5

5 out of 5 stars* for plan year 2024

Plan ID: H3312-048

What You Need to Know:

  • Aetna Medicare Value Plan (HMO) 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 $0, 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).
  • Aetna Medicare Value Plan (HMO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
  • This plan's Part D Initial Coverage Limit is $-10.

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

$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 $(10.2 $10.20 $0 $0 0.0
Gap Coverage: Yes
Benchmark: not below the regional benchmark
Type of Medicare Health: Enhanced Alternative
Health Plan Type: Local HMO
Similar Plan: H3312-062
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): $7,550
Annual Deductible: NULL
Annual Initial Coverage Limit ICL: $4,130
Number of Members enrolled in this plan in Chemung, New York: Plans Summary Star Rating: Customer Service Rating: Drug Cost Rating:
336 members 3 out of 5 Stars. 5 out of 5 Stars. 3 out of 5 Stars.
Plan Offers Mail Order: Yes
Plan Health Benefits
Total # of Formulary Drugs: 3,780 drugs
Number of Members Enrolled in this Plan in Chemung, New York: 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
$0.00 $-10.20 $10.20 $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)
337 $2.00 571 $5.00 915 $47.00 1247 $100.00 710 33%

Other Medicare Advantage Plans in Chemung, New York

Plan Name Type Premium MOOP Rx Deduct. Rating
UnitedHealthcare Medicare Advantage Patriot (Regional PPO (2023)Regional PPO *$6,700$-
5
MVP Medicare WellSelect Plus with Part D (PPO) (2023)Local PPO$6,500$0
4
UnitedHealthcare Medicare Advantage Choice Plan 3 (Region (2023)Regional PPO$6,700$275
5
MVP Medicare WellSelect with Part D (PPO) (2023)Local PPO$7,550$325
4
UnitedHealthcare Medicare Advantage Choice Plan 4 (Region (2023)Regional PPO$6,700$150
5
UnitedHealthcare Medicare Advantage Choice Plan 1 (Region (2023)Regional PPO$6,700$300
5
HumanaChoice H5970-015 (PPO) (2023)Local PPO$6,500$250
4
Humana Honor (PPO) (2023)Local PPO *$4,500$-
4
Fidelis Medicare Advantage Flex (HMO-POS) (2023)Local HMO$7,550$445
New plan - not yet rated.
HumanaChoice H5970-018 (PPO) (2023)Local PPO$7,550$310
4
Fidelis Medicare $0 Premium (HMO) (2023)Local HMO$7,550$0
New plan - not yet rated.
Aetna Medicare Credit Plan (PPO) (2023)Local PPO$7,550$250
5
Fidelis Medicare Advantage without Rx (HMO-POS) (2023)Local HMO *$7,550$-
New plan - not yet rated.
MVP SmartFund (MSA) (2023)MSA *$-$-
4
MVP Medicare Secure with Part D (HMO-POS) (2023)Local HMO$7,550$150
4
Aetna Medicare Eagle Plan (PPO) (2023)Local PPO *$7,550$-
5
WellCare Absolute (PPO) (2023)Local PPO$7,550$150
5
HumanaChoice H5970-001 (PPO) (2023)Local PPO$5,500$0
4
WellCare Today's Options Premier 300 (PFFS) (2023)PFFS *$-$-
5
Medicare BlueSecure (PPO) (2023)Local PPO$6,700$0
5
Aetna Medicare Premier Plan (PPO) (2023)Local PPO$7,550$200
5
Humana Gold Plus H3533-001 (HMO) (2023)Local HMO$7,200$350
4
Medicare BlueEnhanced (PPO) (2023)Local PPO$5,000$0
5
Medicare BlueClassic (PPO) (2023)Local PPO$7,200$0
5
WellCare Today's Options Advantage Plus 150A (PPO) (2023)Local PPO$3,400$0
5
WellCare Summit (PPO) (2023)Local PPO$6,700$445
5
MVP Medicare Preferred Gold without Part D (HMO-POS) (2023)Local HMO *$7,550$-
4
Medicare BlueBasic (PPO) (2023)Local PPO *$4,500$-
5
MVP Medicare Preferred Gold with Part D (HMO-POS) (2023)Local HMO$5,800$0
4
WellCare Today's Options Premier Plus 250A (PFFS) (2023)PFFS$-$0
5
Medicare BlueEssential (PPO) (2023)Local PPO$7,550$150
5
WellCare Today's Options Premier Plus 650B (PFFS) (2023)PFFS$-$0
5
WellCare Today's Options Advantage Plus 550B (PPO) (2023)Local PPO$6,700$0
5
MVP Medicare Secure Plus with Part D (HMO-POS) (2023)Local HMO$7,550$0
4
WellCare Today's Options Premier 200 (PFFS) (2023)PFFS *$-$-
5
Medicare Advantage Plans by Aetna Medicare
Aetna Medicare Credit Plan (PPO) (2023)Local PPO$7,550$250
5
Aetna Medicare Eagle Plan (PPO) (2023)Local PPO *$7,550$-
5
Aetna Medicare Premier Plan (PPO) (2023)Local PPO$7,550$200
5

Find Medicare Advantage Plans in New York