartners Freedom Active | H2462-020-0 | Cost | $69.90 | $0.00 | $3,000 | N | Yellow M | MN |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Audrain | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Barry | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Barton | MO |
| Advantra Advantage | H2663-026-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Bates | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Benton | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Boone | MO |
| AARP MedicareComplete Plan 1 | H2802-033-0 | HMO | $36.00 | $210.00 | $4,400 | Y | Buchanan | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Callaway | MO |
| Advantra Advantage | H2663-026-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Cass | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Cedar | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Christian | MO |
| Advantra Advantage | H2663-026-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Clay | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Cole | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Cooper | MO |
| AARP MedicareComplete | H2802-028-0 | HMO | $0.00 | $150.00 | $2,900 | Y | Crawford | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Dade | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Dallas | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Douglas | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Franklin | MO |
| AARP MedicareComplete | H2802-028-0 | HMO | $0.00 | $150.00 | $2,900 | Y | Gasconad | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Greene | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Henry | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Hickory | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Howard | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Howell | MO |
| Advantra Advantage | H2663-026-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Jackson | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Jasper | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Jefferson | MO |
| Humana Gold Plus H2649-062 | H2649-062-2 | HMO | $45.00 | $175.00 | $6,700 | Y | Johnson | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Laclede | MO |
| Humana Gold Plus H2649-062 | H2649-062-2 | HMO | $45.00 | $175.00 | $6,700 | Y | Lafayette | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Lawrence | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Lincoln | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Miller | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Moniteau | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Morgan | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Newton | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Oregon | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Osage | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Ozark | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Pettis | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Phelps | MO |
| Advantra Advantage | H2663-026-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Platte | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Polk | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Pulaski | MO |
| Humana Gold Plus H2649-062 | H2649-062-2 | HMO | $45.00 | $175.00 | $6,700 | Y | Ray | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Saint Char | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Saint Fran | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Saint Loui | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Saint Loui | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Saline | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Stone | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Taney | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Vernon | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Warren | MO |
| HumanaChoice H1716-021 | H1716-021-0 | PPO | $49.00 | $250.00 | $6,700 | Y | Washingt | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Webster | MO |
| Coventry Advantage | H2663-021-0 | HMO | $23.00 | $0.00 | $4,300 | Y | Wright | MO |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Adams | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Attala | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Bolivar | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Carroll | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Claiborne | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Clarke | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Coahoma | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Copiah | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Covington | MS |
| Aetna Medicare Premier Plan | H5521-154-0 | PPO | $49.00 | $195.00 | $5,950 | Y | Desoto | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Forrest | MS |
| Magnolia Health Medicare Advantage | H9811-001-0 | HMO | $0.00 | $300.00 | $6,700 | Y | George | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Grenada | MS |
| Magnolia Health Medicare Advantage | H9811-001-0 | HMO | $0.00 | $300.00 | $6,700 | Y | Harrison | MS |
| Magnolia Health Medicare Advantage | H9811-001-0 | HMO | $0.00 | $300.00 | $6,700 | Y | Hinds | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Holmes | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Humphre | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Issaquena | MS |
| Magnolia Health Medicare Advantage | H9811-001-0 | HMO | $0.00 | $300.00 | $6,700 | Y | Jackson | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Jasper | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Jefferson | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Jefferson | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Jones | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Kemper | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Lafayette | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Lamar | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Lauderdal | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Lawrence | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Leake | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Lincoln | MS |
| Magnolia Health Medicare Advantage | H9811-001-0 | HMO | $0.00 | $300.00 | $6,700 | Y | Madison | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Marion | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Marshall | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Neshoba | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Newton | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Panola | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Pike | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Quitman | MS |
| Magnolia Health Medicare Advantage | H9811-001-0 | HMO | $0.00 | $300.00 | $6,700 | Y | Rankin | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Scott | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Sharkey | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Simpson | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Smith | MS |
| Magnolia Health Medicare Advantage | H9811-001-0 | HMO | $0.00 | $300.00 | $6,700 | Y | Stone | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Sunflower | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Tallahatch | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Tate | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Tunica | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Walthall | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Warren | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Washingt | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Wayne | MS |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Yazoo | MS |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Broadwat | MT |
| HumanaChoice H6609-004 | H6609-004-0 | PPO | $0.00 | $0.00 | $6,700 | N | Carbon | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Cascade | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Chouteau | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Deer Lodg | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Fergus | MT |
| HumanaChoice H6609-004 | H6609-004-0 | PPO | $0.00 | $0.00 | $6,700 | N | Flathead | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Jefferson | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Lake | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Lewis And | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Mineral | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Missoula | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Pondera | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Powell | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Ravalli | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Sanders | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Silver Bo | MT |
| HumanaChoice H6609-004 | H6609-004-0 | PPO | $0.00 | $0.00 | $6,700 | N | Stillwater | MT |
| Humana Gold Plus H6622-007 | H6622-007-0 | HMO | $29.00 | $399.00 | $6,700 | Y | Teton | MT |
| HumanaChoice H6609-004 | H6609-004-0 | PPO | $0.00 | $0.00 | $6,700 | N | Yellowsto | MT |
| Aetna Medicare Premier Plan | H5521-081-0 | PPO | $0.00 | $195.00 | $4,950 | Y | Alamance | NC |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Alexander | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Alleghany | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Anson | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Ashe | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Avery | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Beaufort | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Bertie | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Bladen | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Brunswick | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Buncomb | NC |
| AARP MedicareComplete Essential | H5253-040-0 | HMO | $0.00 | $0.00 | $4,900 | N | Burke | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Cabarrus | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Caldwell | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Caswell | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Catawba | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Chatham | NC |
