Plan ID: H4982-010

What You Need to Know:

  • Aetna Medicare Plus Plan (HMO) is a Medicare Advantage Health Maintenance Organization Local HMO 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 .
  • The plan includes an out-of-pocket maximum of $2,900 per year (in-network).
  • Aetna Medicare Plus Plan (HMO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
  • This plan's Part D Initial Coverage Limit is $0.

$0

Monthly Premium

Medicare Plan Features
Monthly Premium: $0
Part C Premium: $0
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$0 $0 $0 $0 $0 $0 0.0
Gap Coverage: Yes
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local HMO
Similar Plan: H4982-011
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: Yes, some additional gap coverage.
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $2,900
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Fresno, California: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
972 members New plan - No summary rating as of yet. New plan - not yet rated. New plan - not yet rated.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,800 drugs
Number of Members Enrolled in this Plan in Fresno, California: 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
$0.00 $0.00 $0.00 $0.00
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
$0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
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)
369 $0.00 575 $0.00 902 $42.00 1243 $99.00 711 33%

Other Medicare Advantage Plans in Fresno, California

Plan Name Type Premium MOOP Rx Deduct. Rating
Brand New Day Classic Care II Plan (HMO) (2023)Local HMO$999$50
3
UnitedHealthcare Medicare Advantage Assure (HMO) (2023)Local HMO$7,550$445
4
Aetna Medicare Choice Plan (PPO) (2023)Local PPO$7,550$0
5
Health Net Sapphire Premier (HMO) (2023)Local HMO$3,450$445
4
Health Net Sapphire Premier II (HMO) (2023)Local HMO$3,450$445
4
Aetna Medicare Eagle Plan (HMO) (2023)Local HMO *$4,200$-
New plan - not yet rated.
Imperial Traditional (HMO) (2023)Local HMO$2,999$0
New plan - not yet rated.
Blue Shield Inspire (HMO) (2023)Local HMO$5,500$0
5
Brand New Day Classic Choice Plan (HMO) (2023)Local HMO$7,550$445
3
Humana Gold Plus H5619-012 (HMO) (2023)Local HMO$3,100$0
4
Imperial Traditional Plus (HMO) (2023)Local HMO$2,999$445
New plan - not yet rated.
Anthem MediBlue Plus (HMO) (2023)Local HMO$6,700$0
5
Blue Shield Coordinated Choice Plan (HMO) (2023)Local HMO$6,700$445
3
Blue Shield AdvantageOptimum Plan (HMO) (2023)Local HMO$3,400$0
3
AARP Medicare Advantage SecureHorizons (HMO) (2023)Local HMO$6,700$0
4
Kaiser Permanente Senior Advantage Basic Fresno (HMO) (2023)Local HMO$5,900$0
5
Kaiser Permanente Senior Advantage Enhanced Fresno (HMO) (2023)Local HMO$4,000$0
5
Health Net Healthy Heart (HMO) (2023)Local HMO$4,700$0
4
Health Net Ruby Select (HMO) (2023)Local HMO$2,750$0
4
Medicare Advantage Plans by Aetna Medicare
Aetna Medicare Choice Plan (PPO) (2023)Local PPO$7,550$0
5
Aetna Medicare Eagle Plan (HMO) (2023)Local HMO *$4,200$-
New plan - not yet rated.

Find Medicare Advantage Plans in California