Plans for Ohio
| Company | Plan name | Total monthly premium | Maximum Annual Payment | Hearing Exam Coverage | Hearing Aid Coverage |
|---|---|---|---|---|---|
| Aetna Medicare | Aetna Medicare Premier (HMO) | $0 | $5,900 In-network | $35 copay | $0 copay |
| Aetna Medicare | Aetna Medicare Premier (HMO) | $0 | $6,100 In-network | $35 copay | $0 copay |
| Aetna Medicare | Aetna Medicare Premier (HMO) | $0 | $5,900 In-network | $30 copay | $0 copay |
| Aetna Medicare | Aetna Medicare Eagle (HMO) | $0 | $7,550 In-network | $35 copay | $0 copay |
| Aetna Medicare | Aetna Medicare Eagle (HMO) | $0 | $7,550 In-network | $35 copay | $0 copay |
| Aetna Medicare | Aetna Medicare Premier (HMO) | $0 | $6,120 In-network | $45 copay | $0 copay |
| Cigna | Cigna Preferred Medicare (HMO) | $0 | $4,900 In-network | $0-25 copay | |
| Allwell | Allwell Medicare (HMO) | $0 | $4,700 In-network | $35 copay | $0-1,580 copay |
| Allwell | Allwell Medicare Essentials (HMO) | $0 | $3,450 In-network | $35 copay | |
| Allwell | Allwell Medicare Complement (HMO) | $9 | $3,450 In-network | $35 copay | $0-1,580 copay |
| Allwell | Allwell Medicare Boost (HMO) | $0 | $7,550 In-network | $40 copay | $0-1,580 copay |
| Bright Health | Bright Advantage (HMO) | $0 | $5,500 In-network | $0 copay | |
| Bright Health | Bright Advantage Plus (HMO) | $33 | $3,800 In-network | $0 copay | |
| Bright Health | Bright Advantage University Hospitals (HMO) | $0 | $3,900 In-network | $0 copay | $0 copay |
| Bright Health | Bright Advantage (HMO) | $0 | $4,750 In-network | $0 copay | $0 copay |
| Health Alliance Medicare | Reid Health Alliance Medicare HMO Rx Plus (HMO) | $91 | $6,000 In-network | $40 copay | $699-999 copay |
| Health Alliance Medicare | Reid Health Alliance Medicare HMO Rx (HMO) | $51 | $6,700 In-network | $45 copay | $699-999 copay |
| Health Alliance Medicare | Reid Health Alliance Medicare HMO (HMO) | $0 | $6,700 In-network | $45 copay | $699-999 copay |
| Health Alliance Medicare | Reid Health Alliance Medicare HMO Basic Rx 2 (HMO) | $0 | $6,800 In-network | $40 copay | $699-999 copay |
| Aetna Medicare | Aetna Medicare Advantra Silver (PPO) | $0 | $11,300 In and Out-of-network $5,900 In-network | $30 copay 50% coinsurance | $0 copay $0 copay |
| MediGold | MediGold Flexible Choice (PPO) | $57 | $10,000 In and Out-of-network $5,000 In-network | $45 copay $60 copay | $699-999 copay $699-999 copay |
| Lasso Healthcare | Lasso Healthcare Growth (MSA) | $0 | Not Applicable | $0 copay after you pay your deductible | |
| Lasso Healthcare | Lasso Healthcare Growth Plus (MSA) | $0 | Not Applicable | $0 copay after you pay your deductible | |
| MediGold | MediGold Southeast OH Classic Preferred (HMO) | $140 | $4,200 In-network | $45 copay | $499-799 copay |
| Humana | Humana Gold Plus H6622-022 (HMO) | $0 | $4,900 In-network | $40 copay | $699-999 copay |
| SummaCare Medicare Advantage Plans | SummaCare Medicare Amber (HMO) | $0 | $3,450 In-network | $0-20 copay | $795 copay |
| UPMC for Life | UPMC for Life HMO Rx (HMO) | $81 | $7,550 In-network | $35 copay | |
| MediGold | MediGold Medical Only (HMO) | $55 | $3,900 In-network | $30 copay | $699-999 copay |
