4

4 out of 5 stars* for plan year 2024

Plan ID: H5216-013

What You Need to Know:

  • HumanaChoice H5216-013 (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 $88, 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 $3,750 per year (in-network).
  • HumanaChoice H5216-013 (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
  • This plan's Part D Initial Coverage Limit is $46.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.

$88

Monthly Premium

Medicare Plan Features
Monthly Premium: $88.00
Part C Premium: $42.30
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$88.00 $42.30 $45.70 $0 $45.70 $0 0.0
Gap Coverage: No
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local PPO
Similar Plan: H5216-014
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): $3,750
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Will, Illinois: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
691 members 4 out of 5 Stars. 4 out of 5 Stars. 4 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,461 drugs
Number of Members Enrolled in this Plan in Will, Illinois: 10,299 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
$42.30 $45.70 $0.00 $88.00
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
$60.60 $38.80 $81.10 $32.00 $74.30 $25.10 $67.40
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)
306 $6.00 599 $15.00 788 $47.00 1084 $100.00 684 33%

Other Medicare Advantage Plans in Will, Illinois

Plan Name Type Premium MOOP Rx Deduct. Rating
Aetna Medicare Eagle (PPO) (2023)Local PPO *$5,900$-
5
Clear Spring Health Community Advantage Plan (HMO) (2023)Local HMO$3,950$0
Insufficient data to rate this plan.
Clear Spring Health Community Flex Plan (HMO-POS) (2023)Local HMO$3,950$0
Insufficient data to rate this plan.
Clear Spring Health Essential (HMO) (2023)Local HMO$2,900$0
New plan - not yet rated.
HumanaChoice H5216-251 (PPO) (2023)Local PPO$5,500$200
4
Blue Cross Medicare Advantage Basic (HMO) (2023)Local HMO$3,400$0
5
Blue Cross Medicare Advantage Basic Plus (HMO-POS) (2023)Local HMO$3,900$0
5
Blue Cross Medicare Advantage Premier Plus (HMO-POS) (2023)Local HMO$4,500$0
5
Blue Medicare Advocate Health (HMO) (2023)Local HMO$3,500$0
New plan - not yet rated.
Blue Cross Medicare Advantage Choice Plus (PPO) (2023)Local PPO$6,700$445
4
Blue Cross Medicare Advantage Choice Premier (PPO) (2023)Local PPO$5,900$0
4
AARP Medicare Advantage Walgreens (PPO) (2023)Local PPO$5,900$250
5
WellCare Value (HMO-POS) (2023)Local HMO$3,450$0
4
WellCare Compass (HMO) (2023)Local HMO$3,450$445
4
Blue Cross Medicare Advantage Classic (PPO) (2023)Local PPO$7,550$445
4
Aetna Medicare Prime (HMO) (2023)Local HMO$3,950$0
New plan - not yet rated.
WellCare Plus (HMO) (2023)Local HMO$3,450$445
4
Aetna Medicare Premier Plus (PPO) (2023)Local PPO$3,475$0
5
Aetna Medicare Value (PPO) (2023)Local PPO$3,950$0
5
WellCare Essential (HMO) (2023)Local HMO$3,450$0
5
UnitedHealthcare Medicare Advantage Assure (PPO) (2023)Local PPO$7,550$445
5
AARP Medicare Advantage Patriot (PPO) (2023)Local PPO *$5,900$-
5
Aetna Medicare DMG Prime (PPO) (2023)Local PPO$3,950$0
5
WellCare Edge (HMO) (2023)Local HMO$3,450$445
5
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
WellCare Premier (PPO) (2023)Local PPO$3,450$0
New plan - not yet rated.
HumanaChoice R5361-001 (Regional PPO) (2023)Regional PPO *$6,700$-
5
WellCare Absolute (PPO) (2023)Local PPO$3,450$0
New plan - not yet rated.
AARP Medicare Advantage Plan 1 (HMO) (2023)Local HMO$3,900$195
5
Bright Advantage Choice Plus (PPO) (2023)Local PPO$6,700$0
New plan - not yet rated.
AARP Medicare Advantage Plan 2 (HMO) (2023)Local HMO$3,900$60
5
Bright Advantage Choice (PPO) (2023)Local PPO$4,000$400
New plan - not yet rated.
Bright Advantage Assist (HMO) (2023)Local HMO$6,700$445
New plan - not yet rated.
Bright Advantage (HMO) (2023)Local HMO$3,400$0
New plan - not yet rated.
Humana Gold Plus H1468-013 (HMO) (2023)Local HMO$2,650$0
4
HumanaChoice R5361-002 (Regional PPO) (2023)Regional PPO$6,700$420
5
Zing Choice IL (HMO) (2023)Local HMO$2,950$0
New plan - not yet rated.
Zing Open Access IL (HMO-POS) (2023)Local HMO$3,500$0
New plan - not yet rated.
Cigna Premier Medicare (HMO-POS) (2023)Local HMO$4,500$0
5
AARP Medicare Advantage Choice (PPO) (2023)Local PPO$3,900$195
5
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
Ascension Complete AMITA Health Reward (HMO) (2023)Local HMO$7,550$430
New plan - not yet rated.
Cigna Preferred Medicare (HMO) (2023)Local HMO$3,450$0
5
Ascension Complete AMITA Health Secure (HMO) (2023)Local HMO$2,900$0
New plan - not yet rated.
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
Cigna True Choice Medicare (PPO) (2023)Local PPO$4,400$0
New plan - not yet rated.
Cigna Fundamental Medicare (HMO) (2023)Local HMO *$6,700$-
5
WellCare Patriot (HMO-POS) (2023)Local HMO *$3,450$-
4
Medicare Advantage Plans by Humana
HumanaChoice H5216-251 (PPO) (2023)Local PPO$5,500$200
4
HumanaChoice R5361-001 (Regional PPO) (2023)Regional PPO *$6,700$-
5
Humana Gold Plus H1468-013 (HMO) (2023)Local HMO$2,650$0
4
HumanaChoice R5361-002 (Regional PPO) (2023)Regional PPO$6,700$420
5
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4

Find Medicare Advantage Plans in Illinois