5

5 out of 5 stars* for plan year 2024

Plan ID: H3931-064

What You Need to Know:

  • Aetna Medicare Premier (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 $100, 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 $7,550 per year (in-network).
  • Aetna Medicare Premier (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 $44.

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

$100

Monthly Premium

Medicare Plan Features
Monthly Premium: $100.00
Part C Premium: $56.50
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$100.00 $56.50 $43.50 $0 $43.50 $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: H3931-070
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): $7,550
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Bucks, Pennsylvania: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
408 members 3.5 out of 5 Stars. 5 out of 5 Stars. 3 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,780 drugs
Number of Members Enrolled in this Plan in Bucks, Pennsylvania: 2,438 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
$56.50 $43.50 $0.00 $100.00
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
$62.50 $34.10 $90.60 $24.80 $81.30 $15.40 $71.90
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)
337 $0.00 571 $5.00 915 $47.00 1247 $100.00 710 33%

Other Medicare Advantage Plans in Bucks, Pennsylvania

Plan Name Type Premium MOOP Rx Deduct. Rating
Aetna Medicare Advantra Credit Value (PPO) (2023)Local PPO$7,550$250
5
Erickson Advantage Liberty without Drugs (HMO-POS) (2023)Local HMO *$6,700$-
5
Aetna Medicare Value (PPO) (2023)Local PPO$7,550$0
5
Erickson Advantage Signature with Drugs (HMO-POS) (2023)Local HMO$2,600$0
5
HumanaChoice H5525-005 (PPO) (2023)Local PPO$6,700$0
4
Erickson Advantage Liberty with Drugs (HMO-POS) (2023)Local HMO$6,700$400
5
Erickson Advantage Freedom (HMO-POS) (2023)Local HMO$4,300$200
5
Humana Gold Plus H6622-037 (HMO) (2023)Local HMO$6,200$0
4
Cigna True Choice Medicare (PPO) (2023)Local PPO$7,200$0
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Cigna True Choice Plus Medicare (PPO) (2023)Local PPO$6,100$0
New plan - not yet rated.
HumanaChoice R0923-001 (Regional PPO) (2023)Regional PPO *$4,900$-
3
HumanaChoice H5525-038 (PPO) (2023)Local PPO$6,700$0
4
HumanaChoice R0923-002 (Regional PPO) (2023)Regional PPO$6,700$0
3
HumanaChoice H5525-047 (PPO) (2023)Local PPO$6,700$0
4
Health Partners Medicare Prime (HMO-POS) (2023)Local HMO$7,550$0
4
Health Partners Medicare Complete (HMO-POS) (2023)Local HMO$7,550$0
4
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
Aetna Medicare Advantra Premier Plus (PPO) (2023)Local PPO$7,000$0
5
Aetna Medicare Advantra Value (HMO) (2023)Local HMO$7,550$0
5
Aetna Medicare Gold Plan (PPO) (2023)Local PPO$7,550$0
5
Aetna Medicare Elite (HMO) (2023)Local HMO$7,550$150
5
Clover Health Choice (PPO) (2023)Local PPO$7,550$0
4
Cigna Preferred Plus Medicare (HMO) (2023)Local HMO$5,100$0
4
Clover Health Choice Value (PPO) (2023)Local PPO$7,550$445
4
Cigna Fundamental Medicare (HMO) (2023)Local HMO *$6,900$-
4
Cigna Preferred Medicare (HMO) (2023)Local HMO$5,900$0
4
Geisinger Gold Classic Essential Rx (HMO) (2023)Local HMO$7,550$0
4
Cigna Alliance Medicare (HMO) (2023)Local HMO$6,900$0
4
Keystone 65 Preferred Medical Only (HMO) (2023)Local HMO *$4,000$-
3
Keystone 65 Preferred Rx (HMO) (2023)Local HMO$4,000$0
3
Geisinger Gold Classic 360 Rx (HMO) (2023)Local HMO$7,550$0
4
Keystone 65 Select Medical Only (HMO) (2023)Local HMO *$4,900$-
3
Keystone 65 Select Rx (HMO) (2023)Local HMO$4,900$0
3
Keystone 65 Focus Rx (HMO-POS) (2023)Local HMO$6,500$0
3
Keystone 65 Basic Rx (HMO) (2023)Local HMO$7,550$0
3
HumanaChoice H5216-116 (PPO) (2023)Local PPO *$3,900$-
4
Aetna Medicare Advantra Premier (HMO) (2023)Local HMO$7,550$150
5
Geisinger Gold Classic Advantage (HMO) (2023)Local HMO *$3,450$-
4
HumanaChoice H5216-120 (PPO) (2023)Local PPO$6,700$0
4
Geisinger Gold Classic Advantage Rx (HMO) (2023)Local HMO$3,450$0
4
Geisinger Gold Preferred Advantage Rx (PPO) (2023)Local PPO$4,000$0
3
Geisinger Gold Classic Complete Rx (HMO) (2023)Local HMO$4,900$0
4
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
Geisinger Gold Preferred Complete Rx (PPO) (2023)Local PPO$6,700$0
3
AARP Medicare Advantage Patriot (HMO) (2023)Local HMO *$5,500$-
5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)Local PPO$6,700$295
5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)Local PPO$6,700$0
5
Allwell Medicare Simple (HMO) (2023)Local HMO *$4,900$-
4
Allwell Medicare Boost (HMO) (2023)Local HMO$7,550$0
4
Allwell Medicare (HMO) (2023)Local HMO$6,700$0
4
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)Local PPO$6,700$0
3
Aetna Medicare Premier Plus (HMO) (2023)Local HMO$7,550$0
5
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
Aetna Medicare Silver (HMO) (2023)Local HMO$7,550$0
5
AARP Medicare Advantage (HMO) (2023)Local HMO$6,700$200
5
Personal Choice 65 Medical Only (PPO) (2023)Local PPO *$5,000$-
4
Personal Choice 65 Rx (PPO) (2023)Local PPO$5,000$0
4
Allwell Medicare Complement (HMO) (2023)Local HMO$7,550$445
4
Personal Choice 65 Prime Rx (PPO) (2023)Local PPO$7,550$0
4
Medicare Advantage Plans by Aetna Medicare
Aetna Medicare Advantra Credit Value (PPO) (2023)Local PPO$7,550$250
5
Aetna Medicare Value (PPO) (2023)Local PPO$7,550$0
5
Aetna Medicare Advantra Premier Plus (PPO) (2023)Local PPO$7,000$0
5
Aetna Medicare Advantra Value (HMO) (2023)Local HMO$7,550$0
5
Aetna Medicare Gold Plan (PPO) (2023)Local PPO$7,550$0
5
Aetna Medicare Elite (HMO) (2023)Local HMO$7,550$150
5
Aetna Medicare Advantra Premier (HMO) (2023)Local HMO$7,550$150
5
Aetna Medicare Premier Plus (HMO) (2023)Local HMO$7,550$0
5
Aetna Medicare Silver (HMO) (2023)Local HMO$7,550$0
5

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