| CareSource | CareSource Advantage Zero Premium (HMO) | $0 | $7,550 In-network | $50 copay | $699-999 copay |
| MediGold | MediGold Southwest OH Essential Care (HMO) | $0 | $4,900 In-network | $40 copay | $699-999 copay |
| The Health Plan | The Health Plan SecureCare - Option II (HMO) | $35 | $3,900 In-network | $45 copay | |
| Medical Mutual of Ohio | MedMutual Advantage Plus (HMO) | $132 | $3,450 In-network | $0 copay | $699-999 copay |
| Humana | Humana Gold Plus H6622-011 (HMO) | $46 | $6,700 In-network | $50 copay | $699-999 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Access Basic (Regional PPO) | $83 | $10,000 In and Out-of-network $6,000 In-network | $40 copay $60 copay | $0 copay $0 copay |
| Bright Health | Bright Advantage Choice Plus (PPO) | $49 | $8,000 In and Out-of-network $4,000 In-network | $0 copay 25% coinsurance | |
| SummaCare Medicare Advantage Plans | SummaCare Medicare Emerald (HMO-POS) | $180 | $3,400 In-network | $0 copay $40 copay | $795 copay |
| SummaCare Medicare Advantage Plans | SummaCare Medicare Garnet (HMO) | $29 | $3,800 In-network | $0-15 copay | $795 copay |
| Paramount Elite/Medicare Plans | Paramount Elite - Enhanced Medical Only (HMO) | $20 | $3,400 In-network | $40 copay | $699-999 copay |
| Medical Mutual of Ohio | MedMutual Advantage Plus (HMO) | $95 | $3,450 In-network | $0 copay | $699-999 copay |
| Cigna | Cigna True Choice Medicare (PPO) | $0 | $7,500 In and Out-of-network $5,500 In-network | $0-25 copay $30 copay | |
| SummaCare Medicare Advantage Plans | SummaCare Medicare Sapphire (HMO-POS) | $76 | $3,600 In-network | $0-15 copay $55 copay | $795 copay |
| Medical Mutual of Ohio | MedMutual Advantage Preferred (PPO) | $74 | $11,300 In and Out-of-network $5,700 In-network | $0 copay 30% coinsurance | $699-999 copay $699-999 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Access (PPO) | $65 | $10,000 In and Out-of-network $4,900 In-network | $30 copay $60 copay | $0 copay $0 copay |
| Bright Health | Bright Advantage University Hospitals Choice Plus (PPO) | $34 | $10,000 In and Out-of-network $5,000 In-network | $0 copay 25% coinsurance | $0 copay $0 copay or 25% coinsurance |
| Medical Mutual of Ohio | MedMutual Advantage Preferred (PPO) | $146 | $11,300 In and Out-of-network $6,400 In-network | $0 copay 30% coinsurance | $699-999 copay $699-999 copay |
| WellCare | WellCare Essential (HMO-POS) | $0 | $3,450 In-network | $35 copay 40% coinsurance | $0 copay |
| Paramount Elite/Medicare Plans | Paramount Elite - Prime Medical & Drug (HMO) | $28 | $4,400 In-network | $35 copay | $699-999 copay |
| Bright Health | Bright Advantage Choice (PPO) | $0 | $10,000 In and Out-of-network $5,000 In-network | $0 copay 30% coinsurance | |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Plus (HMO) | $55 | $4,100 In-network | $35 copay | $0 copay |
| Paramount Elite/Medicare Plans | Paramount Elite - Preferred PPO (PPO) | $65 | $10,000 In and Out-of-network $6,000 In-network | $40 copay 10% coinsurance | $699-999 copay $699-999 copay |
| Humana | Humana Value Plus H5525-041 (PPO) | $20 | $10,000 In and Out-of-network $7,550 In-network | 20% coinsurance 20% coinsurance | $0 copay $0 copay |
