Petaluma, California Medicare Companies and Plans (2024)
Petaluma, California Medicare plans include Advantage plans from private health insurance companies, as well as standalone Part D prescription drug coverage. For those that prefer original Medicare coverage, Petaluma, CA supplemental plans are also available.
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Jeff Root
Licensed Insurance Agent
Jeff is a well-known speaker and expert in life insurance and financial planning. He has spoken at top insurance conferences around the U.S., including the InsuranceNewsNet Super Conference, the 8% Nation Insurance Wealth Conference, and the Digital Life Insurance Agent Mastermind. He has been featured and quoted in Nerdwallet, Bloomberg, Forbes, U.S. News & Money, USA Today, and other leading...
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UPDATED: Jan 8, 2024
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UPDATED: Jan 8, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider. Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- Medicare Advantage plans may include Petaluma, California prescription drug coverage, or you may need to buy Part D coverage separately
- Options for Medicare Supplement in Petaluma, California include Medigap Plan F-high deductible and Medigap Plan M
- You can buy Medicare Supplement coverage in Petaluma, California if you have original Medicare and want coverage for out-of-pocket costs
If you’re eligible for Medicare in Petaluma, California, you have a lot of choices. Major health insurance companies provide Petaluma, California Medicare Advantage plans with a variety of coverage options to choose from. You can choose a plan that includes Petaluma, CA Part D coverage, or buy prescription coverage as a standalone policy.
Petaluma, California Medicare Supplement plans are available from a number of companies if you choose to stick with original Medicare. These plans can pay for the out-of-pocket costs that Petaluma original Medicare plans don’t cover, like coinsurance and deductibles.
Ready to buy Petaluma, California Medicare coverage? Enter your ZIP code to compare Petaluma, CA Medicare options available to you right now.
Medicare Advantage Companies in Petaluma, California
Medicare Advantage in Petaluma, California is offered by some of the same local health insurance companies you may have been covered by before. Take a look at which companies in Petaluma, CA offer Medicare Advantage as well as which plans they offer to find the coverage and provider network that’s best for you.
Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
---|---|---|---|---|---|
AARP Medicare Advantage Choice (PPO) – H4829-002-0 | $45.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
AARP Medicare Advantage SecureHorizons (HMO) – H0543-148-0 | $49.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $4,900 |
Anthem MediBlue Access (PPO) – H8552-029-0 | $30.00 | $370 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 26%, Select Care Drugs: $0.00 | $6,700 |
Anthem MediBlue Dual Access (PPO D-SNP) – H8552-030-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $36.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | N/A |
Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO) – H0524-013-0 | $75.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $5,400 |
Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO) – H0524-051-0 | $15.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $6,700 |
My Choice (PPO) – H4961-003-0 | $97.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $5.00 | $4,200 |
SCAN Balance (HMO C-SNP) – H5425-054-0 | $38.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | N/A |
SCAN Classic (HMO) – H5425-052-0 | $34.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $3,400 |
SCAN Compass (HMO) – H5425-074-0 | $25.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $5,000 |
SCAN Heart First (HMO C-SNP) – H5425-053-0 | $38.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | N/A |
Senior Advantage Medicare Medi-Cal Plan North (HMO D-SNP) – H0524-030-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15%, Tier 6: 15% | N/A |
Sutter Advantage (HMO) – H3815-023-0 | $48.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $5.00 | $3,900 |
UnitedHealthcare Medicare Advantage Assure (HMO) – H0543-183-0 | $26.60 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | $7,550 |
Western Health Advantage MyCare (HMO) – H2782-002-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $40.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $7,000 |
Western Health Advantage MyCare Plus (HMO) – H2782-003-0 | $99.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $35.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $5,500 |
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Medicare Supplement Companies in Petaluma, California
Original Medicare leaves you with some out-of-pocket costs such as deductibles and coinsurance. With Petaluma, California Medicare Supplement plan, you can get coverage for some or all of those costs. Medicare Supplement plans in California are standardized, but companies can choose which plans they will sell. Take a look at which companies sell Medicare Supplement (Medigap) insurance and which plans they offer.
