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The 2023 Medicare Advantage Plans in Pima County AZ.
2022 Pima County Arizona
Medicare Advantage Plans
There are 48 Medicare Advantage Plans available in Pima County AZ from 18 different health insurance providers. 25 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $2499 and the highest out of pocket is $7550. Pima County Arizona residents can also pick from 28 Medicare Special Needs Plans. The best Medicare Advantage plan in Pima County Arizona received a 5 overall star rating from CMS and the lowest rated plan is 3 stars.
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Return to 2022 Medicare Advantage Plans in Arizona
Pinal County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| AARP Medicare Advantage Patriot (PPO) (H2228-095) | $0 | Local PPO * | $5,000 | |
| Aetna Medicare Eagle Plan (PPO) (H5521-329) | $0 | Local PPO * | $5,500 | |
| Humana Honor (PPO) (H5216-213) | $0 | Local PPO * | $4,400 | |
| HumanaChoice R7220-001 (Regional PPO) (R7220-001) | $0 | Regional PPO * | $6,000 | |
| Lasso Healthcare Growth (MSA) (H1924-001) | MSA * | $- | NA | |
| Lasso Healthcare Growth Plus (MSA) (H1924-004) | MSA * | $- | NA | |
| Wellcare Patriot Giveback Open (PPO) (H8553-002) | $0 | Local PPO * | $4,400 | Too New |
2022 Medicare Special Needs Plans in Pima county Arizona
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Alignment Health Plan Heart and Diabetes (HMO C-SNP) | $0 | $0 | Few Generics | Chronic or Disabling Condition | Too New |
| Amerivantage Comfort (HMO I-SNP) | $0 | $0 | Many | Institutional | |
| Amerivantage Comfort Plus (HMO I-SNP) | $0 | $0 | Many | Institutional | Too New |
| Amerivantage Diabetes Care (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | |
| Amerivantage Diabetes Care Plus (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | Too New |
| Amerivantage ESRD Care (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | |
| Amerivantage Heart Care (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | |
| Amerivantage Heart Care Plus (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | Too New |
| Amerivantage Lung Care (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | |
| Amerivantage Lung Care Plus (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | Too New |
| Banner Medicare Advantage Dual (HMO D-SNP) | $35.40 | $480.0 | Few Generics | Dual-Eligible | |
| Banner Medicare Advantage Dual (HMO D-SNP) | $33.70 | $480.0 | Few Generics | Dual-Eligible | |
| Bright Advantage Embrace Assist Plan (HMO C-SNP) | $40.00 | $480.0 | Some Generics | Chronic or Disabling Condition | |
| Bright Advantage Embrace Care Plan (HMO C-SNP) | $0 | $0 | Some Generics | Chronic or Disabling Condition | |
| Bright Advantage Embrace Choice Plan (HMO C-SNP) | $40.00 | $480.0 | Some Generics | Chronic or Disabling Condition | |
| Bright Advantage Harmony Choice Plan (HMO C-SNP) | $40.00 | $480.0 | Some Generics | Chronic or Disabling Condition | |
| Global Special Care (HMO C-SNP) | $0 | $0 | Some | Chronic or Disabling Condition | Too New |
| Global Special Care Savings (HMO C-SNP) | $0 | $0 | Some | Chronic or Disabling Condition | Too New |
| Imperial Insurance Value (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | NA |
| Mercy Care Advantage (HMO D-SNP) | $40.00 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Mercy Care Advantage (HMO D-SNP) | $40.00 | $480.0 | No Gap Coverage | Dual-Eligible | |
| SCAN Balance (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | Too New |
| SCAN Heart First (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition | Too New |
| UnitedHealthcare Chronic Complete (HMO C-SNP) | $0 | $0 | Some Generics | Chronic or Disabling Condition | |
| UnitedHealthcare Dual Complete LP (HMO D-SNP) | $40.00 | $480.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Nursing Home Plan (PPO I-SNP) | $40.00 | $480.0 | No Gap Coverage | Institutional | |
| Wellcare Dual Liberty (HMO D-SNP) | $40.00 | $480.0 | No Gap Coverage | Dual-Eligible | |
| Wellcare Specialty No Premium (HMO C-SNP) | $0 | $0 | Many | Chronic or Disabling Condition |
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.