Plan ID: H8553-002

What You Need to Know:

  • WellCare Patriot (PPO) is a Medicare Advantage Health Maintenance Organization Local PPO * plan.
  • It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
  • It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
  • The plan's monthly premium is $0, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is no drug coverage.
  • The plan includes an out-of-pocket maximum of $4,400 per year (in-network).
  • WellCare Patriot (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is no drug coverage.
  • This plan's Part D Initial Coverage Limit is .

$0

Monthly Premium

Medicare Plan Features
Monthly Premium: $0
Part C Premium: NULL
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$0 NULL NULL NULL NULL NULL NULL
Gap Coverage: NULL
Benchmark: NULL
Type of Medicare Health: NULL
Health Plan Type: Local PPO *
Similar Plan: H8553-003
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: NULL
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $4,400
Annual Deductible: no drug coverage
Annual Initial Coverage Limit ICL: NULL
Number of Members enrolled in this plan in Maricopa, Arizona: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
187 members New plan - No summary rating as of yet. New plan - not yet rated. New plan - not yet rated.
Plan Offers Mail Order: NULL
Plan Health Benefits
Total # of Formulary Drugs: NULL
Number of Members Enrolled in this Plan in Maricopa, Arizona: NULL
Number of Drugs Per Tier: NULL
Preferred Pharmacy Cost Sharing During Initial Coverage Phase: NULL
Special Needs Plan SNP Eligibility Requirement: NULL
Monthly Premium Split as Follows:
Part C Premium Part D Base Premium Part D Supplemental Premium Total Premium
NULL NULL NULL NULL
Monthly Premium with Extra Help Low Income Subsidy:
LIS100 Subsidy Total Monthly Premium with LIS Parts CD LIS25 Subsidy Monthly PartD Premium with LIS LIS25 Subsidy Total Monthly Premium with LIS Parts CD LIS50 Monthly PartD Premium with LIS LIS50 Subsidy Total Monthly Premium with LIS Parts CD LIS75 Monthly PartD Premium with LIS LIS75 Subsidy Total Monthly Premium with LIS Parts CD
NULL NULL NULL NULL NULL NULL NULL
Formulary Drug Details:
Tier 1 # of Drugs per Tier Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 2 # of Drugs per Tier Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 3 # of Drugs per Tier Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 4 # of Drugs per Tier Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) Tier 5 # of Drugs per Tier Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase)
NULL NULL NULL NULL NULL NULL NULL NULL NULL NULL

Other Medicare Advantage Plans in Maricopa, Arizona

Plan Name Type Premium MOOP Rx Deduct. Rating
Humana Gold Plus H0028-023 (HMO) (2023)Local HMO$6,700$225
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Humana Gold Plus H0028-027 (HMO) (2023)Local HMO$3,400$0
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Humana Gold Plus H0028-028 (HMO) (2023)Local HMO$5,500$225
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Blue Medicare Advantage Plus (HMO) (2023)Local HMO$4,250$0
3
Blue Medicare Advantage Classic (HMO) (2023)Local HMO$4,250$0
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Allwell Medicare Premier II (HMO) (2023)Local HMO$3,450$0
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Cigna Preferred Medicare (HMO) (2023)Local HMO$3,450$0
4
Cigna Alliance Medicare (HMO) (2023)Local HMO$3,200$0
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AARP Medicare Advantage Plan 1 (HMO) (2023)Local HMO$3,900$150
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AARP Medicare Advantage Plan 2 (HMO) (2023)Local HMO$3,000$0
5
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
AARP Medicare Advantage Walgreens Plan 1 (PPO) (2023)Local PPO$5,000$195
5
AARP Medicare Advantage Walgreens Plan 2 (PPO) (2023)Local PPO$5,900$195
5
AARP Medicare Advantage Patriot (PPO) (2023)Local PPO *$5,000$-
5
AARP Medicare Advantage Walgreens Plan 3 (PPO) (2023)Local PPO$4,000$195
5
Imperial Insurance Company Traditional (HMO) (2023)Local HMO$2,999$0
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Imperial Insurance Traditional Plus (HMO) (2023)Local HMO$2,999$445
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Aetna Medicare Prime Plan (HMO) (2023)Local HMO$7,550$100
5
Aetna Medicare Platinum Plan (HMO) (2023)Local HMO$7,550$100
5
Aetna Medicare Prime Plus Plan (HMO) (2023)Local HMO$3,600$0
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Aetna Medicare Premier Plan (HMO) (2023)Local HMO$4,700$0
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Bright Advantage Assist (HMO) (2023)Local HMO$3,200$445
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Bright Advantage (HMO) (2023)Local HMO$4,900$0
5
Bright Advantage Plus (HMO) (2023)Local HMO$3,200$0
5
BlueJourney (PPO) (2023)Local PPO$5,000$0
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HumanaChoice H5216-034 (PPO) (2023)Local PPO$7,550$225
4
Humana Value Plus H5216-197 (PPO) (2023)Local PPO$7,550$435
4
Humana Honor (PPO) (2023)Local PPO *$4,400$-
4
HumanaChoice H5216-224 (PPO) (2023)Local PPO$4,500$195
4
Aetna Medicare Platinum Plan (PPO) (2023)Local PPO$6,500$0
5
Aetna Medicare Freedom Plan (PPO) (2023)Local PPO$7,350$0
5
Aetna Medicare Eagle Plan (PPO) (2023)Local PPO *$5,500$-
5
Allwell Medicare Essentials (HMO) (2023)Local HMO$3,450$0
4
Bright Advantage Choice (PPO) (2023)Local PPO$6,500$0
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Bright Advantage Choice Plus (PPO) (2023)Local PPO$5,000$0
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Banner Medicare Advantage Prime (HMO) (2023)Local HMO$4,450$150
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WellCare Value (HMO) (2023)Local HMO$3,400$0
4
WellCare Compass (HMO) (2023)Local HMO$3,400$445
4
WellCare Dividend (HMO) (2023)Local HMO$3,400$0
4
BluePathway Plan 3 (HMO) (2023)Local HMO$2,900$0
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BluePathway Plan 2 (HMO) (2023)Local HMO$3,400$0
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BluePathway Plan 1 (HMO) (2023)Local HMO$2,900$0
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Banner Medicare Advantage Plus (PPO) (2023)Local PPO$6,500$150
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Devoted Health Select (HMO) (2023)Local HMO$3,000$0
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Devoted Health Core (HMO) (2023)Local HMO$3,200$0
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Devoted Health Flex (HMO) (2023)Local HMO$6,700$0
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WellCare Premier (PPO) (2023)Local PPO$5,000$150
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WellCare Rx Plus (PPO) (2023)Local PPO$6,000$300
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HumanaChoice R7220-001 (Regional PPO) (2023)Regional PPO *$6,000$-
4
HumanaChoice R7220-002 (Regional PPO) (2023)Regional PPO$6,700$420
4
Medicare Advantage Plans by WellCare
WellCare Value (HMO) (2023)Local HMO$3,400$0
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WellCare Compass (HMO) (2023)Local HMO$3,400$445
4
WellCare Dividend (HMO) (2023)Local HMO$3,400$0
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WellCare Premier (PPO) (2023)Local PPO$5,000$150
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WellCare Rx Plus (PPO) (2023)Local PPO$6,000$300
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