Plan ID: H2577-015

What You Need to Know:

  • AARP Medicare Advantage Patriot (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 no drug coverage.
  • The plan includes an out-of-pocket maximum of $6,700 per year (in-network).
  • AARP Medicare Advantage Patriot (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is no drug coverage.
  • This plan's Part D Initial Coverage Limit is .

$0

Monthly Premium

Medicare Plan Features
Monthly Premium: $0
Part C Premium: NULL
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$0 NULL NULL NULL NULL NULL NULL
Gap Coverage: NULL
Benchmark: NULL
Type of Medicare Health: NULL
Health Plan Type: Local PPO *
Similar Plan: H2577-016
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: NULL
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $6,700
Annual Deductible: no drug coverage
Annual Initial Coverage Limit ICL: NULL
Number of Members enrolled in this plan in Powhatan, Virginia: 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: NULL
Plan Health Benefits
Total # of Formulary Drugs: NULL
Number of Members Enrolled in this Plan in Powhatan, Virginia: 253 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
NULL NULL NULL NULL
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
NULL NULL NULL NULL NULL NULL NULL
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)
NULL NULL NULL NULL NULL NULL NULL NULL NULL NULL

Other Medicare Advantage Plans in Powhatan, Virginia

Plan Name Type Premium MOOP Rx Deduct. Rating
HumanaChoice R1390-001 (Regional PPO) (2023)Regional PPO *$5,400$-
4
Humana Gold Plus H5619-044 (HMO) (2023)Local HMO$6,700$265
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HumanaChoice R1390-002 (Regional PPO) (2023)Regional PPO$7,550$360
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AARP Medicare Advantage Plan 1 (HMO-POS) (2023)Local HMO$5,900$150
5
HumanaChoice H5216-144 (PPO) (2023)Local PPO$6,700$265
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Humana Gold Choice H8145-004 (PFFS) (2023)PFFS$-$160
4
AARP Medicare Advantage Plan 2 (HMO-POS) (2023)Local HMO$4,900$0
5
Humana Honor R1390-003 (Regional PPO) (2023)Regional PPO *$6,700$-
4
HumanaChoice H5216-152 (PPO) (2023)Local PPO *$3,400$-
4
Humana Gold Choice H8145-042 (PFFS) (2023)PFFS *$-$-
4
Aetna Medicare Essential Plan (PPO) (2023)Local PPO$7,550$250
5
Clear Spring Health Essential (HMO) (2023)Local HMO$3,250$0
New plan - not yet rated.
Anthem MediBlue Access (PPO) (2023)Local PPO$7,550$95
5
Humana Gold Plus H6622-041 (HMO) (2023)Local HMO$7,550$445
4
Optima Medicare Classic (HMO) (2023)Local HMO *$3,400$-
4
Anthem MediBlue Extra (HMO) (2023)Local HMO$5,900$445
4
Optima Medicare Value (HMO) (2023)Local HMO$3,400$150
4
Aetna Medicare Select Plan (HMO) (2023)Local HMO$6,700$195
5
Anthem MediBlue Local (HMO) (2023)Local HMO$3,450$0
4
Optima Medicare Prime (HMO) (2023)Local HMO$3,600$130
4
Anthem MediBlue Smart Fit (HMO) (2023)Local HMO$3,450$0
4
AARP Medicare Advantage Walgreens (PPO) (2023)Local PPO$6,700$195
New plan - not yet rated.
Medicare Advantage Plans by UnitedHealthcare
AARP Medicare Advantage Plan 1 (HMO-POS) (2023)Local HMO$5,900$150
5
AARP Medicare Advantage Plan 2 (HMO-POS) (2023)Local HMO$4,900$0
5
AARP Medicare Advantage Walgreens (PPO) (2023)Local PPO$6,700$195
New plan - not yet rated.

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