Plan ID: H7409-001

What You Need to Know:

  • Bright Advantage (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 $6,400 per year (in-network).
  • Bright Advantage (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 $445.0 0.0
Gap Coverage: No
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local HMO
Similar Plan: H7409-001
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): $6,400
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Spartanburg, South Carolina: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
less than 10 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: 3,407 drugs
Number of Members Enrolled in this Plan in Spartanburg, South Carolina: 46 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)
394 $0.00 884 25% 556 25% 693 25% 688 25%

Other Medicare Advantage Plans in Spartanburg, South Carolina

Plan Name Type Premium MOOP Rx Deduct. Rating
Aetna Medicare Premier Plus Plan (PPO) (2023)Local PPO$7,500$0
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Clear Spring Health Gold Plus (PPO) (2023)Local PPO$6,700$200
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AARP Medicare Advantage Plan 1 (HMO-POS) (2023)Local HMO$5,900$0
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Clear Spring Health Select Plan (HMO) (2023)Local HMO$7,550$0
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BlueCross Total (PPO) (2023)Local PPO$6,900$100
4
HumanaChoice H5216-241 (PPO) (2023)Local PPO$7,550$445
4
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
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Humana Gold Choice H8145-069 (PFFS) (2023)PFFS$-$340
4
WellCare Flex Complete (PPO) (2023)Local PPO$2,500$0
4
WellCare Value (HMO) (2023)Local HMO$5,900$0
4
AARP Medicare Advantage Plan 2 (HMO-POS) (2023)Local HMO$4,500$0
5
Aetna Medicare Eagle Plan (PPO) (2023)Local PPO *$7,500$-
5
Cigna Fundamental Medicare (HMO) (2023)Local HMO *$5,900$-
5
Allwell Medicare (HMO) (2023)Local HMO$7,550$0
5
WellCare Elite (HMO) (2023)Local HMO$3,400$0
5
AARP Medicare Advantage Patriot (HMO-POS) (2023)Local HMO *$4,500$-
5
HumanaChoice H5216-154 (PPO) (2023)Local PPO$7,550$400
4
UnitedHealthcare Medicare Advantage Choice (Regional PPO) (2023)Regional PPO$6,700$295
5
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
HumanaChoice R3392-002 (Regional PPO) (2023)Regional PPO$6,700$340
4
WellCare Plus (HMO) (2023)Local HMO$3,000$445
5
Cigna Preferred Medicare (HMO) (2023)Local HMO$5,900$0
5
Aetna Medicare Value Plus Plan (HMO) (2023)Local HMO$6,900$250
New plan - not yet rated.
Humana Gold Plus H5619-086 (HMO) (2023)Local HMO$7,550$0
4
Cigna Preferred Plus Medicare (HMO) (2023)Local HMO$4,900$0
5
WellCare Premier (PPO) (2023)Local PPO$5,500$100
4
WellCare Compass (HMO) (2023)Local HMO$3,450$445
5
Aetna Medicare Premier Plan (PPO) (2023)Local PPO$7,500$150
5
Cigna Preferred Savings Medicare (HMO) (2023)Local HMO$6,950$0
5
AARP Medicare Advantage Walgreens (PPO) (2023)Local PPO$6,700$95
New plan - not yet rated.
UnitedHealthcare Medicare Advantage Patriot (Regional PPO (2023)Regional PPO *$6,700$-
5
AARP Medicare Advantage Choice (PPO) (2023)Local PPO$5,900$95
New plan - not yet rated.
WellCare Prime (PPO) (2023)Local PPO$6,000$0
4
HumanaChoice H5216-157 (PPO) (2023)Local PPO *$6,700$-
4
HumanaChoice H5216-210 (PPO) (2023)Local PPO$7,550$0
4
HumanaChoice R3392-001 (Regional PPO) (2023)Regional PPO *$6,700$-
4
HumanaChoice H5216-237 (PPO) (2023)Local PPO$6,700$250
4
BlueCross Total Value (PPO) (2023)Local PPO$7,550$200
4
WellCare Absolute (PPO) (2023)Local PPO$6,700$90
4
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
WellCare Patriot (HMO-POS) (2023)Local HMO *$3,450$-
4

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