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Medicare Advantage Plans

Summit County - 2019

(Title:) Medicare Advantage managed-care plans in Summit County

(Intro to Graphic:) Summit County residents insured by Medicare can


choose one of these optional Medicare managed-care plans to help
cover medical costs and, in most cases, prescription drug costs. Plans
available vary from county to county. Call Medicare at 800-633-4227 or
visit www.medicare.gov for more information about what's available in
Summit or other counties. The cost to consumers can vary greatly
depending on drug costs, deductibles and monthly premiums, which
change yearly. Before picking a plan, consumers should also make sure
their physicians and hospitals are in network. Quality ratings are 1 to 5
stars, with 5 being the best.

Range of Copays
or Co-insurance
(per prescription
Annual at retail Quality
Plan Name Phone Number Monthly Premium Medical Maximum Out-of-Pocket/Year Deductible pharmacies) Rating

Drug
deductible Please
AARP Medicare Complete Plan I, HMO $170/Health $2-$95 make
(United Healthcare) 800-555-5757 $18 $3,600 In Network $0 29% **** 4 stars

AARP Medicare Complete Plan 3, HMO Drug $0-$95


(United Healthcare) 800-555-5757 $111 $3,200 In Network $0/Health $0 33% 4

Drug
AARP Medicare Complete Plan 7, HMO $225/Health $3-$100
(United Healthcare) 800-555-5757 $0 $4,500 In Network $0 28% 4

Drug
Aetna Medicare Choice, PPO $98 $4,100 In Network/$7,500 In & Out of $0/Health $2-100
833-859-6031 Network $1,000 33% 4

Drug
Aetna Medicare Ohio Connect Gold, PPO $204 $3,500 In Network/$7,500 In & Out of $0/Health $0-$100
833-859-6031 Network $250 33% 4

Aetna Medicare Ohio Gold Plan 2 PPO $190 $3,500 In Network/$7,500 In & Out of Drug $350/ $2-$100
833-859-6031 Network Health $250 26% 4

Drug
Aetna Medicare Standard, PPO $120 $4,750 In Network/$10,000 In & Out of $0/Health $2-100
833-859-6031 Network $1,500 33% 4

Drug
Aetna Medicare Value, HMO $95/Health $2-100
833-859-6031 $0 $3,600 In Network $0 31% 3.5

plan too
new to
Drug be
Allwell Medicare, HMO $125/Health $0-$90 measur
877-826-5518 $0 $4,900 In Network $0 30% ed

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Medicare Advantage Plans
Summit County - 2019

Range of Copays
or Co-insurance
(per prescription
Annual at retail Quality
Plan Name Phone Number Monthly Premium Medical Maximum Out-of-Pocket/Year Deductible pharmacies) Rating

Drug
Anthem MediBlue Access, PPO $6,200 In Network/$10,000 In & Out of $50/Health $0-$95
800-797-5940 $68 Network $1,000 32% 4

Drug
Anthem MediBlue Access Basic, PPO $6,000 In Network/$10,000 In & Out of $200/Health $0-$42
800-797-0560 $70 Network $1,000 29%-41% 3

Drug
Anthem MediBlue Access Plus, PPO $4,300 In Network/$10,000 In & Out of $40/Health $0-$95
800-797-5940 $87 Network $1,000 32% 4

Drug
Anthem MediBlue Essential, HMO $60/Health $0-$95
800-797-5957 $0 $4,900 In Network $0 31% 3.5

Drug
Anthem MediBlue Extra, HMO $6,700 In Network $415/Health $0-$95
800-797-5957 $32.90 $0 25% 3.5

Drug
Anthem MediBlue Plus, HMO $60/Health $0-$95
800-797-5957 $63 $4,100 In Network $0 31% 3.5

Anthem MediBlue Preferred, HMO Drug $0-$95


800-797-5957 $0 $4,900 In Network $0/Health $0 33% 3.5

Anthem MediBlue Prime Select, HMO Drug $0-$95


800-797-5957 $0 $4,900 In Network $0/Health $0 33% 3.5

CareSource Advantage, HMO Drug $4-$100


844-607-2830 $32.90 $4,600 In Network $0/Health $0 33% 2.5

CareSource Advantage Plus, HMO Drug $0-$100


844-607-2830 $67 $3,900 In Network $0/Health $0 33% 2.5

Drug
CareSource Advantage Zero Premium, HMO $250/Health $6-$100
844-607-2830 $0 $6,700 In Network $0 28% 2.5

Drug
Humana Choice, PPO $250/Health $7-$100
800-833-2364 $0 $6,700 In & Out of Network $0 28% 4

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Medicare Advantage Plans
Summit County - 2019

Range of Copays
or Co-insurance
(per prescription
Annual at retail Quality
Plan Name Phone Number Monthly Premium Medical Maximum Out-of-Pocket/Year Deductible pharmacies) Rating

Drug
Humana Choice, PPO $3,400 In Network/$5,100 In & Out of $125/Health $2-$100
800-833-2364 $15 Network $0 30% 4

Drug
Humana Choice, PPO $6,700 In Network/$10,000 In & Out of $250/Health $7-$100
800-833-2364 $75 Network $1,500 28% 4

Drug
Humana Choice, PPO $3,400 In Network/$3,400 In & Out $100/Health $1-$97
800-833-2364 $155 Network $225 31% 4

