4

4 out of 5 stars* for plan year 2024

Plan ID: H0439-006

What You Need to Know:

  • Cigna Premier Medicare (HMO-POS) 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 $25, 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 $5,700 per year (in-network).
  • Cigna Premier Medicare (HMO-POS) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
  • This plan's Part D Initial Coverage Limit is $25.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.

$25

Monthly Premium

Medicare Plan Features
Monthly Premium: $25.00
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:
$25.00 $0 $25.00 $0 $25.00 $0 0.0
Gap Coverage: No
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local HMO
Similar Plan: H0439-007
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: No additional gap coverage, only the Donut Hole Discount
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $5,700
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Butts, Georgia: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
less than 10 members 3.5 out of 5 Stars. 4 out of 5 Stars. 3 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,548 drugs
Number of Members Enrolled in this Plan in Butts, Georgia: 1,033 members
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 $25.00 $0.00 $25.00
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 $18.70 $18.70 $12.50 $12.50 $6.20 $6.20
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)
326 $0.00 906 $4.00 865 $42.00 730 $95.00 721 33%

Other Medicare Advantage Plans in Butts, Georgia

Plan Name Type Premium MOOP Rx Deduct. Rating
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
UnitedHealthcare Medicare Advantage Patriot (Regional PPO (2023)Regional PPO *$6,700$-
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UnitedHealthcare Medicare Advantage Choice (Regional PPO) (2023)Regional PPO$6,700$295
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Anthem MediBlue Access Basic (PPO) (2023)Local PPO$6,700$150
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HumanaChoice R3392-002 (Regional PPO) (2023)Regional PPO$6,700$340
4
Clear Spring Health Select (HMO) (2023)Local HMO$7,550$0
Insufficient data to rate this plan.
HumanaChoice H5216-241 (PPO) (2023)Local PPO$7,550$445
4
Cigna True Choice Medicare (PPO) (2023)Local PPO$6,950$95
New plan - not yet rated.
Anthem MediBlue Core (HMO) (2023)Local HMO *$7,550$-
5
Clear Spring Health Choice Plan (PPO) (2023)Local PPO$7,550$250
Insufficient data to rate this plan.
Aetna Medicare Essential Plan (PPO) (2023)Local PPO$6,900$195
5
Clear Spring Health Select Plus (HMO) (2023)Local HMO$7,550$0
Insufficient data to rate this plan.
HumanaChoice R3392-001 (Regional PPO) (2023)Regional PPO *$6,700$-
4
HumanaChoice H5525-024 (PPO) (2023)Local PPO$6,700$295
4
Anthem MediBlue Plus (HMO) (2023)Local HMO$6,700$150
5
Anthem MediBlue Access (PPO) (2023)Local PPO$5,900$95
4
Anthem MediBlue Extra (HMO) (2023)Local HMO$5,900$445
5
HumanaChoice H5216-203 (PPO) (2023)Local PPO$7,550$0
4
Cigna Preferred Medicare (HMO) (2023)Local HMO$6,200$0
4
Clover Health Choice Value (PPO) (2023)Local PPO$7,550$445
4
WellCare Dividend (HMO) (2023)Local HMO$6,700$200
5
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
WellCare Flex Complete (PPO) (2023)Local PPO$2,500$0
5
Aetna Medicare Plus Plan (PPO) (2023)Local PPO$7,550$400
New plan - not yet rated.
WellCare Patriot (HMO-POS) (2023)Local HMO *$3,400$-
5
WellCare Endurance (PPO) (2023)Local PPO$4,900$0
5
Aetna Medicare Eagle Plan (PPO) (2023)Local PPO *$6,900$-
New plan - not yet rated.
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
WellCare Premier (PPO) (2023)Local PPO$4,900$75
5
WellCare Compass (HMO) (2023)Local HMO$3,450$445
5
WellCare Prime (PPO) (2023)Local PPO$5,100$0
5
HumanaChoice H5216-157 (PPO) (2023)Local PPO *$6,700$-
4
HumanaChoice H5216-154 (PPO) (2023)Local PPO$7,550$400
4
Cigna Preferred GA Medicare (HMO) (2023)Local HMO$7,500$300
4
WellCare Value (HMO) (2023)Local HMO$3,450$0
5
Clover Health Choice (PPO) (2023)Local PPO$7,550$0
4
Medicare Advantage Plans by Cigna
Cigna True Choice Medicare (PPO) (2023)Local PPO$6,950$95
New plan - not yet rated.
Cigna Preferred Medicare (HMO) (2023)Local HMO$6,200$0
4
Cigna Preferred GA Medicare (HMO) (2023)Local HMO$7,500$300
4

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