| HumanaChoice H6609-152 | H6609-152-1 | PPO | $47.00 | $400.00 | $5,900 | Y | Cherokee | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Chowan | NC |
| HumanaChoice H6609-152 | H6609-152-1 | PPO | $47.00 | $400.00 | $5,900 | Y | Clay | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Cleveland | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Columbus | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Cumberla | NC |
| HumanaChoice H6609-152 | H6609-152-2 | PPO | $53.00 | $400.00 | $5,900 | Y | Davidson | NC |
| Aetna Medicare Premier Plan | H5521-081-0 | PPO | $0.00 | $195.00 | $4,950 | Y | Davie | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Duplin | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Durham | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Edgecom | NC |
| Aetna Medicare Premier Plan | H5521-081-0 | PPO | $0.00 | $195.00 | $4,950 | Y | Forsyth | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Franklin | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Gaston | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Gates | NC |
| HumanaChoice H6609-152 | H6609-152-1 | PPO | $47.00 | $400.00 | $5,900 | Y | Graham | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Granville | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Greene | NC |
| Blue Medicare HMO Essential | H3449-023-1 | HMO | $28.40 | $295.00 | $6,700 | Y | Guilford | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Halifax | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Harnett | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Haywood | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Henderso | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Hertford | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Hoke | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Hyde | NC |
| HumanaChoice H6609-152 | H6609-152-2 | PPO | $53.00 | $400.00 | $5,900 | Y | Iredell | NC |
| HumanaChoice H6609-152 | H6609-152-1 | PPO | $47.00 | $400.00 | $5,900 | Y | Jackson | NC |
| Aetna Medicare Value Plan | H5521-139-0 | PPO | $29.00 | $195.00 | $5,900 | Y | Johnston | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Jones | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Lee | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Lincoln | NC |
| HumanaChoice H6609-152 | H6609-152-1 | PPO | $47.00 | $400.00 | $5,900 | Y | Macon | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Madison | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Martin | NC |
| Aetna Medicare Premier Plan | H5521-081-0 | PPO | $0.00 | $195.00 | $4,950 | Y | Mcdowell | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Mecklenb | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Mitchell | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Montgom | NC |
| HumanaChoice H6609-152 | H6609-152-2 | PPO | $53.00 | $400.00 | $5,900 | Y | Moore | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Nash | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | New Han | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Northamp | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Orange | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Pamlico | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Pender | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Person | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Pitt | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Polk | NC |
| Blue Medicare HMO Essential | H3449-023-1 | HMO | $28.40 | $295.00 | $6,700 | Y | Randolph | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Richmond | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Robeson | NC |
| Blue Medicare HMO Essential | H3449-023-1 | HMO | $28.40 | $295.00 | $6,700 | Y | Rockingha | NC |
| HumanaChoice H6609-152 | H6609-152-2 | PPO | $53.00 | $400.00 | $5,900 | Y | Rowan | NC |
| HumanaChoice H6609-152 | H6609-152-1 | PPO | $47.00 | $400.00 | $5,900 | Y | Rutherfor | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Sampson | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Scotland | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Stanly | NC |
| Aetna Medicare Premier Plan | H5521-081-0 | PPO | $0.00 | $195.00 | $4,950 | Y | Stokes | NC |
| HumanaChoice H6609-152 | H6609-152-1 | PPO | $47.00 | $400.00 | $5,900 | Y | Swain | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Transylva | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Tyrrell | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Union | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Vance | NC |
| FirstMedicare Direct preferredPLUS | H6306-006-0 | HMO | $28.50 | $400.00 | $3,400 | Y | Wake | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Warren | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Washingt | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Watauga | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Wayne | NC |
| Aetna Medicare Value Plan | H5521-139-0 | PPO | $29.00 | $195.00 | $5,900 | Y | Wilkes | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Wilson | NC |
| HumanaChoice H6609-152 | H6609-152-2 | PPO | $53.00 | $400.00 | $5,900 | Y | Yadkin | NC |
| Blue Medicare HMO Essential | H3449-023-2 | HMO | $34.60 | $295.00 | $6,700 | Y | Yancey | NC |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| HumanaChoice H6609-143 | H6609-143-0 | PPO | $23.30 | $399.00 | $6,700 | Y | Barnes | ND |
| Sanford Heart of America Health Plan | H3503-003-0 | Cost | $140.00 | $0.00 | N/A | N | Benson | ND |
| Sanford Heart of America Health Plan | H3503-003-0 | Cost | $140.00 | $0.00 | N/A | N | Bottineau | ND |
| HumanaChoice H6609-143 | H6609-143-0 | PPO | $23.30 | $399.00 | $6,700 | Y | Burleigh | ND |
| HumanaChoice H6609-143 | H6609-143-0 | PPO | $23.30 | $399.00 | $6,700 | Y | Cass | ND |
| HumanaChoice H6609-143 | H6609-143-0 | PPO | $23.30 | $399.00 | $6,700 | Y | Grand For | ND |
| HumanaChoice H6609-143 | H6609-143-0 | PPO | $23.30 | $399.00 | $6,700 | Y | Kidder | ND |
| Sanford Heart of America Health Plan | H3503-003-0 | Cost | $140.00 | $0.00 | N/A | N | Mchenry | ND |
| HumanaChoice H6609-143 | H6609-143-0 | PPO | $23.30 | $399.00 | $6,700 | Y | Morton | ND |
| Sanford Heart of America Health Plan | H3503-003-0 | Cost | $140.00 | $0.00 | N/A | N | Oliver | ND |
| Sanford Heart of America Health Plan | H3503-003-0 | Cost | $140.00 | $0.00 | N/A | N | Pierce | ND |
| HumanaChoice H6609-143 | H6609-143-0 | PPO | $23.30 | $399.00 | $6,700 | Y | Richland | ND |
| Sanford Heart of America Health Plan | H3503-003-0 | Cost | $140.00 | $0.00 | N/A | N | Rolette | ND |
| HumanaChoice H6609-143 | H6609-143-0 | PPO | $23.30 | $399.00 | $6,700 | Y | Stutsman | ND |
| Sanford Heart of America Health Plan | H3503-003-0 | Cost | $140.00 | $0.00 | N/A | N | Towner | ND |
| HumanaChoice H6609-143 | H6609-143-0 | PPO | $23.30 | $399.00 | $6,700 | Y | Traill | ND |
| Sanford Heart of America Health Plan | H3503-003-0 | Cost | $140.00 | $0.00 | N/A | N | Wells | ND |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| AARP MedicareComplete | H2802-001-0 | HMO | $0.00 | $200.00 | $5,900 | Y | Burt | NE |
| Blue Cross Blue Shield Nebraska MA Choice | H3170-002-0 | HMO | $44.00 | $300.00 | $5,000 | Y | Cass | NE |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Dakota | NE |
| Blue Cross Blue Shield Nebraska MA Choice | H3170-002-0 | HMO | $44.00 | $300.00 | $5,000 | Y | Dodge | NE |
| Blue Cross Blue Shield Nebraska MA Choice | H3170-002-0 | HMO | $44.00 | $300.00 | $5,000 | Y | Douglas | NE |
| Blue Cross Blue Shield Nebraska MA Choice | H3170-002-0 | HMO | $44.00 | $300.00 | $5,000 | Y | Lancaster | NE |
| AARP MedicareComplete | H2802-022-0 | HMO | $0.00 | $200.00 | $5,900 | Y | Otoe | NE |
| Blue Cross Blue Shield Nebraska MA Choice | H3170-002-0 | HMO | $44.00 | $300.00 | $5,000 | Y | Sarpy | NE |
| Blue Cross Blue Shield Nebraska MA Choice | H3170-002-0 | HMO | $44.00 | $300.00 | $5,000 | Y | Saunders | NE |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Washingt | NE |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Humana Gold Plus H5619-040 | H5619-040-1 | HMO | $32.00 | $400.00 | $6,700 | Y | Belknap | NH |
| Humana Gold Plus H5619-040 | H5619-040-2 | HMO | $47.00 | $400.00 | $6,700 | Y | Carroll | NH |
| AARP MedicareComplete Choice | R5329-001-0 | PPO | $83.00 | $0.00 | $3,500 | Y | Cheshire | NH |
| AARP MedicareComplete Choice | R5329-001-0 | PPO | $83.00 | $0.00 | $3,500 | Y | Coos | NH |
| Harvard Pilgrim Stride Value Rx | H6750-002-0 | HMO | $28.00 | $270.00 | $6,700 | Y | Grafton | NH |
| Humana Gold Plus H5619-040 | H5619-040-1 | HMO | $32.00 | $400.00 | $6,700 | Y | Hillsboro | NH |
| Humana Gold Plus H5619-040 | H5619-040-1 | HMO | $32.00 | $400.00 | $6,700 | Y | Merrimac | NH |
| Humana Gold Plus H5619-040 | H5619-040-2 | HMO | $47.00 | $400.00 | $6,700 | Y | Rockingha | NH |
| Humana Gold Plus H5619-040 | H5619-040-1 | HMO | $32.00 | $400.00 | $6,700 | Y | Strafford | NH |
| Harvard Pilgrim Stride Value Rx | H6750-002-0 | HMO | $28.00 | $270.00 | $6,700 | Y | Sullivan | NH |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Aetna Medicare Basic Plan | H3152-045-0 | HMO | $0.00 | $0.00 | $6,700 | N | Atlantic | NJ |
| Aetna Medicare Standard Plan | H5521-037-0 | PPO | $79.00 | $0.00 | $6,700 | Y | Bergen | NJ |
| Aetna Medicare Basic Plan | H3152-045-0 | HMO | $0.00 | $0.00 | $6,700 | N | Burlingto | NJ |
| Aetna Medicare Basic Plan | H3152-045-0 | HMO | $0.00 | $0.00 | $6,700 | N | Camden | NJ |
| Aetna Medicare Basic Plan | H3152-045-0 | HMO | $0.00 | $0.00 | $6,700 | N | Cape May | NJ |
| Aetna Medicare Basic Plan | H3152-045-0 | HMO | $0.00 | $0.00 | $6,700 | N | Cumberla | NJ |
| AARP MedicareComplete Essential | H0755-037-0 | HMO | $0.00 | $0.00 | $6,700 | N | Essex | NJ |
| Aetna Medicare Basic Plan | H3152-045-0 | HMO | $0.00 | $0.00 | $6,700 | N | Glouceste | NJ |
| AARP MedicareComplete Essential | H0755-037-0 | HMO | $0.00 | $0.00 | $6,700 | N | Hudson | NJ |
| Aetna Medicare Basic Plan | H3152-045-0 | HMO | $0.00 | $0.00 | $6,700 | N | Hunterdo | NJ |
| Aetna Medicare Basic Plan | H3152-045-0 | HMO | $0.00 | $0.00 | $6,700 | N | Mercer | NJ |