Company | Plans |
---|---|
AARP – UnitedHealthcare Insurance Company (Level 2) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Level 2/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
Accendo Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Anthem BlueCross – California | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Blue Shield of California Life & Health Insurance Company | Medigap Plan A, Medigap Plan G, Medigap Plan N |
Cigna Health & Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Cigna Health & Life Insurance Company (w/ 11% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Cigna Health & Life Insurance Company (w/ 6% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Combined Insurance Company of America | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Continental Life Insurance Company of Brentwood, Tennessee (Aetna) | Medigap Plan A, Medigap Plan B, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Everence Association Inc. | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Garden State Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan M, Medigap Plan N |
Globe Life and Accident Insurance Company (Direct to Consumer) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
Health Net Life Insurance Company (Not Los Angeles and San Diego) | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Humana (Humana Insurance Company) | Medigap Plan A, Medigap Plan A, Medigap Plan B, Medigap Plan B, Medigap Plan C, Medigap Plan C, Medigap Plan F, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan K, Medigap Plan L, Medigap Plan L, Medigap Plan N, Medigap Plan N |
Humana Achieve (Humana Benefit Plan of Illinois, Inc. dba Humana Benefit Insurance Plan of Illinois, Inc.) | Medigap Plan A, Medigap Plan A, Medigap Plan F, Medigap Plan F, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan N, Medigap Plan N |
Humana Achieve (Humana Benefit Plan of Illinois, Inc. dba Humana Benefit Insurance Plan of Illinois, Inc.) (Household) | Medigap Plan A, Medigap Plan A, Medigap Plan F, Medigap Plan F, Medigap Plan G, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan G-high deductible, Medigap Plan N, Medigap Plan N |
Independence American Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
National Guardian Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
National Health Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
National Health Insurance Company (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
Oxford Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
Sentinel Security Life Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan N |
State Farm Mutual Automobile Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
USAA Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
United American Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
United World Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
Anthem BlueCross – California (Innovative) | Medigap Plan F |
Blue Shield of California Life & Health Insurance Company (Plan F Extra) | Medigap Plan F |
Health Net Life Insurance Company (Innovative F/Not Los Angeles and San Diego) | Medigap Plan F |
Blue Shield of California Life & Health Insurance Company (Plan G Extra) | Medigap Plan G |
Blue Shield of California Life & Health Insurance Company (Plan G Inspire) | Medigap Plan G |
Health Net Life Insurance Company (Innovative G/Not Los Angeles and San Diego) | Medigap Plan G |
Petaluma, California Standard Medicare Plan Coverage
Wondering what’s covered by each of the standard California Medicare Supplement plans? Take a look at all of the Petaluma, California Medicare Supplement plans with coverage details.
Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
---|---|---|---|---|
Medigap Plan A | Premiums range from $97-$902 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan B | Premiums range from $151-$576 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan C | Premiums range from $178-$735 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan D | Premiums range from $128-$575 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan F | Premiums range from $177-$1,104 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan F-high deductible | Premiums range from $40-$208 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services after you pay $2,370 deductible. | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan G | Premiums range from $128-$961 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan G-high deductible | Premiums range from $37-$207 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services after you pay $2,370 deductible. | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
Medigap Plan K | Premiums range from $55-$307 depending on your age, sex, health status, and when you buy. | 10% is generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan L | Premiums range from $100-$447 depending on your age, sex, health status, and when you buy. | 5% is generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
Medigap Plan M | Premiums range from $177-$514 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Medigap Plan N | Premiums range from $98-$737 depending on your age, sex, health status, and when you buy. | $0 is generally your cost for approved Part B services with some $20 and $50 copays. | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
Standalone Medicare Part D Plans in Petaluma, California
Prescription drug coverage for Medicare in Petaluma, California is covered by a Part D plan. You can purchase Part D coverage in Petaluma, California as a standalone plan if it’s not included in your Medicare Advantage coverage. Take a look at the options for standalone Part D plans here.
