Vermont Blue Advantage Unity HMO (HMO) in Grand Isle, Vermont (2023)
Vermont Blue Advantage Unity HMO (HMO) in Grand Isle County, Vermont costs $0/mo. This affordable Regional PPO plan (H9489-001) is a top choice for those living in Grand Isle County with a $200 prescription deductible and out-of-pocket limits at $6,700. Learn more about Medicare Part C by AARP in Grand Isle County, Vermont below.
Read moreUPDATED: Sep 23, 2023
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
UPDATED: Sep 23, 2023Fact Checked
Free Medicare Insurance Comparison
Compare Quotes From Top Companies and Save
Secured with SHA-256 Encryption
Plan ID: H9489-001
What You Need to Know:
- Vermont Blue Advantage Unity HMO (HMO) is a Medicare Advantage Health Maintenance Organization Local HMO 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 $200 (Tier 1 and 2 excluded from the Deductible.).
- The plan includes an out-of-pocket maximum of $6,700 per year (in-network).
- Vermont Blue Advantage Unity HMO (HMO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $200 (Tier 1 and 2 excluded from the Deductible.).
- This plan's Part D Initial Coverage Limit is $0.
$0
Monthly Premium
| Medicare Plan Features | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Monthly Premium: | $0 | ||||||||
| Part C Premium: | $0 | ||||||||
| Monthly Premium: | Part C Premium: | Part D Drug Premium: | Part D Supplemental Premium: | Total Part D Premium: | Drug Deductible: | Tiers with No Deductible: | |||
| $0 | $0 | $0 | $0 | $0 | $200.0 | 1.0 | |||
| Gap Coverage: | No | ||||||||
| Benchmark: | not below the regional benchmark | ||||||||
| Type of Medicare Health: | Enhanced Alternative | ||||||||
| Health Plan Type: | Local HMO | ||||||||
| Similar Plan: | H9489-001 | ||||||||
| 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): | $6,700 | ||||||||
| Annual Deductible: | $200 (Tier 1 and 2 excluded from the Deductible.) | ||||||||
| Annual Initial Coverage Limit ICL: | $4,130 | ||||||||
| Number of Members enrolled in this plan in Grand Isle, Vermont: | Plans Summary Star Rating: | Customer Service Rating: | Drug Cost Rating: | ||||||
| less than 10 members | New plan - No summary rating as of yet. | New plan - not yet rated. | New plan - not yet rated. | ||||||
| Plan Offers Mail Order: | Yes | ||||||||
| Plan Health Benefits | |||||||||
| Total # of Formulary Drugs: | 3,466 drugs | ||||||||
| Number of Members Enrolled in this Plan in Grand Isle, Vermont: | 372 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 | ||||||
| $0.00 | $0.00 | $0.00 | $0.00 | ||||||
| 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 | |||
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | |||
| 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) |
| 388 | $0.00 | 1740 | $10.00 | 279 | $45.00 | 312 | $100.00 | 747 | 28% |