| Aetna Medicare Elite Plan | H3152-082-0 | HMO | $0.00 | $0.00 | $6,700 | Y | Middlese | NJ |
| Clover Health Premier | H5141-007-0 | PPO | $38.40 | $220.00 | $6,700 | Y | Monmout | NJ |
| AARP MedicareComplete Essential | H0755-037-0 | HMO | $0.00 | $0.00 | $6,700 | N | Morris | NJ |
| AARP MedicareComplete Essential | H0755-037-0 | HMO | $0.00 | $0.00 | $6,700 | N | Ocean | NJ |
| AARP MedicareComplete Essential | H0755-037-0 | HMO | $0.00 | $0.00 | $6,700 | N | Passaic | NJ |
| Aetna Medicare Basic Plan | H3152-045-0 | HMO | $0.00 | $0.00 | $6,700 | N | Salem | NJ |
| Aetna Medicare Basic Plan | H3152-045-0 | HMO | $0.00 | $0.00 | $6,700 | N | Somerset | NJ |
| Aetna Medicare Standard Plan | H5521-037-0 | PPO | $79.00 | $0.00 | $6,700 | Y | Sussex | NJ |
| AARP MedicareComplete Essential | H0755-037-0 | HMO | $0.00 | $0.00 | $6,700 | N | Union | NJ |
| Aetna Medicare Basic Plan | H3152-045-0 | HMO | $0.00 | $0.00 | $6,700 | N | Warren | NJ |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| AARP MedicareComplete Choice | H2228-047-0 | PPO | $16.00 | $300.00 | $3,500 | Y | Sandoval | NM |
| AARP MedicareComplete Choice | H2228-049-0 | PPO | $16.00 | $300.00 | $3,500 | Y | Santa Fe | NM |
| AARP MedicareComplete Choice | H2228-047-0 | PPO | $16.00 | $300.00 | $3,500 | Y | Valencia | NM |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Prominence Prime | H5945-004-0 | HMO | $0.00 | $0.00 | $3,400 | N | Carson Cit | NV |
| Prominence Prime | H5945-004-0 | HMO | $0.00 | $0.00 | $3,400 | N | Douglas | NV |
| Prominence Prime | H5945-004-0 | HMO | $0.00 | $0.00 | $3,400 | N | Lyon | NV |
| Prominence Prime | H5945-004-0 | HMO | $0.00 | $0.00 | $3,400 | N | Storey | NV |
| Aetna Medicare Platinum Plan | H3931-115-0 | HMO | $0.00 | $350.00 | $3,900 | Y | Washoe | NV |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Aetna Medicare Elite Plan | H5521-119-0 | PPO | $29.00 | $150.00 | $6,700 | Y | Albany | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Allegany | NY |
| Aetna Medicare Elite Plan | H5521-120-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Bronx | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Broome | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Cattaraug | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Cayuga | NY |
| Independent Health’s Encompass 65 Core | H3362-033-0 | HMO | $65.00 | $200.00 | $6,700 | Y | Chautauq | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Chemung | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Chenango | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Clinton | NY |
| Aetna Medicare Elite Plan | H5521-119-0 | PPO | $29.00 | $150.00 | $6,700 | Y | Columbia | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Cortland | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Delaware | NY |
| Aetna Medicare Elite Plan | H5521-119-0 | PPO | $29.00 | $150.00 | $6,700 | Y | Dutchess | NY |
| Forever Blue Medicare PPO Focus | H5526-019-0 | PPO | $78.00 | $0.00 | $6,700 | Y | Erie | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Essex | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Franklin | NY |
| Forever Blue Medicare PPO 770 | H5526-018-0 | PPO | $184.00 | $0.00 | $4,000 | Y | Fulton | NY |
| Independent Health’s Encompass 65 Core | H3362-033-0 | HMO | $65.00 | $200.00 | $6,700 | Y | Genesee | NY |
| Aetna Medicare Elite Plan | H5521-119-0 | PPO | $29.00 | $150.00 | $6,700 | Y | Greene | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Hamilton | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Herkimer | NY |
| HumanaChoice H5970-014 | H5970-014-1 | PPO | $37.00 | $400.00 | $6,700 | Y | Jefferson | NY |
| Aetna Medicare Elite Plan | H5521-120-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Kings | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Lewis | NY |
| WellSelect with Part D | H9615-012-0 | PPO | $59.10 | $400.00 | $6,700 | Y | Livingston | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Madison | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Monroe | NY |
| Forever Blue Medicare PPO 770 | H5526-018-0 | PPO | $184.00 | $0.00 | $4,000 | Y | Montgom | NY |
| Aetna Medicare Elite Plan | H5521-120-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Nassau | NY |
| Aetna Medicare Elite Plan | H5521-120-0 | PPO | $0.00 | $250.00 | $6,700 | Y | New York | NY |
| Forever Blue Medicare PPO Focus | H5526-019-0 | PPO | $78.00 | $0.00 | $6,700 | Y | Niagara | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Oneida | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Onondaga | NY |
| WellSelect with Part D | H9615-012-0 | PPO | $59.10 | $400.00 | $6,700 | Y | Ontario | NY |
| Aetna Medicare Elite Plan | H5521-119-0 | PPO | $29.00 | $150.00 | $6,700 | Y | Orange | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Orleans | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Oswego | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Otsego | NY |
| Aetna Medicare Elite Plan | H5521-119-0 | PPO | $29.00 | $150.00 | $6,700 | Y | Putnam | NY |
| Aetna Medicare Elite Plan | H5521-120-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Queens | NY |
| Aetna Medicare Elite Plan | H5521-119-0 | PPO | $29.00 | $150.00 | $6,700 | Y | Rensselae | NY |
| Aetna Medicare Elite Plan | H5521-120-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Richmond | NY |
| Aetna Medicare Elite Plan | H5521-120-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Rockland | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Saint Lawr | NY |
| Forever Blue Medicare PPO 770 | H5526-018-0 | PPO | $184.00 | $0.00 | $4,000 | Y | Saratoga | NY |
| Aetna Medicare Elite Plan | H5521-119-0 | PPO | $29.00 | $150.00 | $6,700 | Y | Schenecta | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Schoharie | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Schuyler | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Seneca | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Steuben | NY |
| Aetna Medicare Elite Plan | H5521-120-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Suffolk | NY |
| Aetna Medicare Elite Plan | H5521-119-0 | PPO | $29.00 | $150.00 | $6,700 | Y | Sullivan | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Tioga | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Tompkins | NY |
| Aetna Medicare Elite Plan | H5521-119-0 | PPO | $29.00 | $150.00 | $6,700 | Y | Ulster | NY |
| Forever Blue Medicare PPO 770 | H5526-018-0 | PPO | $184.00 | $0.00 | $4,000 | Y | Warren | NY |
| Forever Blue Medicare PPO 770 | H5526-018-0 | PPO | $184.00 | $0.00 | $4,000 | Y | Washingt | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Wayne | NY |
| Aetna Medicare Elite Plan | H5521-120-0 | PPO | $0.00 | $250.00 | $6,700 | Y | Westches | NY |
| Fidelis Medicare $0 Premium | H3328-020-1 | HMO | $0.00 | $0.00 | $6,700 | Y | Wyoming | NY |
| Aetna Medicare Elite Plan | H5521-118-0 | PPO | $0.00 | $200.00 | $6,700 | Y | Yates | NY |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Adams | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Allen | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Ashland | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Ashtabula | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Athens | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Auglaize | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Belmont | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Brown | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Butler | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Carroll | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Champaig | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Clark | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Clermont | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Clinton | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Columbia | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Coshocto | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Crawford | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Cuyahoga | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Darke | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Defiance | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Delaware | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Erie | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Fairfield | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Fayette | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Franklin | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Fulton | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Gallia | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Geauga | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Greene | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Guernsey | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Hamilton | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Hancock | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Hardin | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Harrison | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Henry | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Highland | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Hocking | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Holmes | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Huron | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Jackson | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Jefferson | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Knox | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Lake | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Lawrence | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Licking | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Logan | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Lorain | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Lucas | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Madison | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Mahoning | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Marion | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Medina | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Meigs | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Mercer | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Miami | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Monroe | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Montgom | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Morgan | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Morrow | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Muskingu | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Noble | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Ottawa | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Paulding | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Perry | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Pickaway | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Pike | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Portage | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Preble | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Putnam | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Richland | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Ross | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Sandusky | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Scioto | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Seneca | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Shelby | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Stark | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Summit | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Trumbull | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Tuscaraw | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Union | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Van Wert | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Vinton | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Warren | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Washingt | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Wayne | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Williams | OH |
| Aetna Medicare Choice Plan | H5521-134-0 | PPO | $90.00 | $0.00 | $5,000 | Y | Wood | OH |
| Aetna Medicare OH Connect Gold 2 | R6694-005-0 | PPO | $165.00 | $245.00 | $3,500 | Y | Wyandot | OH |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Adair | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Alfalfa | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Blaine | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Caddo | OK |
| Coventry Select (no drug) | H2663-025-0 | HMO | $0.00 | $0.00 | $3,600 | N | Canadian | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Cherokee | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Cleveland | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Cotton | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Craig | OK |
| Advantage Choice | H4198-001-0 | HMO | $0.00 | $0.00 | $3,400 | N | Creek | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Dewey | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Garfield | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Garvin | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Grady | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Grant | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Haskell | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Hughes | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Jefferson | OK |
| Coventry Select (no drug) | H2663-025-0 | HMO | $0.00 | $0.00 | $3,600 | N | Kingfisher | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Kiowa | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Lincoln | OK |
| Coventry Select (no drug) | H2663-025-0 | HMO | $0.00 | $0.00 | $3,600 | N | Logan | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Major | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Mayes | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Mcclain | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Mcintosh | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Muskogee | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Noble | OK |
| Advantage Choice | H4198-001-0 | HMO | $0.00 | $0.00 | $3,400 | N | Nowata | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Okfuskee | OK |
| Coventry Select (no drug) | H2663-025-0 | HMO | $0.00 | $0.00 | $3,600 | N | Oklahoma | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Okmulgee | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Osage | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Pawnee | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Pittsburg | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Pontotoc | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Pottawat | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Pushmata | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Rogers | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Seminole | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Tillman | OK |
| Generations Premier | H3706-019-0 | HMO | $111.30 | $0.00 | $4,500 | Y | Tulsa | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Wagoner | OK |
| Generations Classic | H3706-001-0 | HMO | $0.00 | $0.00 | $3,300 | Y | Woods | OK |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| PacificSource Medicare Essentials Rx 26 | H3864-026-1 | HMO | $86.00 | $150.00 | $5,000 | Y | Coos | OR |
| PacificSource Medicare Essentials Rx 27 | H3864-027-0 | HMO | $122.00 | $400.00 | $6,700 | Y | Crook | OR |
| PacificSource Medicare Essentials Rx 26 | H3864-026-1 | HMO | $86.00 | $150.00 | $5,000 | Y | Curry | OR |
| PacificSource Medicare Essentials Rx 27 | H3864-027-0 | HMO | $122.00 | $400.00 | $6,700 | Y | Deschutes | OR |
| PacificSource Medicare Essentials Rx 27 | H3864-027-0 | HMO | $122.00 | $400.00 | $6,700 | Y | Grant | OR |
| PacificSource Medicare Essentials Rx 27 | H3864-027-0 | HMO | $122.00 | $400.00 | $6,700 | Y | Hood Rive | OR |
| PacificSource Medicare Essentials Rx 27 | H3864-027-0 | HMO | $122.00 | $400.00 | $6,700 | Y | Jefferson | OR |
| PacificSource Medicare Essentials Rx 27 | H3864-027-0 | HMO | $122.00 | $400.00 | $6,700 | Y | Klamath | OR |
| PacificSource Medicare Essentials Rx 27 | H3864-027-0 | HMO | $122.00 | $400.00 | $6,700 | Y | Lake | OR |
| PacificSource Medicare Essentials Rx 26 | H3864-026-2 | HMO | $69.00 | $150.00 | $5,000 | Y | Lane | OR |
| PacificSource Medicare Essentials Rx 27 | H3864-027-0 | HMO | $122.00 | $400.00 | $6,700 | Y | Sherman | OR |
| PacificSource Medicare Essentials Rx 27 | H3864-027-0 | HMO | $122.00 | $400.00 | $6,700 | Y | Wasco | OR |
| PacificSource Medicare Essentials Rx 27 | H3864-027-0 | HMO | $122.00 | $400.00 | $6,700 | Y | Wheeler | OR |
| AARP MedicareComplete Plan 1 | H3805-001-0 | HMO | $67.00 | $180.00 | $3,500 | Y | Yamhill | OR |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Allegheny | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Armstron | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Beaver | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Bedford | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Berks | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Blair | PA |
| Aetna Medicare Choice Plan | H3931-112-0 | HMO | $0.00 | $275.00 | $6,700 | Y | Bucks | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Butler | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Cambria | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Cameron | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Carbon | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Centre | PA |
| Aetna Medicare Choice Plan | H3931-112-0 | HMO | $0.00 | $275.00 | $6,700 | Y | Chester | PA |
| AARP MedicareComplete Plan 1 | H1944-010-0 | HMO | $16.00 | $260.00 | $6,700 | Y | Clarion | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Clearfield | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Clinton | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Columbia | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Crawford | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Cumberla | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Dauphin | PA |
| Aetna Medicare Choice Plan | H3931-112-0 | HMO | $0.00 | $275.00 | $6,700 | Y | Delaware | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Elk | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Erie | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Fayette | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Forest | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Franklin | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Fulton | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Greene | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Huntingd | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Indiana | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Jefferson | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Juniata | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Lackawan | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Lancaster | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Lawrence | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Lebanon | PA |
| Aetna Medicare Choice Plan | H3931-112-0 | HMO | $0.00 | $275.00 | $6,700 | Y | Lehigh | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Luzerne | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Lycoming | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Mckean | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Mercer | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Mifflin | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Monroe | PA |
| Aetna Medicare Choice Plan | H3931-112-0 | HMO | $0.00 | $275.00 | $6,700 | Y | Montgom | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Montour | PA |
| Aetna Medicare Choice Plan | H3931-112-0 | HMO | $0.00 | $275.00 | $6,700 | Y | Northamp | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Northum | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Perry | PA |
