4

4 out of 5 stars* for plan year 2024

Plan ID: H5434-030

What You Need to Know:

  • BlueMedicare Value (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 $150 (Tier 1 and 2 excluded from the Deductible.).
  • The plan includes an out-of-pocket maximum of $4,900 per year (in-network).
  • BlueMedicare Value (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $150 (Tier 1 and 2 excluded from the Deductible.).
  • This plan's Part D Initial Coverage Limit is $0.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.

$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 $150.0 1.0
Gap Coverage: Yes
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local PPO
Similar Plan: H5434-031
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: Yes, some additional gap coverage.
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $4,900
Annual Deductible: $150 (Tier 1 and 2 excluded from the Deductible.)
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Charlotte, Florida: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
667 members 3.5 out of 5 Stars. 4 out of 5 Stars. 4 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 2,798 drugs
Number of Members Enrolled in this Plan in Charlotte, Florida: NULL
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)
68 $0.00 565 $8.00 692 $47.00 667 $100.00 666 30%

Other Medicare Advantage Plans in Charlotte, Florida

Plan Name Type Premium MOOP Rx Deduct. Rating
Aetna Medicare Value (HMO) (2023)Local HMO$6,700$0
5
Aetna Medicare Select (HMO) (2023)Local HMO$6,700$0
5
Aetna Medicare Choice (HMO-POS) (2023)Local HMO$6,700$195
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BlueMedicare Choice (Regional PPO) (2023)Regional PPO$6,500$250
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HumanaChoice Florida H5216-072 (PPO) (2023)Local PPO$4,900$150
4
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
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AARP Medicare Advantage Choice Plan 2 (Regional PPO) (2023)Regional PPO$6,700$395
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WellCare Prime (PPO) (2023)Local PPO$1,700$0
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Humana Gold Plus H1036-217 (HMO) (2023)Local HMO$3,900$0
4
AARP Medicare Advantage Choice (PPO) (2023)Local PPO$4,900$150
5
HumanaChoice Florida H7284-002 (PPO) (2023)Local PPO$3,400$0
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Aetna Medicare Eagle (PPO) (2023)Local PPO *$5,000$-
5
Humana Gold Plus H1036-278 (HMO) (2023)Local HMO$5,000$0
4
Humana Gold Choice H8145-061 (PFFS) (2023)PFFS$-$200
4
AARP Medicare Advantage Patriot (Regional PPO) (2023)Regional PPO *$6,700$-
5
AARP Medicare Advantage (HMO-POS) (2023)Local HMO$4,900$0
5
Humana Honor (HMO) (2023)Local HMO *$6,700$-
4
HumanaChoice R5826-005 (Regional PPO) (2023)Regional PPO$6,700$100
4
WellCare Dividend Prime (HMO) (2023)Local HMO$3,400$0
4
WellCare Elite (HMO) (2023)Local HMO$2,900$0
4
AARP Medicare Advantage Plan 2 (HMO) (2023)Local HMO$2,900$0
5
HumanaChoice R5826-074 (Regional PPO) (2023)Regional PPO$7,550$395
4
Aetna Medicare Premier (PPO) (2023)Local PPO$6,700$300
5
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
HumanaChoice R5826-018 (Regional PPO) (2023)Regional PPO *$7,550$-
4
BlueMedicare Classic (HMO) (2023)Local HMO$4,900$0
4
Aetna Medicare Premier Plus (PPO) (2023)Local PPO$4,900$150
5
BlueMedicare Select (PPO) (2023)Local PPO$5,900$305
4
WellCare Premier (PPO) (2023)Local PPO$3,400$100
New plan - not yet rated.
Medicare Advantage Plans by Florida Blue
BlueMedicare Choice (Regional PPO) (2023)Regional PPO$6,500$250
4
BlueMedicare Select (PPO) (2023)Local PPO$5,900$305
4

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