Humana Value Plus H5216-171 (PPO) in Cerro Gordo, Iowa (2023)
Humana Value Plus H5216-171 (PPO) in Cerro Gordo County, Iowa costs $27/mo. This affordable Regional PPO plan (H5216-171) is a top choice for those living in Cerro Gordo County with a $305 prescription deductible and out-of-pocket limits at $6,700. Learn more about Medicare Part C by AARP in Cerro Gordo County, Iowa below.
UPDATED: Sep 20, 2023
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4 out of 5 stars* for plan year 2024
Plan ID: H5216-171
What You Need to Know:
- Humana Value Plus H5216-171 (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 $28, which does not include your monthly Medicare Part B premium.
- The annual deductible for this health plan is $305 (Tier 1 excluded from the Deductible.).
- The plan includes an out-of-pocket maximum of $6,700 per year (in-network).
- Humana Value Plus H5216-171 (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $305 (Tier 1 excluded from the Deductible.).
- This plan's Part D Initial Coverage Limit is $28.
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$28
Monthly Premium
Medicare Plan Features | |||||||||
---|---|---|---|---|---|---|---|---|---|
Monthly Premium: | $27.80 | ||||||||
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: | |||
$27.80 | $0 | $27.80 | $0 | $27.80 | $305.0 | 1.0 | |||
Gap Coverage: | No | ||||||||
Benchmark: | below the regional benchmark | ||||||||
Type of Medicare Health: | Basic Alternative | ||||||||
Health Plan Type: | Local PPO | ||||||||
Similar Plan: | H5216-172 | ||||||||
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: | $305 (Tier 1 excluded from the Deductible.) | ||||||||
Annual Initial Coverage Limit ICL: | $4,130 | ||||||||
Number of Members enrolled in this plan in Cerro Gordo, Iowa: | Plans Summary Star Rating: | Customer Service Rating: | Drug Cost Rating: | ||||||
58 members | 4 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: | 3,457 drugs | ||||||||
Number of Members Enrolled in this Plan in Cerro Gordo, Iowa: | 2,634 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 | $27.80 | $0.00 | $27.80 | ||||||
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 | $20.80 | $20.80 | $13.90 | $13.90 | $6.90 | $6.90 | |||
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) |
306 | $4.00 | 599 | $15.00 | 783 | $47.00 | 1085 | $100.00 | 684 | 27% |
Other Medicare Advantage Plans in Cerro Gordo, Iowa
Plan Name | Type | Premium MOOP | Rx Deduct. | Rating |
---|---|---|---|---|
MediGold Essential Care (HMO) (2023) | Local HMO | $3,500 | $0 | |
MediGold True Advantage (HMO) (2023) | Local HMO | $3,200 | $0 | |
Humana Gold Plus H0028-011 (HMO) (2023) | Local HMO | $3,850 | $150 | |
AARP Medicare Advantage (HMO-POS) (2023) | Local HMO | $3,900 | $0 | |
AARP Medicare Advantage Choice (PPO) (2023) | Local PPO | $3,900 | $0 | |
MediGold Medical Only (HMO) (2023) | Local HMO * | $3,900 | $- | |
Humana Honor (PPO) (2023) | Local PPO * | $6,700 | $- | |
HumanaChoice H5216-014 (PPO) (2023) | Local PPO | $6,700 | $350 | |
HumanaChoice H5216-254 (PPO) (2023) | Local PPO | $4,050 | $250 | |
AARP Medicare Advantage Patriot (PPO) (2023) | Local PPO * | $6,700 | $- | |
AARP Medicare Advantage Plan 2 (HMO-POS) (2023) | Local HMO | $3,700 | $0 | |
MercyOne North Iowa Senior Plan (Cost) (2023) | Cost * | $- | $- | |
Medicare Advantage Plans by Humana | ||||
Humana Gold Plus H0028-011 (HMO) (2023) | Local HMO | $3,850 | $150 | |
Humana Honor (PPO) (2023) | Local PPO * | $6,700 | $- | |
HumanaChoice H5216-014 (PPO) (2023) | Local PPO | $6,700 | $350 | |
HumanaChoice H5216-254 (PPO) (2023) | Local PPO | $4,050 | $250 |
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