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2016 Medicare Advantage Plans in New Haven County Connecticut

There are 16 Medicare Advantage Plans available in New Haven County CT from 5 health insurance providers and 3 Special Needs Plans available. 3 Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3400 and the highest out of pocket is $6700. The highest rated plan available in New Haven County received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars.

(Click the Plan Name for More Details)


Plan Name MonthlyPremium

C+D

Part D
Deductible
Type  Gap  Max Out of

Pocket

Overall Rating Formulary
Return to Counties In Connecticut
AARP MedicareComplete Choice (Regional PPO)
(R7444-001)
$50.00 $310.00 Regional PPO No $5,500 Browse
Formulary
Aetna Medicare Connect Plus (PPO)
(H5521-052)
$188.00 $0.00 Local PPO Yes $4,500 Browse
Formulary
Aetna Medicare Elite Plan (HMO)
(H5793-010)
$0.00 $0.00 Local HMO No $6,700 Browse
Formulary
Aetna Medicare Standard Plan (HMO)
(H5793-008)
$128.00 $0.00 Local HMO No $5,500 Browse
Formulary
Aetna Medicare Standard Plan (PPO)
(H5521-013)
$98.00 $0.00 Local PPO No $6,700 Browse
Formulary
Anthem MediBlue Plus (HMO)
(H5854-009)
$37.00 $240.00 Local HMO No $6,700 NABrowse
Formulary
ConnectiCare VIP Option 1 (HMO-POS)
(H3528-006)
$240.00 $0.00 Local HMO Yes $5,500 Browse
Formulary
ConnectiCare VIP Option 3 (HMO-POS)
(H3528-008)
$95.00 $0.00 Local HMO No $6,700 Browse
Formulary
ConnectiCare VIP Prime 1 (HMO)
(H3528-001)
$44.00 $0.00 Local HMO No $6,700 Browse
Formulary
ConnectiCare VIP Prime 3 (HMO)
(H3528-002)
$170.00 $0.00 Local HMO Yes $3,400 Browse
Formulary
ConnectiCare VIP Prime 4 (HMO)
(H3528-003)
$0.00 Local HMO * $6,000
UnitedHealthcare MedicareComplete Essential (HMO)
(H0755-032)
$0.00 Local HMO * $6,000
UnitedHealthcare MedicareComplete Plan 1 (HMO)
(H0755-030)
$99.00 $130.00 Local HMO No $3,400 Browse
Formulary
UnitedHealthcare MedicareComplete Plan 2 (HMO)
(H0755-031)
$29.00 $200.00 Local HMO No $6,000 Browse
Formulary
UnitedHealthcare MedicareComplete Plan 3 (HMO)
(H0755-033)
$0.00 $140.00 Local HMO No $6,700 Browse
Formulary
Wellcare Value (HMO)
(H0712-019)
$0.00 $0.00 Local

HMO

No $5,000 Browse
Formulary

* Plan Type Indicates plan does not offer Medicare Part D drug coverage.

Medicare Special Needs Plans in New Haven county Connecticut

Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your plan for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage plans; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative plans may offer additional gap coverage which is calculated as the percentage of “generic” formulary products with coverage above standard "generic" coverage gap cost-sharing benefit and/or the percentage of “brand” formulary products covered in addition to the coverage gap discount for applicable drugs.

  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

  • GAP

    In 2016 once you and your plan provider have spent $3310 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 45% of the plans cost for covered brand-name prescription drugs and 58% on generic drugs unless your plan offers additional coverage.

    Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable

    Source: CMS.

    Plans as of September 9, 2015.

    Plans are subject to change as contracts are finalized.

    Includes 2016 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded. For 2016, enhanced alternative plans may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.


    Category: Insurance plans

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