Plan ID: H2577-006

What You Need to Know:

  • AARP Medicare Advantage Choice (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 $0, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is $95 (Tier 1 and 2 excluded from the Deductible.).
  • The plan includes an out-of-pocket maximum of $5,900 per year (in-network).
  • AARP Medicare Advantage Choice (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $95 (Tier 1 and 2 excluded from the Deductible.).
  • 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 $95.00 1.0
Gap Coverage: No
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local PPO
Similar Plan: H2577-007
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): $5,900
Annual Deductible: $95 (Tier 1 and 2 excluded from the Deductible.)
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Berkeley, South Carolina: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
750 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: 3,668 drugs
Number of Members Enrolled in this Plan in Berkeley, South Carolina: 24,669 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)
303 $3.00 679 $12.00 870 $47.00 1015 $100.00 801 31%

Other Medicare Advantage Plans in Berkeley, South Carolina

Plan Name Type Premium MOOP Rx Deduct. Rating
Aetna Medicare Value Plan (PPO) (2023)Local PPO$6,700$150
5
AARP Medicare Advantage Plan 1 (HMO-POS) (2023)Local HMO$5,900$0
5
HumanaChoice H5216-238 (PPO) (2023)Local PPO$7,550$0
4
HumanaChoice H5216-241 (PPO) (2023)Local PPO$7,550$445
4
WellCare Flex Complete (PPO) (2023)Local PPO$2,500$0
4
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
BlueCross Total (PPO) (2023)Local PPO$6,900$100
4
Allwell Medicare (HMO) (2023)Local HMO$7,550$0
5
AARP Medicare Advantage Plan 2 (HMO-POS) (2023)Local HMO$4,500$0
5
AARP Medicare Advantage Patriot (HMO-POS) (2023)Local HMO *$4,500$-
5
HumanaChoice R3392-002 (Regional PPO) (2023)Regional PPO$6,700$340
4
HumanaChoice H5216-154 (PPO) (2023)Local PPO$7,550$400
4
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
WellCare Plus (HMO) (2023)Local HMO$3,000$445
5
WellCare Elite (HMO) (2023)Local HMO$3,400$0
5
UnitedHealthcare Medicare Advantage Choice (Regional PPO) (2023)Regional PPO$6,700$295
5
Humana Gold Plus H5619-083 (HMO) (2023)Local HMO$6,700$245
4
WellCare Compass (HMO) (2023)Local HMO$3,450$445
5
Aetna Medicare Premier Plan (PPO) (2023)Local PPO$6,700$0
5
WellCare Patriot (HMO-POS) (2023)Local HMO *$3,450$-
5
WellCare Premier (PPO) (2023)Local PPO$5,500$100
4
UnitedHealthcare Medicare Advantage Patriot (Regional PPO (2023)Regional PPO *$6,700$-
5
Humana Gold Plus H5619-132 (HMO) (2023)Local HMO$7,550$0
4
Clover Health Choice (PPO) (2023)Local PPO$7,550$0
4
HumanaChoice H5216-075 (PPO) (2023)Local PPO$7,550$340
4
HumanaChoice H5216-157 (PPO) (2023)Local PPO *$6,700$-
4
Clover Health Choice Value (PPO) (2023)Local PPO$7,550$0
4
HumanaChoice R3392-001 (Regional PPO) (2023)Regional PPO *$6,700$-
4
WellCare Prime (PPO) (2023)Local PPO$6,000$0
4
WellCare Absolute (PPO) (2023)Local PPO$6,700$90
4
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
Medicare Advantage Plans by UnitedHealthcare
AARP Medicare Advantage Plan 1 (HMO-POS) (2023)Local HMO$5,900$0
5
AARP Medicare Advantage Plan 2 (HMO-POS) (2023)Local HMO$4,500$0
5
AARP Medicare Advantage Patriot (HMO-POS) (2023)Local HMO *$4,500$-
5
UnitedHealthcare Medicare Advantage Choice (Regional PPO) (2023)Regional PPO$6,700$295
5
UnitedHealthcare Medicare Advantage Patriot (Regional PPO (2023)Regional PPO *$6,700$-
5

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