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The 2023 Medicare Advantage Plans in Winnebago County IA.
2022 Winnebago County Iowa
Medicare Advantage Plans
There are 17 Medicare Advantage Plans available in Winnebago County IA from 5 different health insurance providers. 4 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3000 and the highest out of pocket is $6700. Winnebago County Iowa residents can also pick from 3 Medicare Special Needs Plans. The best Medicare Advantage plan in Winnebago County Iowa received a 5 overall star rating from CMS and the lowest rated plan is 4 stars.
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| Name ⇅ | Premium | Deductible | MOOP | Gap | Plan Rating |
Click for Formulary |
|---|---|---|---|---|---|---|
| AARP Medicare Advantage (HMO-POS) (H5253-108) | $36.00 | $0 | $3,700 | Yes | Browse Formulary | |
| AARP Medicare Advantage Choice Plan 1 (PPO) (H8768-017) | $0 | $0 | $3,900 | Yes | Browse Formulary | |
| AARP Medicare Advantage Choice Plan 2 (PPO) (H8768-032) | $0 | $0 | $3,900 | Yes | Browse Formulary | |
| AARP Medicare Advantage Plan 2 (HMO-POS) (H5253-107) | $0 | $0 | $3,900 | Yes | Browse Formulary | |
| Blue Medicare Advantage Enhanced PPO (PPO) (H5900-002) | $49.00 | $0 | $3,800 | No | Too New | Browse Formulary |
| Blue Medicare Advantage HMO (HMO) (H8095-001) | $0 | $0 | $3,600 | No | Too New | Browse Formulary |
| Blue Medicare Advantage PPO (PPO) (H5900-001) | $0 | $0 | $3,900 | No | Too New | Browse Formulary |
| Humana Gold Plus H0028-053 (HMO) (H0028-053) | $0 | $150.00 | $3,850 | No | Browse Formulary | |
| Humana Value Plus H5216-171 (PPO) (H5216-171) | $25.90 | $460.00 | $6,700 | No | Browse Formulary | |
| HumanaChoice H5216-014 (PPO) (H5216-014) | $60.00 | $350.00 | $6,700 | No | Browse Formulary | |
| HumanaChoice H5216-254 (PPO) (H5216-254) | $0 | $250.00 | $4,050 | No | Browse Formulary |
Return to 2022 Medicare Advantage Plans in Iowa
Winneshiek County Medicare Advantage
Medicare Advantage Health Plans Without Drug Coverage
| Plan Name ⇅ | Premium | Type | MOOP | Overall Rating |
|---|---|---|---|---|
| AARP Medicare Advantage Patriot (PPO) (H8768-018) | $0 | Local PPO * | $6,700 | |
| Humana Honor (PPO) (H5216-278) | $0 | Local PPO * | $6,700 | |
| Medica Prime Solution Core (Cost) (H2450-045) | $69.00 | Cost * | $4,000 | |
| Medica Prime Solution Premier (Cost) (H2450-042) | $125.00 | Cost * | $3,000 | |
| Medica Prime Solution Thrift (Cost) (H2450-030) | $34.00 | Cost * | $6,700 | |
| MercyOne North Iowa Senior Plan (Cost) (H1651-015) | $147.00 | Cost * | $- | NA |
2022 Medicare Special Needs Plans in Winnebago county Iowa
| Plan Name ⇅ | Monthly Premium |
Part D Deductible |
Gap | Special Needs Type |
Overall Rating |
|---|---|---|---|---|---|
| Amerivantage Dual Coordination (HMO D-SNP) | $36.00 | $480.0 | No Gap Coverage | Dual-Eligible | Too New |
| HumanaChoice SNP-DE H5216-268 (PPO D-SNP) | $27.20 | $460.0 | No Gap Coverage | Dual-Eligible | |
| UnitedHealthcare Dual Complete (HMO D-SNP) | $38.90 | $480.0 | No Gap Coverage | 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.