WellCare Value (HMO) in Sumter, Alabama (2023)
WellCare Value (HMO) in Sumter County, Alabama costs $0/mo. This affordable Regional PPO plan (H6975-001) is a top choice for those living in Sumter County with a $250 prescription deductible and out-of-pocket limits at $6,700. Learn more about Medicare Part C by AARP in Sumter County, Alabama below.
UPDATED: Sep 18, 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 18, 2023Fact Checked
Free Medicare Insurance Comparison
Compare Quotes From Top Companies and Save
Secured with SHA-256 Encryption
Plan ID: H6975-001
What You Need to Know:
- WellCare Value (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 $250 (Tier 1 and 2 excluded from the Deductible.).
- The plan includes an out-of-pocket maximum of $6,700 per year (in-network).
- WellCare Value (HMO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $250 (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 | $250.0 | 1.0 | |||
| Gap Coverage: | No | ||||||||
| Benchmark: | not below the regional benchmark | ||||||||
| Type of Medicare Health: | Enhanced Alternative | ||||||||
| Health Plan Type: | Local HMO | ||||||||
| Similar Plan: | H6975-003 | ||||||||
| 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: | $250 (Tier 1 and 2 excluded from the Deductible.) | ||||||||
| Annual Initial Coverage Limit ICL: | $4,130 | ||||||||
| Number of Members enrolled in this plan in Sumter, Alabama: | Plans Summary Star Rating: | Customer Service Rating: | Drug Cost Rating: | ||||||
| 39 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: | 3,390 drugs | ||||||||
| Number of Members Enrolled in this Plan in Sumter, Alabama: | 39 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) |
| 405 | $0.00 | 433 | $10.00 | 987 | $47.00 | 893 | $99.00 | 672 | 28% |
Other Medicare Advantage Plans in Sumter, Alabama
| Plan Name | Type | Premium MOOP | Rx Deduct. | Rating |
|---|---|---|---|---|
| Blue Advantage Complete (PPO) (2023) | Local PPO | $5,100 | $150 | |
| Blue Advantage Premier (PPO) (2023) | Local PPO | $3,400 | $0 | |
| WellCare Absolute (PPO) (2023) | Local PPO | $7,350 | $100 | New plan - not yet rated. |
| WellCare Premier (PPO) (2023) | Local PPO | $5,500 | $0 | New plan - not yet rated. |
| Lasso Healthcare Growth (MSA) (2023) | MSA * | $- | $- | |
| Lasso Healthcare Growth Plus (MSA) (2023) | MSA * | $- | $- | |
| HumanaChoice H5216-179 (PPO) (2023) | Local PPO | $6,700 | $360 | |
| HumanaChoice H5216-214 (PPO) (2023) | Local PPO | $6,700 | $150 | |
| Humana Honor (PPO) (2023) | Local PPO * | $3,400 | $- | |
| WellCare Compass (HMO) (2023) | Local HMO | $4,500 | $445 | New plan - not yet rated. |
| WellCare Essential (HMO) (2023) | Local HMO | $4,900 | $0 | New plan - not yet rated. |
| HumanaChoice R7315-001 (Regional PPO) (2023) | Regional PPO * | $3,400 | $- | |
| HumanaChoice R7315-002 (Regional PPO) (2023) | Regional PPO | $6,700 | $400 | |
| Medicare Advantage Plans by WellCare | ||||
| WellCare Absolute (PPO) (2023) | Local PPO | $7,350 | $100 | New plan - not yet rated. |
| WellCare Premier (PPO) (2023) | Local PPO | $5,500 | $0 | New plan - not yet rated. |
| WellCare Compass (HMO) (2023) | Local HMO | $4,500 | $445 | New plan - not yet rated. |
| WellCare Essential (HMO) (2023) | Local HMO | $4,900 | $0 | New plan - not yet rated. |
Find Medicare Advantage Plans in Alabama
- Autauga
- Baldwin
- Barbour
- Bibb
- Blount
- Bullock
- Butler
- Calhoun
- Chambers
- Cherokee
- Chilton
- Choctaw
- Clarke
- Clay
- Cleburne
- Coffee
- Colbert
- Conecuh
- Coosa
- Covington
- Crenshaw
- Cullman
- Dale
- Dallas
- DeKalb
- Elmore
- Escambia
- Etowah
- Fayette
- Franklin
- Geneva
- Greene
- Hale
- Henry
- Houston
- Jackson
- Jefferson
- Lamar
- Lauderdale
- Lawrence
- Lee
- Limestone
- Lowndes
- Macon
- Madison
- Marengo
- Marion
- Marshall
- Mobile
- Monroe
- Montgomery
- Morgan
- Perry
- Pickens
- Pike
- Randolph
- Russell
- Shelby
- Sumter
- Talladega
- Tallapoosa
- Tuscaloosa
- Walker
- Washington
- Wilcox
- Winston