Plan ID: H2462-004

What You Need to Know:

  • HealthPartners Freedom Basic (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 $34, 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 $- per year (in-network).
  • HealthPartners Freedom Basic (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 .

$34

Monthly Premium

Medicare Plan Features
Monthly Premium: $33.60
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:
$33.60 NULL NULL NULL NULL NULL NULL
Gap Coverage: NULL
Benchmark: NULL
Type of Medicare Health: NULL
Health Plan Type: Cost *
Similar Plan: H2462-010
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: NULL
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $-
Annual Deductible: no drug coverage
Annual Initial Coverage Limit ICL: NULL
Number of Members enrolled in this plan in Sibley, Minnesota: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
less than 10 members 4.5 out of 5 Stars. Insufficient data to rate this plan. 5 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 Sibley, Minnesota: less than 10 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 Sibley, Minnesota

Plan Name Type Premium MOOP Rx Deduct. Rating
AARP Medicare Advantage Headwaters (PPO) (2023)Local PPO$5,900$395
5
AARP Medicare Advantage Lakeshore (PPO) (2023)Local PPO$4,900$295
5
AARP Medicare Advantage Patriot (PPO) (2023)Local PPO *$6,700$-
5
Humana Gold Choice H8145-089 (PFFS) (2023)PFFS$-$415
4
AARP Medicare Advantage Premier (PPO) (2023)Local PPO$4,900$445
5
HealthPartners Freedom Ultimate (Cost) (2023)Cost *$3,000$-
Insufficient data to rate this plan.
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 H5216-092 (PPO) (2023)Local PPO$6,700$350
4
Allina Health Aetna Medicare Discover Plus (PPO) (2023)Local PPO$5,900$250
5
Allina Health Aetna Medicare Discover Premier (PPO) (2023)Local PPO$5,000$150
5
Allina Health Aetna Medicare Discover Grand (PPO) (2023)Local PPO$4,000$0
5
Allina Health Aetna Medicare Discover Elite (PPO) (2023)Local PPO$3,500$0
5
Allina Health Aetna Medicare Discover Value (PPO) (2023)Local PPO *$5,900$-
5
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
Humana Value Plus H5216-176 (PPO) (2023)Local PPO$6,700$230
4
Platinum Blue Core Plan (Cost) (2023)Cost *$6,000$-
5
UCare Value (HMO-POS) (2023)Local HMO *$3,400$-
5
Platinum Blue Choice Plan (Cost) (2023)Cost *$3,500$-
5
UCare Complete (HMO-POS) (2023)Local HMO$3,000$235
5
UCare Prime (HMO-POS) (2023)Local HMO$7,000$445
5
Platinum Blue Complete Plan (Cost) (2023)Cost *$2,700$-
5
Medica Prime Solution Thrift (Cost) (2023)Cost *$6,700$-
5
Platinum Blue Core Plan with Rx (Cost) (2023)Cost$6,000$445
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
Platinum Blue Complete Plan with Rx (Cost) (2023)Cost$2,700$445
5
Medica Prime Solution Enhanced (Cost) (2023)Cost *$3,000$-
5
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
UCare Value Plus (HMO-POS) (2023)Local HMO *$5,500$-
5
Medica Prime Solution Standard (Cost) (2023)Cost *$4,500$-
5
UCare Standard (HMO-POS) (2023)Local HMO$6,000$445
5
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
Medicare Advantage Plans by HealthPartners
HealthPartners Freedom Ultimate (Cost) (2023)Cost *$3,000$-
Insufficient data to rate this plan.
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.

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