| Aetna Medicare | Aetna Medicare Value Plan (HMO) | $0 | $7,550 In-network | $45 copay | $0 copay |
| Medical Mutual of Ohio | MedMutual Advantage Choice (HMO) | $94 | $4,500 In-network | $0 copay | $699-999 copay |
| Humana | Humana Gold Plus H6622-013 (HMO) | $0 | $4,900 In-network | $40 copay | $699-999 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Extra (HMO) | $25 | $7,550 In-network | $40 copay | $0 copay |
| Medical Mutual of Ohio | MedMutual Advantage Select (PPO) | $38 | $11,300 In and Out-of-network $5,900 In-network | $0 copay 30% coinsurance | $699-999 copay $699-999 copay |
| Bright Health | Bright Advantage Flex Choice (PPO) | $0 | $10,000 In and Out-of-network $6,700 In-network | $0 copay 35% coinsurance | $0 copay $0 copay or 35% coinsurance |
| Medical Mutual of Ohio | MedMutual Advantage Plus (HMO) | $95 | $3,450 In-network | $0 copay | $699-999 copay |
| The Health Plan | The Health Plan SecureCare - Option II (HMO) | $65 | $6,700 In-network | $45 copay | |
| CareSource | CareSource Advantage (HMO) | $21 | $5,600 In-network | $45 copay | $499-799 copay |
| WellCare | WellCare Dividend (HMO) | $0 | $3,450 In-network | 20% coinsurance | |
| Paramount Elite/Medicare Plans | Paramount Elite - Standard Medical & Drug (HMO) | $0 | $4,900 In-network | $40 copay | $699-999 copay |
| Humana | HumanaChoice R5495-001 (Regional PPO) | $0 | $10,000 In and Out-of-network $7,550 In-network | $50 copay 30% coinsurance | $699-999 copay $699-999 copay |
| Bright Health | Bright Advantage Choice (PPO) | $0 | $10,000 In and Out-of-network $5,000 In-network | $0 copay 30% coinsurance | |
| SummaCare Medicare Advantage Plans | SummaCare Medicare Ruby (HMO) | $43 | $3,600 In-network | $0-15 copay | $795 copay |
| UnitedHealthcare | AARP Medicare Advantage Plan 7 (HMO) | $0 | $4,500 In-network | $0 copay | $375-2,075 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Access (PPO) | $56 | $10,000 In and Out-of-network $5,500 In-network | $40 copay $60 copay | $0 copay $0 copay |
| Aetna Medicare | Aetna Medicare Premier 1 (PPO) | $140 | $11,300 In and Out-of-network $6,100 In-network | $30 copay 50% coinsurance | $0 copay $0 copay |
| Medical Mutual of Ohio | MedMutual Advantage Classic (HMO) | $0 | $4,500 In-network | $0 copay | $699-999 copay |
| Humana | HumanaChoice H5216-024 (PPO) | $75 | $10,000 In and Out-of-network $6,700 In-network | $50 copay 30% coinsurance | $699-999 copay $699-999 copay |
| Humana | HumanaChoice R5495-002 (Regional PPO) | $99 | $10,000 In and Out-of-network $6,700 In-network | $50 copay 30% coinsurance | |
| Medical Mutual of Ohio | MedMutual Advantage Select (PPO) | $98 | $11,300 In and Out-of-network $6,900 In-network | $0 copay 30% coinsurance | $699-999 copay $699-999 copay |
| Aetna Medicare | Aetna Medicare Value Plan (PPO) | $0 | $11,300 In and Out-of-network $5,900 In-network | $40 copay 50% coinsurance | $0 copay $0 copay |
| Medical Mutual of Ohio | MedMutual Advantage Premium (PPO) | $198 | $5,150 In and Out-of-network $3,450 In-network | $0 copay 30% coinsurance | $699-999 copay $699-999 copay |
