Plan ID: H3442-008

What You Need to Know:

  • AARP Medicare Advantage Patriot (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 $6,700 per year (in-network).
  • AARP Medicare Advantage Patriot (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 .

$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: H3442-001
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: NULL
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $6,700
Annual Deductible: no drug coverage
Annual Initial Coverage Limit ICL: NULL
Number of Members enrolled in this plan in Coos, New Hampshire: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
22 members New plan - No summary rating as of yet. New plan - not yet rated. New plan - not yet rated.
Plan Offers Mail Order: NULL
Plan Health Benefits
Total # of Formulary Drugs: NULL
Number of Members Enrolled in this Plan in Coos, New Hampshire: 385 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 Coos, New Hampshire

Plan Name Type Premium MOOP Rx Deduct. Rating
Anthem MediBlue Plus (HMO) (2023)Local HMO$6,700$190
5
HumanaChoice H5216-057 (PPO) (2023)Local PPO$5,400$0
4
HumanaChoice H5216-058 (PPO) (2023)Local PPO$6,700$300
4
Humana Honor (PPO) (2023)Local PPO *$4,500$-
4
HumanaChoice H5216-138 (PPO) (2023)Local PPO$7,550$295
4
Martin's Point Generations Advantage Prime (HMO-POS) (2023)Local HMO$6,850$0
5
Martin's Point Generations Advantage Alliance (HMO) (2023)Local HMO *$5,000$-
5
Humana Value Plus H5619-065 (HMO) (2023)Local HMO$7,550$445
4
Humana Gold Plus H5619-137 (HMO) (2023)Local HMO$6,700$400
4
UnitedHealthcare Medicare Advantage Assure (PPO) (2023)Local PPO$7,550$445
5
Aetna Medicare Elite Plan (HMO) (2023)Local HMO$7,550$0
5
WellCare Premier (PPO) (2023)Local PPO$6,700$160
New plan - not yet rated.
WellCare Prime (PPO) (2023)Local PPO$6,000$0
New plan - not yet rated.
Harvard Pilgrim Stride Basic Rx (HMO) (2023)Local HMO$6,700$445
3
Harvard Pilgrim Stride Gain Rx (HMO) (2023)Local HMO$6,700$445
3
Martin's Point Generations Advantage Select (PPO) (2023)Local PPO$7,300$0
5
Harvard Pilgrim Stride Value Rx Plus (HMO) (2023)Local HMO$5,000$270
3
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
Harvard Pilgrim Stride Value Rx (HMO) (2023)Local HMO$5,600$270
3
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
Harvard Pilgrim Stride Choice Rx (HMO-POS) (2023)Local HMO$5,600$270
3
Anthem MediBlue Access (PPO) (2023)Local PPO$6,700$260
4
AARP Medicare Advantage Plan 2 (HMO) (2023)Local HMO$6,700$350
5
AARP Medicare Advantage Plan 4 (HMO) (2023)Local HMO$6,700$0
5
Aetna Medicare Explorer Plan (PPO) (2023)Local PPO$7,550$0
5
WellCare Value (HMO) (2023)Local HMO$7,550$160
New plan - not yet rated.
Martin's Point Generations Advantage Flex (Regional PPO) (2023)Regional PPO$5,500$275
5
WellCare Plus (HMO) (2023)Local HMO$3,450$445
New plan - not yet rated.
AARP Medicare Advantage Choice (Regional PPO) (2023)Regional PPO$7,550$295
5
AARP Medicare Advantage Walgreens (PPO) (2023)Local PPO$6,700$195
New plan - not yet rated.
Medicare Advantage Plans by UnitedHealthcare
UnitedHealthcare Medicare Advantage Assure (PPO) (2023)Local PPO$7,550$445
5
AARP Medicare Advantage Plan 2 (HMO) (2023)Local HMO$6,700$350
5
AARP Medicare Advantage Plan 4 (HMO) (2023)Local HMO$6,700$0
5
AARP Medicare Advantage Choice (Regional PPO) (2023)Regional PPO$7,550$295
5
AARP Medicare Advantage Walgreens (PPO) (2023)Local PPO$6,700$195
New plan - not yet rated.

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