4

4 out of 5 stars* for plan year 2024

Plan ID: H1608-027

What You Need to Know:

  • Aetna Medicare Advantra Gold (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 $55, which does not include your monthly Medicare Part B premium.
  • The annual deductible for this health plan is .
  • The plan includes an out-of-pocket maximum of $6,500 per year (in-network).
  • Aetna Medicare Advantra Gold (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
  • This plan's Part D Initial Coverage Limit is $2.

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

$55

Monthly Premium

Medicare Plan Features
Monthly Premium: $55.00
Part C Premium: $52.60
Monthly Premium: Part C Premium: Part D Drug Premium: Part D Supplemental Premium: Total Part D Premium: Drug Deductible: Tiers with No Deductible:
$55.00 $52.60 $2.40 $0 $2.40 $0 0.0
Gap Coverage: Yes
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local PPO
Similar Plan: H1608-028
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): $6,500
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Kanawha, West Virginia: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
1,318 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: 3,800 drugs
Number of Members Enrolled in this Plan in Kanawha, West Virginia: 4,967 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
$52.60 $2.40 $0.00 $55.00
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
$52.60 $1.80 $54.40 $1.20 $53.80 $0.60 $53.20
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)
369 $0.00 575 $0.00 902 $47.00 1243 $100.00 711 33%

Other Medicare Advantage Plans in Kanawha, West Virginia

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5
Humana Gold Choice H8145-055 (PFFS) (2023)PFFS *$-$-
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Freedom Blue PPO Distinct (PPO) (2023)Local PPO$7,550$0
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HumanaChoice H5216-021 (PPO) (2023)Local PPO$6,700$0
4
HumanaChoice H5216-182 (PPO) (2023)Local PPO$6,700$195
4
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)Local PPO$5,900$200
5
Aetna Medicare Advantra Value (PPO) (2023)Local PPO$7,550$0
4
The Health Plan SecureChoice Capitol Plan (PPO) (2023)Local PPO$6,700$100
5
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
HumanaChoice R0923-001 (Regional PPO) (2023)Regional PPO *$4,900$-
3
Humana Honor (PPO) (2023)Local PPO *$6,700$-
4
HumanaChoice H5216-105 (PPO) (2023)Local PPO *$4,500$-
4
Aetna Medicare Advantra Silver (HMO) (2023)Local HMO$7,550$0
5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)Local PPO$5,400$100
5
Humana Gold Plus H5619-113 (HMO) (2023)Local HMO$6,700$0
4
HumanaChoice H5216-124 (PPO) (2023)Local PPO$6,700$0
4
HumanaChoice R0923-002 (Regional PPO) (2023)Regional PPO$6,700$0
3
AARP Medicare Advantage Patriot (PPO) (2023)Local PPO *$5,400$-
5
AARP Medicare Advantage Choice Plan 3 (PPO) (2023)Local PPO$6,700$150
5
Aetna Medicare Advantra Elite (HMO) (2023)Local HMO$7,000$0
5
Humana Gold Choice H8145-021 (PFFS) (2023)PFFS$-$360
4
Humana Value Plus H5216-125 (PPO) (2023)Local PPO$7,550$445
4
The Health Plan SecureCare Capitol Plan (HMO) (2023)Local HMO$6,700$100
5
The Health Plan SecureCare Capitol Plan, MA Only (HMO) (2023)Local HMO *$6,700$-
5
Aetna Medicare Advantra Credit Value (PPO) (2023)Local PPO$7,550$195
4
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
Medicare Advantage Plans by Aetna Medicare
Aetna Medicare Advantra Value (PPO) (2023)Local PPO$7,550$0
4
Aetna Medicare Advantra Silver (HMO) (2023)Local HMO$7,550$0
5
Aetna Medicare Advantra Elite (HMO) (2023)Local HMO$7,000$0
5
Aetna Medicare Advantra Credit Value (PPO) (2023)Local PPO$7,550$195
4

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