Plan ID: H0672-005

What You Need to Know:

  • Cigna Preferred Medicare (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 $4,600 per year (in-network).
  • Cigna Preferred Medicare (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: No
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local HMO
Similar Plan: H0672-006
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): $4,600
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Sandoval, New Mexico: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
130 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: 3,548 drugs
Number of Members Enrolled in this Plan in Sandoval, New Mexico: 737 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 $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)
326 $0.00 906 $5.00 865 $47.00 730 $100.00 721 33%

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AARP Medicare Advantage Choice (PPO) (2023)Local PPO$3,800$150
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AARP Medicare Advantage Patriot (PPO) (2023)Local PPO *$4,300$-
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Humana Honor (PPO) (2023)Local PPO *$4,400$-
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Presbyterian Senior Care Plan 2 with Rx (HMO) (2023)Local HMO$4,500$0
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Presbyterian Senior Care Plan 3 with Rx (HMO) (2023)Local HMO$3,000$0
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Presbyterian Senior Care Plan 1 (HMO) (2023)Local HMO *$4,000$-
4
Amerivantage Care Access (HMO) (2023)Local HMO$7,550$445
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Presbyterian MediCare PPO Plan 2 with Rx (PPO) (2023)Local PPO$6,700$335
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Amerivantage Plus (HMO) (2023)Local HMO$6,700$0
5
AARP Medicare Advantage (HMO) (2023)Local HMO$4,300$150
5
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Humana Gold Choice H8145-123 (PFFS) (2023)PFFS$-$300
4
Blue Cross Medicare Advantage Choice Plus (PPO) (2023)Local PPO$6,700$350
4
Humana Gold Plus H0028-019 (HMO) (2023)Local HMO$4,000$0
4
Presbyterian MediCare PPO Plan 1 (PPO) (2023)Local PPO *$6,700$-
4
UnitedHealthcare Medicare Advantage Assure (PPO) (2023)Local PPO$7,550$445
5
Molina Medicare Choice Care (HMO) (2023)Local HMO$7,550$445
5
Aetna Medicare Choice Plan (PPO) (2023)Local PPO$6,000$300
5
Blue Cross Medicare Advantage Select (HMO) (2023)Local HMO$4,500$150
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Medicare Advantage Plans by Cigna
Cigna True Choice Medicare (PPO) (2023)Local PPO$5,700$0
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