Plan | Details | Tiers |
---|---|---|
SilverScript SmartRx (PDP) S5601 – 207 – 0 by Aetna Medicare |
Monthly Premium: $7.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 48% Tier 5: 25% |
Clear Spring Health Premier Rx (PDP) S6946 – 056 – 0 by Clear Spring Health |
Monthly Premium: $13.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 45% Tier 5: 25% |
Elixir RxPlus (PDP) S7694 – 137 – 0 by Elixir Insurance |
Monthly Premium: $15.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
WellCare Wellness Rx (PDP) S4802 – 201 – 0 by WellCare |
Monthly Premium: $15.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
Humana Walmart Value Rx Plan (PDP) S5884 – 211 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 17% Tier 4: 35% Tier 5: 25% |
WellCare Value Script (PDP) S4802 – 163 – 0 by WellCare |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
Cigna Secure-Essential Rx (PDP) S5617 – 311 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 43% Tier 5: 25% |
Mutual of Omaha Rx Premier (PDP) S7126 – 101 – 0 by Mutual of Omaha Rx |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 44% Tier 5: 25% |
Anthem Blue Cross MediBlue Rx Enhanced (PDP) S5596 – 076 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $26.10 Annual Deductible: $300 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 39% Tier 5: 26% |
Express Scripts Medicare – Saver (PDP) S5660 – 248 – 0 by Express Scripts Medicare |
Monthly Premium: $26.50 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
Cigna Secure Rx (PDP) S5617 – 158 – 0 by Cigna |
Monthly Premium: $27.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
WellCare Medicare Rx Select (PDP) S5810 – 295 – 0 by WellCare |
Monthly Premium: $28.30 Annual Deductible: $385 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 26% |
AARP MedicareRx Saver Plus (PDP) S5921 – 376 – 0 by UnitedHealthcare |
Monthly Premium: $29.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $25.00 Tier 4: 40% Tier 5: 25% |
Clear Spring Health Value Rx (PDP) S6946 – 027 – 0 by Clear Spring Health |
Monthly Premium: $29.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $42.00 Tier 4: 35% Tier 5: 25% |
SilverScript Choice (PDP) S5601 – 064 – 0 by Aetna Medicare |
Monthly Premium: $29.50 Annual Deductible: $250 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 39% Tier 5: 28% |
WellCare Classic (PDP) S4802 – 094 – 0 by WellCare |
Monthly Premium: $30.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 35% Tier 5: 25% |
Cigna Secure-Extra Rx (PDP) S5617 – 277 – 0 by Cigna |
Monthly Premium: $30.30 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 49% Tier 5: 31% |
Humana Basic Rx Plan (PDP) S5884 – 114 – 0 by Humana |
Monthly Premium: $30.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 32% Tier 5: 25% |
Elixir RxSecure (PDP) S7694 – 032 – 0 by Elixir Insurance |
Monthly Premium: $30.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 29% Tier 5: 25% |
WellCare Medicare Rx Saver (PDP) S5810 – 066 – 0 by WellCare |
Monthly Premium: $37.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $36.00 Tier 4: 39% Tier 5: 25% |
AARP MedicareRx Walgreens (PDP) S5921 – 413 – 0 by UnitedHealthcare |
Monthly Premium: $41.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
Blue Shield Rx Plus (PDP) S2468 – 003 – 0 by Blue Shield of California |
Monthly Premium: $59.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $6.00 Tier 3: $39.00 Tier 4: 41% Tier 5: 25% |
Express Scripts Medicare – Value (PDP) S5660 – 134 – 0 by Express Scripts Medicare |
Monthly Premium: $61.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
Humana Premier Rx Plan (PDP) S5884 – 178 – 0 by Humana |
Monthly Premium: $72.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
Anthem Blue Cross MediBlue Rx Plus (PDP) S5596 – 034 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $79.90 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 33% |
WellCare Medicare Rx Value Plus (PDP) S5768 – 155 – 0 by WellCare |
Monthly Premium: $81.00 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 44% Tier 5: 33% |
SilverScript Plus (PDP) S5601 – 065 – 0 by Aetna Medicare |
Monthly Premium: $81.60 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 45% Tier 5: 33% |
Anthem Blue Cross MediBlue Rx Standard (PDP) S5596 – 033 – 0 by Anthem Blue Cross MediBlue Rx (PDP) |
Monthly Premium: $84.20 Annual Deductible: $390 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $32.00 Tier 4: 27% Tier 5: 25% |
Express Scripts Medicare – Choice (PDP) S5660 – 202 – 0 by Express Scripts Medicare |
Monthly Premium: $84.90 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 49% Tier 5: 31% |
AARP MedicareRx Preferred (PDP) S5820 – 031 – 0 by UnitedHealthcare |
Monthly Premium: $99.30 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
Mutual of Omaha Rx Plus (PDP) S7126 – 031 – 0 by Mutual of Omaha Rx |
Monthly Premium: $100.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
Blue Shield Rx Enhanced (PDP) S2468 – 004 – 0 by Blue Shield of California |
Monthly Premium: $130.40 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 33% Tier 5: 33% |
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Jeff Root
Licensed Insurance Agent
Jeff is a well-known speaker and expert in life insurance and financial planning. He has spoken at top insurance conferences around the U.S., including the InsuranceNewsNet Super Conference, the 8% Nation Insurance Wealth Conference, and the Digital Life Insurance Agent Mastermind. He has been featured and quoted in Nerdwallet, Bloomberg, Forbes, U.S. News & Money, USA Today, and other leading...
Licensed Insurance Agent
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