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The 2023 Medicare Advantage Plans in Erie County OH.
2022 Erie County Ohio
Medicare Advantage Plans
There are 53 Medicare Advantage Plans available in Erie County OH from 12 different health insurance providers. 29 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3400 and the highest out of pocket is $7550. Erie County Ohio residents can also pick from 12 Medicare Special Needs Plans. The best Medicare Advantage plan in Erie County Ohio received a 5 overall star rating from CMS and the lowest rated plan is 2.5 stars.
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Fairfield County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| AARP Medicare Advantage Patriot (PPO) (H8768-021) | $0 | Local PPO * | $4,500 | |
| Anthem MediBlue Access Core (Regional PPO) (R5941-013) | $0 | Regional PPO * | $4,900 | |
| Anthem MediBlue Service (PPO) (H4036-022) | $0 | Local PPO * | $6,700 | |
| Humana Honor (PPO) (H5216-218) | $0 | Local PPO * | $5,900 | |
| HumanaChoice R5495-001 (Regional PPO) (R5495-001) | $0 | Regional PPO * | $7,550 | |
| Lasso Healthcare Growth (MSA) (H1924-001) | MSA * | $- | NA | |
| Lasso Healthcare Growth Plus (MSA) (H1924-004) | MSA * | $- | NA | |
| Paramount Elite Enhanced Medical Only (HMO) (H3653-018) | $20.00 | Local HMO * | $3,400 | |
| Wellcare Patriot No Premium (HMO) (H0724-005) | $0 | Local HMO * | $3,450 |
2022 Medicare Special Needs Plans in Erie county Ohio
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Anthem MediBlue Dual Advantage (HMO D-SNP) | $33.50 | $480.0 | No Gap Coverage | Dual-Eligible | |
| CareSource Dual Advantage (HMO D-SNP) | $33.50 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | $16.00 | $200.0 | No Gap Coverage | Chronic or Disabling Condition | |
| Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP) | $27.60 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Molina Medicare Complete Care (HMO D-SNP) | $33.50 | $480.0 | No Gap Coverage | Dual-Eligible | Too New |
| Perennial Advantage Concierge (HMO C-SNP) | $31.30 | $480.0 | No Gap Coverage | Chronic or Disabling Condition | Too New |
| Perennial Advantage Strive (HMO I-SNP) | $28.20 | $480.0 | No Gap Coverage | Institutional | Too New |
| UnitedHealthcare Dual Complete (HMO-POS D-SNP) | $33.00 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Dual Complete LP1 (HMO D-SNP) | $33.50 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) | $33.50 | $480.0 | No Gap Coverage | Institutional | |
| Valor Health Plan (HMO I-SNP) | $33.50 | $480.0 | No Gap Coverage | Institutional | NA |
| Wellcare Dual Access (HMO D-SNP) | $32.00 | $480.0 | Some Generics | Dual-Eligible |
Plan Type Is the type of organization offering the Medicare Plan.
- HMO - Health Maintenance Organization
- PPO - Preferred Provider Organization
- PDP - Prescription Drug Plan
- SNP - Special Needs Plan
- POS - Point of Service
- PFFS - Private Fee For Service
Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.
Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.
Benefit Type- (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
- (DS) Defined Standard Benefit
- (BA) Basic Alternative
- (AE) Actuarially Equivalent Standard
GAP
- Many - Many Generics and Some Brands
- Some - Some Generics and Few Brands
Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable
Source: CMS.
Data as of September 1, 2021.
Plans are subject to change as contracts are finalized.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.