| MediGold | MediGold True Advantage (HMO) | $49 | $4,500 In-network | $35 copay | $699-999 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Access Plus (PPO) | $89 | $10,000 In and Out-of-network $4,300 In-network | $30 copay $50 copay | $0 copay $0 copay |
| UPMC for Life | UPMC for Life HMO Deductible with Rx (HMO) | $22 | $7,550 In-network | $35 copay | $0 copay |
| Medical Mutual of Ohio | MedMutual Advantage Select (PPO) | $44 | $11,300 In and Out-of-network $6,400 In-network | $0 copay 30% coinsurance | $699-999 copay $699-999 copay |
| Devoted Health | Devoted Health Core (HMO) | $0 | $4,500 In-network | $35 copay | $399-699 copay |
| Humana | Humana Cleveland Clinic Preferred (HMO) | $0 | $3,900 In-network | $25 copay | $199-499 copay |
| UnitedHealthcare | AARP Medicare Advantage Plan 5 (HMO) | $0 | $4,900 In-network | $0 copay | $375-2,075 copay |
| MediGold | MediGold Southwest OH Classic Preferred (HMO) | $120 | $3,900 In-network | $30 copay | $499-799 copay |
| UnitedHealthcare | AARP Medicare Advantage Walgreens (PPO) | $0 | $10,000 In and Out-of-network $5,100 In-network | $0 copay $60 copay | |
| Humana | HumanaChoice H5216-106 (PPO) | $15 | $5,100 In and Out-of-network $3,900 In-network | $40 copay 50% coinsurance | $699-999 copay $699-999 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Preferred (HMO) | $0 | $4,200 In-network | $35 copay | $0 copay |
| Aetna Medicare | Aetna Medicare Value Plan (PPO) | $0 | $11,300 In and Out-of-network $6,000 In-network | $45 copay 50% coinsurance | $0 copay $0 copay |
| Medical Mutual of Ohio | MedMutual Advantage Signature (HMO) | $0 | $4,400 In-network | $0 copay | $699-999 copay |
| Medical Mutual of Ohio | MedMutual Advantage Classic (HMO) | $0 | $4,900 In-network | $0 copay | $699-999 copay |
| MediGold | MediGold Essential Care (HMO) | $0 | $4,900 In-network | $35 copay | $699-999 copay |
| Medical Mutual of Ohio | MedMutual Advantage Secure (HMO) | $28 | $3,900 In-network | $0 copay | $699-999 copay |
| Medical Mutual of Ohio | MedMutual Advantage Preferred (PPO) | $75 | $11,300 In and Out-of-network $5,900 In-network | $0 copay 30% coinsurance | $699-999 copay $699-999 copay |
| CareSource | CareSource Advantage (HMO) | $26 | $7,550 In-network | $45 copay | $499-799 copay |
| UnitedHealthcare | AARP Medicare Advantage Choice (PPO) | $19 | $10,000 In and Out-of-network $3,900 In-network | $0 copay $60 copay | $375-2,075 copay $375 copay |
| Medical Mutual of Ohio | MedMutual Advantage Choice (HMO) | $34 | $4,000 In-network | $0 copay | $699-999 copay |
| Aetna Medicare | Aetna Medicare Value Plan (PPO) | $0 | $11,300 In and Out-of-network $6,100 In-network | $45 copay 50% coinsurance | $0 copay $0 copay |
| The Health Plan | The Health Plan SecureChoice - Option II (PPO) | $112 | $10,000 In and Out-of-network $6,700 In-network | $45 copay $60 copay | |
| Humana | Humana Gold Plus H6622-069 (HMO) | $20 | $4,500 In-network | $30 copay | $699-999 copay |
| UnitedHealthcare | AARP Medicare Advantage Plan 1 (HMO) | $21 | $3,900 In-network | $0 copay | $375-2,075 copay |
| WellCare | WellCare Essential (HMO-POS) | $0 | $3,450 In-network | $25 copay 30% coinsurance | $0 copay |