Drug
Humana Choice Regional, PPO $6,700 In Network/$10,000 In & Out of $395/Health $9-$100
800-833-2364 $100 Network $1,850 25% 3.5

Humana Cleveland Clinic Preferred, HMO Drug $0-$100


800-833-2364 $0 $3,200 In Network $0/Health $0 33% 4

Humana Gold Plus, HMO Drug $2-$100


800-833-2364 $0 $4,300 In Network $0/Health $0 33% 4

Drug
Humana Gold Plus, HMO $125/Health $1-$97
800-833-2364 $87 $3,900 In Network $100 30% 4

Drug
MedMutual Advantage Choice, HMO $55/Health $0-$42
866-406-8777 $38 $3,950 In Network $0 32%-50% 3.5

Drug
MedMutual Advantage Classic, HMO $160/Health $0-$42
866-406-8777 $0 $4,300 In Network $0 30%-50% 3.5

Drug
MedMutual Advantage Plus, HMO $55/Health $0-$42
866-406-8777 $99 $3,400 In Network $0 32%-50% 3.5

Drug
MedMutual Advantage Preferred, PPO $5,700 In Network/$10,000 In & Out of $55/Health $0-$42
866-406-8777 $74 Network $1,750 32%-50% 3.5

Drug
MedMutual Advantage Premium, PPO $3,400 In Network/$5,100 In & Out of $55/Health $0-$42
866-406-8777 $119 Network $1,250 32%-50% 3.5

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Medicare Advantage Plans
Summit County - 2019

Range of Copays
or Co-insurance
(per prescription
Annual at retail Quality
Plan Name Phone Number Monthly Premium Medical Maximum Out-of-Pocket/Year Deductible pharmacies) Rating

Drug
MedMutual Advantage Select, PPO $6,500 n Network/$10,000 In & Out of $160/Health $0-$42
866-406-8777 $38 Network $2,000 32%-50% 3.5

Meridian Care Essential, HMO Drug $0-$100


844-949-6227 $0 $4,400 In Network $0/Health $0 33% 3

Paramount Elite Enhanced, HMO Drug $0-$100


800-462-3589 $68 $3,400 In Network $0/Health $0 33% 4

Paramount Elite Prime, HMO Drug $0-$100


800-462-3589 $28 $4,400 In Network $0Health $0 33% 4

Paramount Elite Standard, HMO Drug $0-$100


800-462-3589 $0 $4,900 In Network $0/Health $0 33% 4

Drug
Prime Time Health Plan Aultimate, HMO-POS $200/Health $3-$95
855-877-1049 $0 $4,900 In Network $0 29% 4.5

Drug
Prime Time Health Plan Classic, HMO-POS $150/Health $2-$95
855-877-1049 $39 $4,200 In Network $0 30% 4.5

Drug
Prime Time Health Plan Plus, HMO-POS $100/Health $0-$95
855-877-1049 $89 $3,600 In Network $0 31% 4.5

SummaCare Emerald, HMO-POS Drug $0-$95


888-464-8440 $180 $3,400 In Network $0/Health $0 33% 4.5

SummaCare Ruby, HMO Drug $0-$100


888-464-8440 $43 $3,600 In Network $0/Health $0 33% 4.5

SummaCare Sapphire, HMO-POS Drug $0-$100


888-464-8440 $76 $3,600 In Network $0/Health $0 33% 4.5

Drug
SummaCare Topaz, HMO $150/Health $0-$100
888-464-8440 $0 $3,800 In Network $0 30% 4.5

Page 4 of 5
Medicare Advantage Plans
Summit County - 2019

Range of Copays
or Co-insurance
(per prescription
Annual at retail Quality
Plan Name Phone Number Monthly Premium Medical Maximum Out-of-Pocket/Year Deductible pharmacies) Rating

The Health Plan Drug


Secure Care Option II, HMO $100/Health $3-$85
877-847-7915 $46 $3,900 In Network $0 31% 3.5

The Health Plan Drug


Secure Care Option IV, HMO $200/Health $5-$85
877-847-7915 $0 $4,200 In Network $0 29% 3.5

The Health Plan Drug


Secure Choice Option II, PPO $66 $6,700 In Network/$10,000 Out of $100/Health $3-$85
877-847-7915 Network $500 31% 3

No drug
* Anthem MediBlue Access Core, PPO-POS $15 coverage/
800-797-0560 $5,400 In & Out of Network Health $250 N/A 3

No drug
coverage/
* Humana Choice, PPO $6,700 In Network/$10,000 Out of Health
800-833-2364 $0 Network $1,250 N/A 3.5

No drug
* The Health Plan SecureCare Option I, HMO coverage/
877-847-7915 $0 $3,900 In Network Health $0 N/A 3.5

No drug
* Paramount Elite Enhanced Medical Only, HMO coverage/
800-468-3589 $40 $3,400 In Network Health $0 N/A 4

No drug
* Prime Time Health Plan Basic, HMO-POS coverage/
855-877-1049 $0 $3,400 In Network Health $0 N/A 4.5

* These health plans do not include prescription drug coverage


SOURCE: Center for Medicare and Medicaid Services
Research by Akron Beacon Journal/Ohio.com medical reporter Betty Lin-Fisher

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