5

5 out of 5 stars* for plan year 2024

Plan ID: H5521-286

What You Need to Know:

  • Aetna Medicare Eagle (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 $5,900 per year (in-network).
  • Aetna Medicare Eagle (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 .

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

$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: H5521-288
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: NULL
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $5,900
Annual Deductible: no drug coverage
Annual Initial Coverage Limit ICL: NULL
Number of Members enrolled in this plan in Antrim, Michigan: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
less than 10 members 4 out of 5 Stars. 5 out of 5 Stars. 3 out of 5 Stars.
Plan Offers Mail Order: NULL
Plan Health Benefits
Total # of Formulary Drugs: NULL
Number of Members Enrolled in this Plan in Antrim, Michigan: NULL
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 Antrim, Michigan

Plan Name Type Premium MOOP Rx Deduct. Rating
Humana Honor (PPO) (2023)Local PPO *$5,500$-
4
BCN Advantage HMO-POS Elements (HMO-POS) (2023)Local HMO *$4,500$-
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BCN Advantage HMO-POS Classic (HMO-POS) (2023)Local HMO$3,800$0
5
HumanaChoice H8087-001 (PPO) (2023)Local PPO$5,900$75
5
Aetna Medicare Premier (PPO) (2023)Local PPO$4,800$0
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Aetna Medicare Value (PPO) (2023)Local PPO$5,500$0
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BCN Advantage HMO-POS Prestige (HMO-POS) (2023)Local HMO$3,400$0
5
PriorityMedicare Ideal (PPO) (2023)Local PPO$5,800$125
5
PriorityMedicare Select (PPO) (2023)Local PPO$3,500$0
5
Medicare Plus Blue PPO Essential (PPO) (2023)Local PPO$6,000$100
5
Medicare Plus Blue PPO Vitality (PPO) (2023)Local PPO$5,000$100
5
Humana Gold Choice H8145-006 (PFFS) (2023)PFFS$-$445
4
Humana Gold Choice H8145-121 (PFFS) (2023)PFFS *$-$-
4
HumanaChoice R3887-001 (Regional PPO) (2023)Regional PPO *$5,500$-
5
Medicare Plus Blue PPO Assure (PPO) (2023)Local PPO$3,425$0
5
Medicare Plus Blue PPO Signature (PPO) (2023)Local PPO$4,700$0
5
HumanaChoice R3887-002 (Regional PPO) (2023)Regional PPO$5,300$380
5
PriorityMedicare Value (HMO-POS) (2023)Local HMO$4,900$75
3
PriorityMedicare Key (HMO-POS) (2023)Local HMO$5,500$100
3
Humana Value Plus H8087-002 (PPO) (2023)Local PPO$7,550$260
5
BCN Advantage Prime Value (HMO-POS) (2023)Local HMO$4,500$50
5
PriorityMedicare Compass (PPO) (2023)Local PPO$5,500$100
5
PriorityMedicare Merit (PPO) (2023)Local PPO$4,100$0
5
PriorityMedicare (HMO-POS) (2023)Local HMO$4,500$0
3
Medicare Advantage Plans by Aetna Medicare
Aetna Medicare Premier (PPO) (2023)Local PPO$4,800$0
5
Aetna Medicare Value (PPO) (2023)Local PPO$5,500$0
5

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