4

4 out of 5 stars* for plan year 2024

Plan ID: H5970-001

What You Need to Know:

  • HumanaChoice H5970-001 (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 $16, 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 $5,500 per year (in-network).
  • HumanaChoice H5970-001 (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
  • This plan's Part D Initial Coverage Limit is $16.

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

$16

Monthly Premium

Medicare Plan Features
Monthly Premium: $16.00
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:
$16.00 $0 $16.00 $0 $16.00 $0 0.0
Gap Coverage: No
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local PPO
Similar Plan: H5970-015
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): $5,500
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Yates, New York: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
40 members 4 out of 5 Stars. 4 out of 5 Stars. 4 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,461 drugs
Number of Members Enrolled in this Plan in Yates, New York: 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 $16.00 $0.00 $16.00
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 $12.00 $12.00 $8.00 $8.00 $4.00 $4.00
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)
306 $2.00 599 $8.00 788 $47.00 1084 $100.00 684 33%

Other Medicare Advantage Plans in Yates, New York

Plan Name Type Premium MOOP Rx Deduct. Rating
UnitedHealthcare Medicare Advantage Patriot (Regional PPO (2023)Regional PPO *$6,700$-
5
UnitedHealthcare Medicare Advantage Choice Plan 3 (Region (2023)Regional PPO$6,700$275
5
MVP Medicare WellSelect with Part D (PPO) (2023)Local PPO$7,550$300
4
UnitedHealthcare Medicare Advantage Choice Plan 1 (Region (2023)Regional PPO$6,700$300
5
UnitedHealthcare Medicare Advantage Choice Plan 4 (Region (2023)Regional PPO$6,700$150
5
HumanaChoice H5970-015 (PPO) (2023)Local PPO$6,500$250
4
Humana Honor (PPO) (2023)Local PPO *$4,500$-
4
Aetna Medicare Elite Plan (PPO) (2023)Local PPO$7,550$250
5
Fidelis Medicare Advantage Flex (HMO-POS) (2023)Local HMO$7,550$445
New plan - not yet rated.
HumanaChoice H5970-018 (PPO) (2023)Local PPO$7,550$310
4
Fidelis Medicare $0 Premium (HMO) (2023)Local HMO$7,550$0
New plan - not yet rated.
Fidelis Medicare Advantage without Rx (HMO-POS) (2023)Local HMO *$7,550$-
New plan - not yet rated.
Aetna Medicare Credit Plan (PPO) (2023)Local PPO$7,550$250
5
Medicare Blue Choice Optimum (HMO-POS) (2023)Local HMO$6,700$0
4
Medicare Blue Choice Platinum (HMO-POS) (2023)Local HMO *$4,500$-
4
Aetna Medicare Value Plan (PPO) (2023)Local PPO$7,550$300
5
Medicare Blue Choice Value (HMO) (2023)Local HMO$6,700$225
4
Medicare Blue Choice Value Plus (HMO-POS) (2023)Local HMO$6,700$0
4
MVP Medicare Secure with Part D (HMO-POS) (2023)Local HMO$7,550$350
4
Medicare Blue Choice Select (HMO) (2023)Local HMO$7,550$380
4
Aetna Medicare Eagle Plan (PPO) (2023)Local PPO *$7,550$-
5
WellCare Absolute (PPO) (2023)Local PPO$7,550$150
5
WellCare Today's Options Premier 300 (PFFS) (2023)PFFS *$-$-
5
Medicare Blue Choice Advanced (HMO-POS) (2023)Local HMO$7,200$300
4
Aetna Medicare Premier Plan (PPO) (2023)Local PPO$7,550$250
5
MVP Medicare Preferred Gold without Part D (HMO-POS) (2023)Local HMO *$7,550$-
4
Humana Gold Plus H3533-001 (HMO) (2023)Local HMO$7,200$350
4
MVP Medicare Preferred Gold with Part D (HMO-POS) (2023)Local HMO$7,550$0
4
WellCare Today's Options Advantage Plus 150A (PPO) (2023)Local PPO$3,400$0
5
WellCare Summit (PPO) (2023)Local PPO$6,700$445
5
WellCare Today's Options Advantage Plus 550B (PPO) (2023)Local PPO$6,700$0
5
WellCare Today's Options Premier 200 (PFFS) (2023)PFFS *$-$-
5
WellCare Today's Options Advantage 300 (PPO) (2023)Local PPO *$6,700$-
5
Medicare Advantage Plans by Humana
HumanaChoice H5970-015 (PPO) (2023)Local PPO$6,500$250
4
Humana Honor (PPO) (2023)Local PPO *$4,500$-
4
HumanaChoice H5970-018 (PPO) (2023)Local PPO$7,550$310
4
Humana Gold Plus H3533-001 (HMO) (2023)Local HMO$7,200$350
4

Find Medicare Advantage Plans in New York