5

5 out of 5 stars* for plan year 2024

Plan ID: H4213-016

What You Need to Know:

  • BlueMedicare Value (PFFS) is a Medicare Advantage Health Maintenance Organization PFFS * 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 $29, 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 $- per year (in-network).
  • BlueMedicare Value (PFFS) 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.

$29

Monthly Premium

Medicare Plan Features
Monthly Premium: $29.00
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:
$29.00 NULL NULL NULL NULL NULL NULL
Gap Coverage: NULL
Benchmark: NULL
Type of Medicare Health: NULL
Health Plan Type: PFFS *
Similar Plan: H4213-017
Special Needs Type: NULL
Chronic Condition: NULL
Additional Gap Coverage: NULL
Maximum Out-of-Pocket Limit for Parts A & B (Moop): $-
Annual Deductible: no drug coverage
Annual Initial Coverage Limit ICL: NULL
Number of Members enrolled in this plan in Ouachita, Arkansas: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
22 members 3 out of 5 Stars. 5 out of 5 Stars. 3 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 Ouachita, Arkansas: 1,674 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 Ouachita, Arkansas

Plan Name Type Premium MOOP Rx Deduct. Rating
AARP Medicare Advantage Patriot (HMO) (2023)Local HMO *$4,500$-
5
WellCare Patriot (HMO-POS) (2023)Local HMO *$4,500$-
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WellCare Dividend (HMO) (2023)Local HMO$6,700$0
4
Lasso Healthcare Growth Plus (MSA) (2023)MSA *$-$-
4
AARP Medicare Advantage Plan 1 (HMO) (2023)Local HMO$5,900$250
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AARP Medicare Advantage Plan 2 (HMO) (2023)Local HMO$4,500$0
5
Lasso Healthcare Growth (MSA) (2023)MSA *$-$-
4
BlueMedicare Value Choice (PPO) (2023)Local PPO$7,500$250
New plan - not yet rated.
WellCare Compass (HMO) (2023)Local HMO$3,450$445
4
BlueMedicare Premier Choice (PPO) (2023)Local PPO$7,500$195
New plan - not yet rated.
WellCare Preferred (HMO) (2023)Local HMO$6,000$0
4
BlueMedicare Preferred (PFFS) (2023)PFFS$-$420
5
HumanaChoice H9070-005 (PPO) (2023)Local PPO$6,700$0
5
Humana Value Plus H5619-109 (HMO) (2023)Local HMO$7,550$445
4
Humana Gold Plus H5619-122 (HMO) (2023)Local HMO$6,700$0
4
HumanaChoice R1532-001 (Regional PPO) (2023)Regional PPO *$3,900$-
4
HumanaChoice R1532-002 (Regional PPO) (2023)Regional PPO$6,700$400
4
UnitedHealthcare Medicare Advantage Choice Plan 2 (Region (2023)Regional PPO$6,700$295
5
UnitedHealthcare Medicare Advantage Choice Plan 3 (Region (2023)Regional PPO$6,700$245
5
Medicare Advantage Plans by Arkansas Blue Medicare
BlueMedicare Value Choice (PPO) (2023)Local PPO$7,500$250
New plan - not yet rated.
BlueMedicare Premier Choice (PPO) (2023)Local PPO$7,500$195
New plan - not yet rated.
BlueMedicare Preferred (PFFS) (2023)PFFS$-$420
5

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