5

5 out of 5 stars* for plan year 2024

Plan ID: H2461-007

What You Need to Know:

  • Platinum Blue Complete Plan (Cost) is a Medicare Advantage Health Maintenance Organization Cost * 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 $164, 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 $2,700 per year (in-network).
  • Platinum Blue Complete Plan (Cost) 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.

$164

Monthly Premium

Medicare Plan Features
Monthly Premium: $164.00
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:
$164.00 NULL NULL NULL NULL NULL NULL
Gap Coverage: NULL
Benchmark: NULL
Type of Medicare Health: NULL
Health Plan Type: Cost *
Similar Plan: H2461-008
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: NULL
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $2,700
Annual Deductible: no drug coverage
Annual Initial Coverage Limit ICL: NULL
Number of Members enrolled in this plan in Carlton, Minnesota: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
993 members 4 out of 5 Stars. 5 out of 5 Stars. 4 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 Carlton, Minnesota: 16,731 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
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 Carlton, Minnesota

Plan Name Type Premium MOOP Rx Deduct. Rating
AARP Medicare Advantage Patriot (PPO) (2023)Local PPO *$6,700$-
5
EssentiaCare Secure (PPO) (2023)Local PPO$4,500$400
5
EssentiaCare Grand (PPO) (2023)Local PPO$3,500$250
5
AARP Medicare Advantage Premier (PPO) (2023)Local PPO$4,900$445
5
AARP Medicare Advantage Headwaters (PPO) (2023)Local PPO$6,700$395
5
AARP Medicare Advantage Lakeshore (PPO) (2023)Local PPO$4,900$295
5
Humana Value Plus H5216-176 (PPO) (2023)Local PPO$6,700$230
4
HealthPartners Freedom Balance (Cost) (2023)Cost *$3,400$-
Insufficient data to rate this plan.
HealthPartners Freedom Vital (Cost) (2023)Cost *$3,400$-
Insufficient data to rate this plan.
HumanaChoice H5216-063 (PPO) (2023)Local PPO$3,200$250
4
HumanaChoice H5216-092 (PPO) (2023)Local PPO$6,700$350
4
HumanaChoice H5216-080 (PPO) (2023)Local PPO$5,900$350
4
HumanaChoice H5216-167 (PPO) (2023)Local PPO$4,500$350
4
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
UCare Value Plus (HMO-POS) (2023)Local HMO *$5,500$-
5
UCare Complete (HMO-POS) (2023)Local HMO$3,000$235
5
UCare Value (HMO-POS) (2023)Local HMO *$3,400$-
5
Platinum Blue Core Plan (Cost) (2023)Cost *$6,000$-
5
Platinum Blue Choice Plan (Cost) (2023)Cost *$3,500$-
5
Medica Prime Solution Thrift (Cost) (2023)Cost *$6,700$-
5
UCare Prime (HMO-POS) (2023)Local HMO$5,500$445
5
Platinum Blue Core Plan with Rx (Cost) (2023)Cost$6,000$445
5
UCare Classic (HMO-POS) (2023)Local HMO$3,000$225
5
Medica Prime Solution Value (Cost) (2023)Cost *$4,000$-
5
Platinum Blue Choice Plan with Rx (Cost) (2023)Cost$3,500$445
5
Medica Prime Solution Basic (Cost) (2023)Cost *$3,400$-
5
UCare Aware (HMO-POS) (2023)Local HMO$5,000$395
5
Platinum Blue Complete Plan with Rx (Cost) (2023)Cost$2,700$445
5
Medica Prime Solution Enhanced (Cost) (2023)Cost *$3,000$-
5
HealthPartners Freedom Basic (Cost) (2023)Cost *$-$-
Insufficient data to rate this plan.
Medica Prime Solution Standard (Cost) (2023)Cost *$4,500$-
5
HealthPartners Freedom Ultimate (Cost) (2023)Cost *$3,000$-
Insufficient data to rate this plan.
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
UCare Essentials Rx (HMO-POS) (2023)Local HMO$3,800$395
5
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
Medicare Advantage Plans by Blue Cross and Blue Shield of Minnesota
Platinum Blue Core Plan (Cost) (2023)Cost *$6,000$-
5
Platinum Blue Choice Plan (Cost) (2023)Cost *$3,500$-
5
Platinum Blue Core Plan with Rx (Cost) (2023)Cost$6,000$445
5
Platinum Blue Choice Plan with Rx (Cost) (2023)Cost$3,500$445
5
Platinum Blue Complete Plan with Rx (Cost) (2023)Cost$2,700$445
5

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