| Aetna Medicare Choice Plan | H3931-112-0 | HMO | $0.00 | $275.00 | $6,700 | Y | Philadelp | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Potter | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Schuylkill | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Snyder | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Somerset | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Sullivan | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Susqueha | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Union | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Venango | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Warren | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Washingt | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Wayne | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Westmor | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | Wyoming | PA |
| Aetna Medicare Gold Plan | H5521-122-0 | PPO | $159.00 | $0.00 | $4,500 | Y | York | PA |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Adjuntas | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Aguada | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Aguadilla | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Aguas Bu | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Aibonito | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Anasco | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Arecibo | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Arroyo | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Barcelone | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Barranqui | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Bayamon | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Cabo Rojo | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Caguas | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Camuy | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Canovana | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Carolina | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Catano | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Cayey | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Ceiba | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Ciales | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Cidra | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Coamo | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Comerio | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Corozal | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Culebra | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Dorado | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Fajardo | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Florida | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Guanica | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Guayama | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Guayanill | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Guaynabo | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Gurabo | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Hatillo | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Hormigue | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Humacao | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Isabela | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Jayuya | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Juana Diaz | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Juncos | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Lajas | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Lares | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Las Marias | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Las Piedra | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Loiza | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Luquillo | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Manati | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Maricao | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Maunabo | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Mayaguez | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Moca | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Morovis | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Naguabo | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Naranjito | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Orocovis | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Patillas | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Penuelas | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Ponce | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Quebradil | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Rincon | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Rio Grand | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Sabana Gr | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Salinas | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | San Germ | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | San Juan | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | San Loren | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | San Sebas | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Santa Isab | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Toa Alta | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Toa Baja | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Trujillo Al | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Utuado | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Vega Alta | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Vega Baja | PR |
| Apollo – Constellation Health | H8266-001-0 | HMO | $0.00 | $0.00 | $3,400 | Y | Vieques | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Villalba | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Yabucoa | PR |
| Humana Gold Plus H4007-012 | H4007-012-0 | HMO | $0.00 | $0.00 | $5,000 | Y | Yauco | PR |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| AARP MedicareComplete Plan 3 | H1944-020-0 | HMO | $76.00 | $0.00 | $3,750 | Y | Bristol | RI |
| AARP MedicareComplete Plan 3 | H1944-020-0 | HMO | $76.00 | $0.00 | $3,750 | Y | Kent | RI |
| AARP MedicareComplete Plan 3 | H1944-020-0 | HMO | $76.00 | $0.00 | $3,750 | Y | Newport | RI |
| AARP MedicareComplete Plan 3 | H1944-020-0 | HMO | $76.00 | $0.00 | $3,750 | Y | Providenc | RI |
| AARP MedicareComplete Plan 3 | H1944-020-0 | HMO | $76.00 | $0.00 | $3,750 | Y | Washingt | RI |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Abbeville | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Aiken | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Allendale | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Anderson | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Bamberg | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Barnwell | SC |
| EON CHOICE | H2334-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Beaufort | SC |
| AARP MedicareComplete | H8748-015-0 | HMO | $26.00 | $210.00 | $5,900 | Y | Berkeley | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Calhoun | SC |
| AARP MedicareComplete | H8748-015-0 | HMO | $26.00 | $210.00 | $5,900 | Y | Charlesto | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Cherokee | SC |
| EON CHOICE | H2334-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Chester | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Chesterfi | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Clarendon | SC |
| EON CHOICE | H2334-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Colleton | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Darlingto | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Dillon | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Dorcheste | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Edgefield | SC |
| EON CHOICE | H2334-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Fairfield | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Florence | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Georgeto | SC |
| Aetna Medicare Premier Plan | H5521-140-0 | PPO | $0.00 | $185.00 | $6,700 | Y | Greenvill | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Greenwo | SC |
| EON CHOICE | H2334-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Hampton | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Horry | SC |
| EON CHOICE | H2334-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Jasper | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Kershaw | SC |
| AARP MedicareComplete | H8748-013-0 | HMO | $32.00 | $170.00 | $4,900 | Y | Lancaster | SC |
| Aetna Medicare Premier Plan | H5521-140-0 | PPO | $0.00 | $185.00 | $6,700 | Y | Laurens | SC |
| EON CHOICE | H2334-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Lee | SC |
| AARP MedicareComplete | H8748-018-0 | HMO | $16.00 | $210.00 | $5,900 | Y | Lexington | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Marion | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Marlboro | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Mccormic | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Newberry | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Oconee | SC |
| AARP MedicareComplete | H8748-017-0 | HMO | $16.00 | $210.00 | $5,900 | Y | Orangebu | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Pickens | SC |
| AARP MedicareComplete | H8748-018-0 | HMO | $16.00 | $210.00 | $5,900 | Y | Richland | SC |
| EON CHOICE | H2334-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Saluda | SC |
| Aetna Medicare Premier Plan | H5521-140-0 | PPO | $0.00 | $185.00 | $6,700 | Y | Spartanbu | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Sumter | SC |
| EON CHOICE | H2334-003-0 | PPO | $39.00 | $250.00 | $6,700 | Y | Union | SC |
| Care Improvement Plus Medicare Advantage | R7444-008-0 | PPO | $36.00 | $95.00 | $6,700 | Y | Williamsb | SC |
| Aetna Medicare Premier Plan | H5521-140-0 | PPO | $0.00 | $185.00 | $6,700 | Y | York | SC |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Lincoln | SD |
| HumanaChoice H6609-143 | H6609-143-0 | PPO | $23.30 | $399.00 | $6,700 | Y | Minnehah | SD |
| HumanaChoice H6609-143 | H6609-143-0 | PPO | $23.30 | $399.00 | $6,700 | Y | Penningt | SD |
