Plan ID: H2577-017

What You Need to Know:

  • AARP Medicare Advantage Choice (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 $250 (Tier 1 and 2 excluded from the Deductible.).
  • The plan includes an out-of-pocket maximum of $6,700 per year (in-network).
  • AARP Medicare Advantage Choice (PPO) 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 PPO
Similar Plan: H2577-018
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 Durham, North Carolina: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
248 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: 3,668 drugs
Number of Members Enrolled in this Plan in Durham, North Carolina: 6,190 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)
303 $2.00 679 $10.00 870 $47.00 1015 $100.00 801 28%

Other Medicare Advantage Plans in Durham, North Carolina

Plan Name Type Premium MOOP Rx Deduct. Rating
Aetna Medicare Essential Plan (PPO) (2023)Local PPO$7,500$150
5
Blue Medicare Enhanced (HMO) (2023)Local HMO$3,900$0
5
Blue Medicare Medical Only (HMO) (2023)Local HMO *$4,400$-
5
AARP Medicare Advantage Plan 2 (HMO-POS) (2023)Local HMO$5,400$170
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HumanaChoice R1390-002 (Regional PPO) (2023)Regional PPO$7,550$360
4
Humana Gold Plus H6622-060 (HMO) (2023)Local HMO$4,200$0
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AARP Medicare Advantage Patriot (HMO-POS) (2023)Local HMO *$3,600$-
5
Aetna Medicare Eagle Plan (PPO) (2023)Local PPO *$6,500$-
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WellCare Premier (PPO) (2023)Local PPO$5,500$100
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WellCare Summit (PPO) (2023)Local PPO$6,000$445
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Blue Medicare Essential Plus (HMO) (2023)Local HMO$4,200$195
5
Experience Health Medicare Advantage (HMO) (2023)Local HMO$4,980$100
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Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
Aetna Medicare Value Plan (HMO) (2023)Local HMO$5,500$0
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WellCare Value (HMO) (2023)Local HMO$5,500$150
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AARP Medicare Advantage Plan 1 (HMO-POS) (2023)Local HMO$4,900$95
5
HumanaChoice H5525-035 (PPO) (2023)Local PPO$6,700$265
4
HumanaChoice H5216-211 (PPO) (2023)Local PPO$6,700$160
4
WellCare Absolute (PPO) (2023)Local PPO$7,550$200
New plan - not yet rated.
WellCare Patriot (PPO) (2023)Local PPO *$5,500$-
New plan - not yet rated.
Blue Medicare PPO Enhanced (PPO) (2023)Local PPO$5,900$0
4
Humana Honor R1390-003 (Regional PPO) (2023)Regional PPO *$6,700$-
4
HumanaChoice R1390-001 (Regional PPO) (2023)Regional PPO *$5,400$-
4
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
Medicare Advantage Plans by UnitedHealthcare
AARP Medicare Advantage Plan 2 (HMO-POS) (2023)Local HMO$5,400$170
5
AARP Medicare Advantage Patriot (HMO-POS) (2023)Local HMO *$3,600$-
5
AARP Medicare Advantage Plan 1 (HMO-POS) (2023)Local HMO$4,900$95
5

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