4

4 out of 5 stars* for plan year 2024

Plan ID: H9834-004

What You Need to Know:

  • Gundersen MN Quartz Med Advantage 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 $20, 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 $3,450 per year (in-network).
  • Gundersen MN Quartz Med Advantage Value (HMO) 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 .

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

$20

Monthly Premium

Medicare Plan Features
Monthly Premium: $20.00
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:
$20.00 NULL NULL NULL NULL NULL NULL
Gap Coverage: NULL
Benchmark: NULL
Type of Medicare Health: NULL
Health Plan Type: Local HMO *
Similar Plan: H9834-005
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: NULL
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $3,450
Annual Deductible: no drug coverage
Annual Initial Coverage Limit ICL: NULL
Number of Members enrolled in this plan in Fillmore, Minnesota: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
18 members 5 out of 5 Stars. This plan qualifies for the 5-star rating Special Enrollment period. Read more. 4 out of 5 Stars. 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 Fillmore, Minnesota: 141 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 Fillmore, Minnesota

Plan Name Type Premium MOOP Rx Deduct. Rating
Humana Gold Choice H8145-089 (PFFS) (2023)PFFS$-$415
4
Medica Advantage Solution H8889-004 (PPO) (2023)Local PPO$7,550$445
5
Gundersen MN Quartz Med Advantage Elite (HMO) (2023)Local HMO *$3,000$-
4
Blue Cross Medicare Advantage Choice MA Only (PPO) (2023)Local PPO *$4,900$-
5
Blue Cross Medicare Advantage Choice (PPO) (2023)Local PPO$3,100$300
5
HumanaChoice H5216-092 (PPO) (2023)Local PPO$6,700$350
4
Blue Cross Medicare Advantage Complete (PPO) (2023)Local PPO$2,700$0
5
Blue Cross Medicare Advantage Core (PPO) (2023)Local PPO$6,700$445
5
HumanaChoice H5216-080 (PPO) (2023)Local PPO$5,900$350
4
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
UCare Value Plus (HMO-POS) (2023)Local HMO *$5,500$-
5
UCare Complete (HMO-POS) (2023)Local HMO$3,000$235
5
UCare Value (HMO-POS) (2023)Local HMO *$3,400$-
5
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
UCare Prime (HMO-POS) (2023)Local HMO$7,000$445
5
UCare Classic (HMO-POS) (2023)Local HMO$3,000$225
5
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
UCare Standard (HMO-POS) (2023)Local HMO$6,000$445
5
Medicare Advantage Plans by Quartz Medicare Advantage
Gundersen MN Quartz Med Advantage Elite (HMO) (2023)Local HMO *$3,000$-
4

Find Medicare Advantage Plans in Minnesota