| Humana Gold Plus H0028-008 | H0028-008-1 | HMO | $0.00 | $399.00 | $6,700 | Y | Union | SD |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Anderson | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Bedford | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Benton | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Bledsoe | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Blount | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Bradley | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Campbell | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Cannon | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Carroll | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Carter | TN |
| Aetna Medicare Premier Plan | H5521-141-0 | PPO | $39.00 | $0.00 | $5,950 | Y | Cheatham | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Chester | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Claiborne | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Cocke | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Coffee | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Crockett | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Cumberla | TN |
| Aetna Medicare Premier Plan | H5521-141-0 | PPO | $39.00 | $0.00 | $5,950 | Y | Davidson | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Decatur | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Dekalb | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Dyer | TN |
| Aetna Medicare Premier Plan | H5521-154-0 | PPO | $49.00 | $195.00 | $5,950 | Y | Fayette | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Franklin | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Gibson | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Giles | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Grainger | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Greene | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Grundy | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Hamblen | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Hamilton | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Hancock | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Hardeman | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Hardin | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Hawkins | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Haywood | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Henderso | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Henry | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Hickman | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Houston | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Humphre | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Jackson | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Jefferson | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Johnson | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Knox | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Lake | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Lauderdal | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Lawrence | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Lewis | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Lincoln | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Loudon | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Macon | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Madison | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Marion | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Marshall | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Maury | TN |
| AARP MedicareComplete Plus Plan 1 | H5253-047-0 | HMO | $0.00 | $60.00 | $4,500 | Y | Mcminn | TN |
| AARP MedicareComplete Plan 1 | H5253-081-0 | HMO | $16.00 | $120.00 | $6,700 | Y | Mcnairy | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Meigs | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Monroe | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Montgom | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Moore | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Morgan | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Obion | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Overton | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Perry | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Polk | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Rhea | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Roane | TN |
| AARP MedicareComplete Plan 1 | H5253-083-0 | HMO | $16.00 | $120.00 | $6,700 | Y | Robertson | TN |
| Aetna Medicare Premier Plan | H5521-141-0 | PPO | $39.00 | $0.00 | $5,950 | Y | Rutherfor | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Scott | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Sequatchi | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Sevier | TN |
| Aetna Medicare Premier Plan | H5521-154-0 | PPO | $49.00 | $195.00 | $5,950 | Y | Shelby | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Smith | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Stewart | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Sullivan | TN |
| AARP MedicareComplete Plan 1 | H5253-083-0 | HMO | $16.00 | $120.00 | $6,700 | Y | Sumner | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Tipton | TN |
| Aetna Medicare Premier Plan | H5521-141-0 | PPO | $39.00 | $0.00 | $5,950 | Y | Trousdale | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Unicoi | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Union | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Warren | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Washingt | TN |
| BlueChoice | H8146-003-0 | HMO | $0.00 | $0.00 | $6,300 | Y | Wayne | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Weakley | TN |
| BlueChoice | H8146-005-0 | HMO | $0.00 | $0.00 | $6,300 | Y | White | TN |
| Aetna Medicare Premier Plan | H5521-141-0 | PPO | $39.00 | $0.00 | $5,950 | Y | Williamso | TN |
| WellCare Advance | H1416-027-0 | HMO | $0.00 | $0.00 | $4,500 | N | Wilson | TN |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Anderson | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Aransas | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Armstron | TX |
| Allegian Advantage | H8554-001-0 | HMO | $0.00 | $0.00 | $4,000 | Y | Atascosa | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Austin | TX |
| Allegian Advantage | H8554-001-0 | HMO | $0.00 | $0.00 | $4,000 | Y | Bandera | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Bastrop | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Bee | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Bell | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Bexar | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Blanco | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Bosque | TX |
| AARP MedicareComplete Plan 1 | H4527-037-0 | HMO | $0.00 | $50.00 | $3,400 | Y | Brazoria | TX |
| Aetna Medicare TX Connect Plus 2 | H5521-106-0 | PPO | $99.00 | $0.00 | $3,500 | Y | Brazos | TX |
| Aetna Medicare Choice Plan | H5521-145-0 | PPO | $0.00 | $0.00 | $5,000 | Y | Brooks | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Burleson | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Burnet | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Callahan | TX |
| Aetna Medicare Choice Plan | H5521-145-0 | PPO | $0.00 | $0.00 | $5,000 | Y | Cameron | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Camp | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Carson | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Cass | TX |
| Blue Cross Medicare Advantage Basic Plus | H8133-012-0 | HMO | $0.00 | $0.00 | $4,200 | Y | Chambers | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Cherokee | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Coke | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Coleman | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Collin | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Colorado | TX |
| Allegian Advantage | H8554-001-0 | HMO | $0.00 | $0.00 | $4,000 | Y | Comal | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Concho | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Cooke | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Coryell | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Crockett | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Dallas | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Deaf Smit | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Delta | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Denton | TX |
| Aetna Medicare TX Connect Plus 1 | H5521-104-0 | PPO | $0.00 | $0.00 | $6,000 | Y | Dimmit | TX |
| Aetna Medicare TX Connect Plus 2 | H5521-106-0 | PPO | $99.00 | $0.00 | $3,500 | Y | Duval | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Ector | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Edwards | TX |
| Aetna Medicare Plus Plan | H5521-146-0 | PPO | $0.00 | $0.00 | $6,700 | Y | El Paso | TX |
| Aetna Medicare Choice Plan | H5521-059-0 | PPO | $19.00 | $0.00 | $6,000 | Y | Ellis | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Erath | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Falls | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Fannin | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Fayette | TX |
| Amerivantage Select | H5817-023-0 | HMO | $0.00 | $0.00 | $2,750 | Y | Fort Bend | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Franklin | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Freestone | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Frio | TX |
| Prominence Prime | H7680-004-0 | HMO | $0.00 | $0.00 | $6,700 | N | Gray | TX |
| Aetna Medicare TX Connect Plus 1 | H5521-109-0 | PPO | $0.00 | $0.00 | $6,000 | Y | Grayson | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Gregg | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Grimes | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Guadalup | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Hamilton | TX |
| Blue Cross Medicare Advantage Basic Plus | H8133-012-0 | HMO | $0.00 | $0.00 | $4,200 | Y | Hardin | TX |
| Blue Cross Medicare Advantage Basic Plus | H8133-012-0 | HMO | $0.00 | $0.00 | $4,200 | Y | Harris | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Harrison | TX |
| Aetna Medicare TX Connect Plus 2 | H5521-106-0 | PPO | $99.00 | $0.00 | $3,500 | Y | Henderso | TX |
