Upper Peninsula Health Plan Advantage (HMO-POS) in Gogebic, Michigan (2023)
Upper Peninsula Health Plan Advantage (HMO-POS) in Gogebic County, Michigan costs $114/mo. This affordable Regional PPO plan (H2161-002) is a top choice for those living in Gogebic County with a $0 prescription deductible and out-of-pocket limits at $7,550. Learn more about Medicare Part C by AARP in Gogebic County, Michigan below.
Read moreUPDATED: Sep 21, 2023
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UPDATED: Sep 21, 2023Fact Checked
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Plan ID: H2161-002
What You Need to Know:
- Upper Peninsula Health Plan Advantage (HMO-POS) 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 $114, 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 $7,550 per year (in-network).
- Upper Peninsula Health Plan Advantage (HMO-POS) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
- This plan's Part D Initial Coverage Limit is $40.
$114
Monthly Premium
| Medicare Plan Features | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Monthly Premium: | $114.00 | ||||||||
| Part C Premium: | $73.70 | ||||||||
| Monthly Premium: | Part C Premium: | Part D Drug Premium: | Part D Supplemental Premium: | Total Part D Premium: | Drug Deductible: | Tiers with No Deductible: | |||
| $114.00 | $73.70 | $40.30 | $0 | $40.30 | $0 | 0.0 | |||
| Gap Coverage: | No | ||||||||
| Benchmark: | not below the regional benchmark | ||||||||
| Type of Medicare Health: | Enhanced Alternative | ||||||||
| Health Plan Type: | Local HMO | ||||||||
| Similar Plan: | H2161-003 | ||||||||
| 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): | $7,550 | ||||||||
| Annual Deductible: | NULL | ||||||||
| Annual Initial Coverage Limit ICL: | $4,130 | ||||||||
| Number of Members enrolled in this plan in Gogebic, Michigan: | Plans Summary Star Rating: | Customer Service Rating: | Drug Cost Rating: | ||||||
| less than 10 members | Insufficient data to rate this plan. | Insufficient data to rate this plan. | 3 out of 5 Stars. | ||||||
| Plan Offers Mail Order: | Yes | ||||||||
| Plan Health Benefits | |||||||||
| Total # of Formulary Drugs: | 3,763 drugs | ||||||||
| Number of Members Enrolled in this Plan in Gogebic, Michigan: | NULL | ||||||||
| 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 | ||||||
| $73.70 | $40.30 | $0.00 | $114.00 | ||||||
| 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 | |||
| $83.90 | $32.80 | $106.50 | $25.30 | $99.00 | $17.70 | $91.40 | |||
| 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) |
| 222 | $0.00 | 1455 | $10.00 | 254 | $42.00 | 875 | $95.00 | 957 | 33% |
Other Medicare Advantage Plans in Gogebic, Michigan
| Plan Name | Type | Premium MOOP | Rx Deduct. | Rating |
|---|---|---|---|---|
| Humana Honor (PPO) (2023) | Local PPO * | $5,500 | $- | |
| HumanaChoice H8087-001 (PPO) (2023) | Local PPO | $5,900 | $75 | |
| Medicare Plus Blue PPO Vitality (PPO) (2023) | Local PPO | $5,000 | $100 | |
| Humana Value Plus H8087-002 (PPO) (2023) | Local PPO | $7,550 | $260 | |
| HumanaChoice R3887-001 (Regional PPO) (2023) | Regional PPO * | $5,500 | $- | |
| Medicare Plus Blue PPO Signature (PPO) (2023) | Local PPO | $4,700 | $0 | |
| Medicare Plus Blue PPO Assure (PPO) (2023) | Local PPO | $3,425 | $0 | |
| Upper Peninsula Health Plan Choice (HMO) (2023) | Local HMO | $7,550 | $285 | Insufficient data to rate this plan. |
| HumanaChoice R3887-002 (Regional PPO) (2023) | Regional PPO | $5,300 | $380 | |
| Medicare Plus Blue PPO Essential (PPO) (2023) | Local PPO | $6,000 | $100 | |
| Medicare Advantage Plans by Upper Peninsula Health Plan | ||||
| Upper Peninsula Health Plan Choice (HMO) (2023) | Local HMO | $7,550 | $285 | Insufficient data to rate this plan. |
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