| Aetna Medicare Choice Plan | H5521-145-0 | PPO | $0.00 | $0.00 | $5,000 | Y | Hidalgo | TX |
| Aetna Medicare TX Connect Plus 1 | H5521-109-0 | PPO | $0.00 | $0.00 | $6,000 | Y | Hill | TX |
| Aetna Medicare TX Connect Plus 1 | H5521-109-0 | PPO | $0.00 | $0.00 | $6,000 | Y | Hood | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Howard | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Irion | TX |
| Blue Cross Medicare Advantage Basic Plus | H8133-012-0 | HMO | $0.00 | $0.00 | $4,200 | Y | Jefferson | TX |
| Aetna Medicare Choice Plan | H5521-145-0 | PPO | $0.00 | $0.00 | $5,000 | Y | Jim Hogg | TX |
| Aetna Medicare TX Connect Plus 2 | H5521-106-0 | PPO | $99.00 | $0.00 | $3,500 | Y | Jim Wells | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Johnson | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Jones | TX |
| AARP MedicareComplete SecureHorizons Plan 2 | H4590-041-0 | HMO | $72.00 | $50.00 | $3,500 | Y | Kaufman | TX |
| Allegian Advantage | H8554-001-0 | HMO | $0.00 | $0.00 | $4,000 | Y | Kendall | TX |
| Aetna Medicare Choice Plan | H5521-145-0 | PPO | $0.00 | $0.00 | $5,000 | Y | Kenedy | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Kimble | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Kleberg | TX |
| Aetna Medicare TX Connect Plus 1 | H5521-104-0 | PPO | $0.00 | $0.00 | $6,000 | Y | La Salle | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Lampasas | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Lavaca | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Lee | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Leon | TX |
| Blue Cross Medicare Advantage Basic Plus | H8133-012-0 | HMO | $0.00 | $0.00 | $4,200 | Y | Liberty | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Limeston | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Llano | TX |
| Aetna Medicare Choice Plan | H5521-147-0 | PPO | $0.00 | $0.00 | $6,000 | Y | Lubbock | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Madison | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Marion | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Martin | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Mason | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Maverick | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Mcculloch | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Mclennan | TX |
| Allegian Advantage | H8554-001-0 | HMO | $0.00 | $0.00 | $4,000 | Y | Medina | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Menard | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Midland | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Milam | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Mills | TX |
| Aetna Medicare TX Connect Plus 1 | H5521-109-0 | PPO | $0.00 | $0.00 | $6,000 | Y | Montague | TX |
| Amerivantage Select | H5817-023-0 | HMO | $0.00 | $0.00 | $2,750 | Y | Montgom | TX |
| Prominence Prime | H7680-004-0 | HMO | $0.00 | $0.00 | $6,700 | N | Moore | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Morris | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Navarro | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Nueces | TX |
| Aetna Medicare Choice Plan | H5521-060-0 | PPO | $19.00 | $0.00 | $6,000 | Y | Orange | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Palo Pinto | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Panola | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Polk | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Potter | TX |
| Aetna Medicare TX Connect Plus 1 | H5521-109-0 | PPO | $0.00 | $0.00 | $6,000 | Y | Rains | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Randall | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Reagan | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Real | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Robertson | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Rockwall | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Runnels | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Rusk | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | San Jacint | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | San Patric | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | San Saba | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Schleicher | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Shackelfo | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Shelby | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Smith | TX |
| Aetna Medicare TX Connect Plus 1 | H5521-109-0 | PPO | $0.00 | $0.00 | $6,000 | Y | Somervell | TX |
| Aetna Medicare Choice Plan | H5521-145-0 | PPO | $0.00 | $0.00 | $5,000 | Y | Starr | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Sterling | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Sutton | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Tarrant | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Taylor | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Tom Gree | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Travis | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Tyler | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Upshur | TX |
| Aetna Medicare TX Connect Plus 1 | H5521-109-0 | PPO | $0.00 | $0.00 | $6,000 | Y | Van Zandt | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Victoria | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Walker | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Waller | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Washingt | TX |
| Aetna Medicare Choice Plan | H5521-145-0 | PPO | $0.00 | $0.00 | $5,000 | Y | Webb | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Wharton | TX |
| Aetna Medicare Choice Plan | H5521-145-0 | PPO | $0.00 | $0.00 | $5,000 | Y | Willacy | TX |
| SeniorCare Sr Select – Value Rx | H4564-015-0 | Cost | $71.20 | $250.00 | $6,700 | Y | Williamso | TX |
| Allegian Advantage | H8554-001-0 | HMO | $0.00 | $0.00 | $4,000 | Y | Wilson | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Wood | TX |
| HumanaChoice Texas H6609-151 | H6609-151-0 | PPO | $16.90 | $360.00 | $6,700 | Y | Zavala | TX |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| SelectHealth Advantage Enhanced | H1994-007-0 | HMO | $39.00 | $0.00 | $5,400 | Y | Davis | UT |
| Aetna Medicare Select Plan | H5521-131-0 | PPO | $65.00 | $0.00 | $4,800 | Y | Duchesne | UT |
| Aetna Medicare Choice Plan | H5521-101-0 | PPO | $24.00 | $0.00 | $4,800 | Y | Morgan | UT |
| Aetna Medicare Select Plan | H5521-131-0 | PPO | $65.00 | $0.00 | $4,800 | Y | Rich | UT |
| SelectHealth Advantage Enhanced | H1994-007-0 | HMO | $39.00 | $0.00 | $5,400 | Y | Salt Lake | UT |
| SelectHealth Advantage Enhanced | H1994-007-0 | HMO | $39.00 | $0.00 | $5,400 | Y | Summit | UT |
| SelectHealth Advantage Enhanced | H1994-007-0 | HMO | $39.00 | $0.00 | $5,400 | Y | Utah | UT |
| SelectHealth Advantage Enhanced | H1994-007-0 | HMO | $39.00 | $0.00 | $5,400 | Y | Wasatch | UT |
| UnitedHealthcare MedicareComplete Choice | H2001-017-0 | PPO | $36.00 | $375.00 | $5,900 | Y | Washingt | UT |
| SelectHealth Advantage Enhanced | H1994-007-0 | HMO | $39.00 | $0.00 | $5,400 | Y | Weber | UT |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| AARP MedicareComplete Plan 1 | H5253-089-0 | HMO | $26.00 | $210.00 | $6,700 | Y | Alexandri | VA |
| Aetna Medicare Essential Plan | H5521-082-0 | PPO | $55.00 | $0.00 | $6,700 | Y | Amelia | VA |
| AARP MedicareComplete Plan 1 | H5253-089-0 | HMO | $26.00 | $210.00 | $6,700 | Y | Arlington | VA |
| Aetna Medicare Essential Plan | H5521-102-0 | PPO | $49.00 | $0.00 | $6,700 | Y | Botetourt | VA |
| Humana Gold Choice H8145-042 | H8145-042-0 | PFFS | $33.00 | $0.00 | N/A | N | Brunswick | VA |
| HumanaChoice H6609-148 | H6609-148-2 | PPO | $64.00 | $400.00 | $6,700 | Y | Caroline | VA |
| Humana Gold Choice H8145-042 | H8145-042-0 | PFFS | $33.00 | $0.00 | N/A | N | Carroll | VA |
| Optima Medicare Value | H2563-003-0 | HMO | $0.00 | $300.00 | $4,900 | Y | Chesapea | VA |
| HumanaChoice H6609-148 | H6609-148-1 | PPO | $55.00 | $400.00 | $6,700 | Y | Chesterfi | VA |
| Aetna Medicare Essential Plan | H5521-082-0 | PPO | $55.00 | $0.00 | $6,700 | Y | Colonial H | VA |
| Aetna Medicare Essential Plan | H5521-102-0 | PPO | $49.00 | $0.00 | $6,700 | Y | Craig | VA |
| HumanaChoice H6609-148 | H6609-148-2 | PPO | $64.00 | $400.00 | $6,700 | Y | Cumberla | VA |
| HumanaChoice H6609-148 | H6609-148-2 | PPO | $64.00 | $400.00 | $6,700 | Y | Dinwiddie | VA |
| Humana Gold Choice H8145-042 | H8145-042-0 | PFFS | $33.00 | $0.00 | N/A | N | Emporia C | VA |
| Aetna Medicare Essential Plan | H5521-084-0 | PPO | $45.00 | $0.00 | $6,700 | Y | Essex | VA |
| AARP MedicareComplete Plan 1 | H5253-089-0 | HMO | $26.00 | $210.00 | $6,700 | Y | Fairfax | VA |
| AARP MedicareComplete Plan 1 | H5253-089-0 | HMO | $26.00 | $210.00 | $6,700 | Y | Fairfax Cit | VA |
| AARP MedicareComplete Plan 1 | H5253-089-0 | HMO | $26.00 | $210.00 | $6,700 | Y | Falls Chur | VA |
| AARP MedicareComplete Plan 1 | H5253-085-0 | HMO | $0.00 | $210.00 | $5,900 | Y | Floyd | VA |
| AARP MedicareComplete Plan 1 | H5253-085-0 | HMO | $0.00 | $210.00 | $5,900 | Y | Franklin | VA |
| Humana Gold Choice H8145-042 | H8145-042-0 | PFFS | $33.00 | $0.00 | N/A | N | Galax City | VA |
| Aetna Medicare Essential Plan | H5521-082-0 | PPO | $55.00 | $0.00 | $6,700 | Y | Goochlan | VA |
| Humana Gold Choice H8145-042 | H8145-042-0 | PFFS | $33.00 | $0.00 | N/A | N | Greensvill | VA |
| Optima Medicare Value | H2563-003-0 | HMO | $0.00 | $300.00 | $4,900 | Y | Hampton | VA |
| HumanaChoice H6609-148 | H6609-148-1 | PPO | $55.00 | $400.00 | $6,700 | Y | Hanover | VA |
| HumanaChoice H6609-148 | H6609-148-1 | PPO | $55.00 | $400.00 | $6,700 | Y | Henrico | VA |
| Aetna Medicare Essential Plan | H5521-082-0 | PPO | $55.00 | $0.00 | $6,700 | Y | Hopewell | VA |
| Aetna Medicare Essential Plan | H5521-084-0 | PPO | $45.00 | $0.00 | $6,700 | Y | James Cit | VA |
| Aetna Medicare Essential Plan | H5521-084-0 | PPO | $45.00 | $0.00 | $6,700 | Y | King And | VA |
| Aetna Medicare Essential Plan | H5521-082-0 | PPO | $55.00 | $0.00 | $6,700 | Y | King Willi | VA |
| AARP MedicareComplete Plan 1 | H5253-089-0 | HMO | $26.00 | $210.00 | $6,700 | Y | Loudoun | VA |
| HumanaChoice H6609-148 | H6609-148-2 | PPO | $64.00 | $400.00 | $6,700 | Y | Louisa | VA |
| AARP MedicareComplete Plan 1 | H5253-089-0 | HMO | $26.00 | $210.00 | $6,700 | Y | Manassas | VA |
| AARP MedicareComplete Plan 1 | H5253-089-0 | HMO | $26.00 | $210.00 | $6,700 | Y | Manassas | VA |
| Aetna Medicare Essential Plan | H5521-084-0 | PPO | $45.00 | $0.00 | $6,700 | Y | Mathews | VA |
| Aetna Medicare Essential Plan | H5521-084-0 | PPO | $45.00 | $0.00 | $6,700 | Y | Middlese | VA |
| AARP MedicareComplete Plan 1 | H5253-085-0 | HMO | $0.00 | $210.00 | $5,900 | Y | Montgom | VA |
| Aetna Medicare Essential Plan | H5521-082-0 | PPO | $55.00 | $0.00 | $6,700 | Y | New Kent | VA |
| Optima Medicare Value | H2563-003-0 | HMO | $0.00 | $300.00 | $4,900 | Y | Newport | VA |
| Optima Medicare Value | H2563-003-0 | HMO | $0.00 | $300.00 | $4,900 | Y | Norfolk Ci | VA |
| Humana Gold Choice H8145-042 | H8145-042-0 | PFFS | $33.00 | $0.00 | N/A | N | Patrick | VA |
| HumanaChoice H6609-148 | H6609-148-1 | PPO | $55.00 | $400.00 | $6,700 | Y | Petersbur | VA |
| Aetna Medicare Essential Plan | H5521-084-0 | PPO | $45.00 | $0.00 | $6,700 | Y | Poquoson | VA |
| Optima Medicare Value | H2563-003-0 | HMO | $0.00 | $300.00 | $4,900 | Y | Portsmou | VA |
| Aetna Medicare Essential Plan | H5521-082-0 | PPO | $55.00 | $0.00 | $6,700 | Y | Powhatan | VA |
| HumanaChoice H6609-148 | H6609-148-2 | PPO | $64.00 | $400.00 | $6,700 | Y | Prince Ge | VA |
| AARP MedicareComplete Plan 1 | H5253-089-0 | HMO | $26.00 | $210.00 | $6,700 | Y | Prince Wil | VA |
| AARP MedicareComplete Plan 1 | H5253-085-0 | HMO | $0.00 | $210.00 | $5,900 | Y | Radford | VA |
| HumanaChoice H6609-148 | H6609-148-1 | PPO | $55.00 | $400.00 | $6,700 | Y | Richmond | VA |
| AARP MedicareComplete Plan 1 | H5253-085-0 | HMO | $0.00 | $210.00 | $5,900 | Y | Roanoke | VA |
| AARP MedicareComplete Plan 1 | H5253-085-0 | HMO | $0.00 | $210.00 | $5,900 | Y | Roanoke | VA |
| Aetna Medicare Essential Plan | H5521-102-0 | PPO | $49.00 | $0.00 | $6,700 | Y | Salem | VA |
| Optima Medicare Prime | H2563-001-0 | HMO | $39.00 | $250.00 | $5,100 | Y | Suffolk Ci | VA |
| HumanaChoice H6609-148 | H6609-148-2 | PPO | $64.00 | $400.00 | $6,700 | Y | Sussex | VA |
| AARP MedicareComplete Plus Plan 1 | H5253-047-0 | HMO | $0.00 | $60.00 | $4,500 | Y | Tazewell | VA |
| Optima Medicare Value | H2563-003-0 | HMO | $0.00 | $300.00 | $4,900 | Y | Virginia B | VA |
| Aetna Medicare Essential Plan | H5521-084-0 | PPO | $45.00 | $0.00 | $6,700 | Y | Williamsb | VA |
| AARP MedicareComplete Plan 1 | H5253-087-0 | HMO | $0.00 | $240.00 | $5,900 | Y | York | VA |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| GoldValue with Part D | H3305-022-0 | HMO | $98.80 | $0.00 | $6,000 | Y | Addison | VT |
| GoldValue with Part D | H3305-022-0 | HMO | $98.80 | $0.00 | $6,000 | Y | Benningt | VT |
| GoldValue with Part D | H3305-022-0 | HMO | $98.80 | $0.00 | $6,000 | Y | Chittende | VT |
| GoldValue with Part D | H3305-022-0 | HMO | $98.80 | $0.00 | $6,000 | Y | Lamoille | VT |
| AARP MedicareComplete | H1944-018-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Orange | VT |
| GoldValue with Part D | H3305-022-0 | HMO | $98.80 | $0.00 | $6,000 | Y | Rutland | VT |
| GoldValue with Part D | H3305-022-0 | HMO | $98.80 | $0.00 | $6,000 | Y | Washingt | VT |
| AARP MedicareComplete | H1944-018-0 | HMO | $0.00 | $250.00 | $6,700 | Y | Windsor | VT |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| Aetna Medicare Choice Plan | H5521-127-0 | PPO | $54.00 | $0.00 | $6,700 | Y | King | WA |
| AARP MedicareComplete Plan 1 | H3805-014-0 | HMO | $82.00 | $160.00 | $4,200 | Y | Lewis | WA |
| Aetna Medicare Choice Plan | H5521-127-0 | PPO | $54.00 | $0.00 | $6,700 | Y | Pierce | WA |
| Aetna Medicare Choice Plan | H5521-127-0 | PPO | $54.00 | $0.00 | $6,700 | Y | Snohomis | WA |
| Humana Gold Plus H2012-088 | H2012-088-0 | HMO | $70.00 | $260.00 | $5,900 | Y | Spokane | WA |
| Humana Gold Plus H2012-108 | H2012-108-0 | HMO | $0.00 | $260.00 | $6,700 | Y | Thurston | WA |
| Health Alliance Medicare SignalAdvantage POS | H3471-015-0 | HMO | $70.00 | $0.00 | $4,900 | N | Yakima | WA |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Brown | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Calumet | WI |
| HumanaChoice H5216-012 | H5216-012-0 | PPO | $0.00 | $0.00 | $6,700 | N | Dane | WI |
| AARP MedicareComplete Premier | H5253-076-0 | HMO | $76.00 | $0.00 | $3,500 | Y | Dodge | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Door | WI |
| AARP MedicareComplete | H5253-011-0 | HMO | $26.00 | $220.00 | $4,500 | Y | Florence | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Fond Du L | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Forest | WI |
| AARP MedicareComplete | H5253-030-0 | HMO | $26.00 | $275.00 | $4,900 | Y | Grant | WI |
| AARP MedicareComplete | H5253-030-0 | HMO | $26.00 | $275.00 | $4,900 | Y | Green | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Green Lak | WI |
| Assurance Rx | H5211-007-0 | HMO | $31.00 | $350.00 | $6,000 | Y | Jefferson | WI |
| HumanaChoice H5216-012 | H5216-012-0 | PPO | $0.00 | $0.00 | $6,700 | N | Kenosha | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Kewaune | WI |
| AARP MedicareComplete Premier | H5253-076-0 | HMO | $76.00 | $0.00 | $3,500 | Y | Langlade | WI |
| AARP MedicareComplete | H5253-073-0 | HMO | $26.00 | $220.00 | $4,500 | Y | Lincoln | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Manitowo | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Marathon | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Marinette | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Marquett | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Menomin | WI |
| Aetna Medicare Premier Plan | H5521-150-0 | PPO | $25.00 | $300.00 | $4,800 | Y | Milwauke | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Oconto | WI |
| AARP MedicareComplete | H5253-073-0 | HMO | $26.00 | $220.00 | $4,500 | Y | Oneida | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Outagami | WI |
| Network Health Medicare Anywhere | H5215-010-0 | PPO | $25.00 | $200.00 | $4,500 | Y | Ozaukee | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Portage | WI |
| Aetna Medicare Premier Plan | H5521-150-0 | PPO | $25.00 | $300.00 | $4,800 | Y | Racine | WI |
| HumanaChoice H5216-012 | H5216-012-0 | PPO | $0.00 | $0.00 | $6,700 | N | Rock | WI |
| AARP MedicareComplete Premier | H5253-076-0 | HMO | $76.00 | $0.00 | $3,500 | Y | Shawano | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Sheboyga | WI |
| AARP MedicareComplete | H5253-030-0 | HMO | $26.00 | $275.00 | $4,900 | Y | Walworth | WI |
| Network Health Medicare Anywhere | H5215-010-0 | PPO | $25.00 | $200.00 | $4,500 | Y | Washingt | WI |
| HumanaChoice H5216-012 | H5216-012-0 | PPO | $0.00 | $0.00 | $6,700 | N | Waukesha | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Waupaca | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Waushara | WI |
| HumanaChoice H5216-001 | H5216-001-0 | PPO | $87.00 | $400.00 | $6,700 | Y | Winnebag | WI |
| AARP MedicareComplete | H5253-073-0 | HMO | $26.00 | $220.00 | $4,500 | Y | Wood | WI |
| Plan Name | Plan ID | Type | Prem. | Deduct. | MOOP | Part D | County | State |
| The Health Plan SecureCare – Option I, MA Only | H3672-021-0 | HMO | $0.00 | $0.00 | $6,700 | N | Berkeley | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Boone | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Braxton | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Brooke | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Cabell | WV |
| HumanaChoice H6609-149 | H6609-149-2 | PPO | $47.00 | $400.00 | $6,700 | Y | Calhoun | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Clay | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Doddridg | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Fayette | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Gilmer | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Grant | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Greenbrie | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Hampshir | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Hancock | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Hardy | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Harrison | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Jackson | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Jefferson | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Kanawha | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Lewis | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Lincoln | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Logan | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Marion | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Marshall | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Mason | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Mercer | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Monongal | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Morgan | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Nicholas | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Ohio | WV |
| HumanaChoice H6609-149 | H6609-149-2 | PPO | $47.00 | $400.00 | $6,700 | Y | Pleasants | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Preston | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Putnam | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Raleigh | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Randolph | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Ritchie | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Taylor | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Tucker | WV |
| HumanaChoice H6609-149 | H6609-149-2 | PPO | $47.00 | $400.00 | $6,700 | Y | Tyler | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Upshur | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Wayne | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Wetzel | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Wirt | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Wood | WV |
| AdvantraOne | H1608-031-0 | PPO | $23.00 | $0.00 | $6,700 | Y | Wyoming | WV |