| UPMC for Life | UPMC for Life HMO Rx Choice (HMO) | $40 | $7,550 In-network | $35 copay | $0 copay |
| CareSource | CareSource Advantage (HMO) | $46 | $7,550 In-network | $45 copay | $499-799 copay |
| Humana | Humana Gold Choice H8145-032 (PFFS) | $82 | $6,700 In and Out-of-network | $50 copay $50 copay | |
| MediGold | MediGold Classic Preferred (HMO) | $120 | $3,900 In-network | $45 copay | $499-799 copay |
| PrimeTime Health Plan | PrimeTime Health Plan Plus (HMO-POS) | $89 | $3,900 In-network | $0 copay | $595-895 copay |
| Humana | HumanaChoice H5216-052 (PPO) | $49 | $10,000 In and Out-of-network $5,500 In-network | $40 copay 50% coinsurance | |
| PrimeTime Health Plan | PrimeTime Health Plan Classic (HMO-POS) | $39 | $4,200 In-network | $5 copay | $595-895 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Preferred Plus (HMO) | $19 | $3,650 In-network | $35 copay | $0 copay |
| CareSource | CareSource Advantage Zero Premium (HMO) | $0 | $7,550 In-network | $50 copay | $699-999 copay |
| Medical Mutual of Ohio | MedMutual Advantage Secure (HMO) | $20 | $3,500 In-network | $0 copay | $699-999 copay |
| UnitedHealthcare | AARP Medicare Advantage Plan 2 (HMO) | $18 | $4,200 In-network | $0 copay | $375-2,075 copay |
| Paramount Elite/Medicare Plans | Paramount Elite - Enhanced Medical & Drug (HMO) | $68 | $3,400 In-network | $40 copay | $699-999 copay |
| Aetna Medicare | Aetna Medicare Value (HMO) | $0 | $7,550 In-network | $45 copay | $0 copay |
| Aetna Medicare | Aetna Medicare Premier Plus 2 (Regional PPO) | $199 | $11,300 In and Out-of-network $5,100 In-network | $35 copay 20% coinsurance | $0 copay $0 copay |
| The Health Plan | The Health Plan SecureCare - Option I, MA Only (HMO) | $0 | $3,900 In-network | $45 copay | |
| Medical Mutual of Ohio | MedMutual Advantage Classic (HMO) | $0 | $5,100 In-network | $0 copay | $699-999 copay |
| UnitedHealthcare | AARP Medicare Advantage Walgreens (PPO) | $0 | $10,000 In and Out-of-network $5,100 In-network | $0 copay $60 copay | |
| Humana | HumanaChoice H5216-109 (PPO) | $19 | $10,000 In and Out-of-network $5,700 In-network | $45 copay 50% coinsurance | $699-999 copay $699-999 copay |
| Bright Health | Bright Advantage University Hospitals Choice (PPO) | $0 | $10,000 In and Out-of-network $5,000 In-network | $0 copay 30% coinsurance | |
| Devoted Health | Devoted Health Prime (HMO) | $22 | $3,700 In-network | $25 copay | $199-499 copay |
| Humana | Humana Honor (PPO) | $0 | $10,000 In and Out-of-network $6,700 In-network | $45 copay 30% coinsurance | $399-699 copay $399-699 copay |
| MediGold | MediGold Southeast OH Essential Care (HMO) | $39 | $5,900 In-network | $45 copay | $699-999 copay |
| Aetna Medicare | Aetna Medicare Value Plan (HMO) | $0 | $7,550 In-network | $40 copay | $0 copay |
| Aetna Medicare | Aetna Medicare Premier 2 (PPO) | $124 | $11,300 In and Out-of-network $4,800 In-network | $40 copay 50% coinsurance | $0 copay $0 copay |
| SummaCare Medicare Advantage Plans | SummaCare Medicare Sapphire (HMO-POS) | $105 | $3,675 In-network | $0-15 copay $55 copay | $795 copay |
| MediGold | MediGold Essential Care (HMO) | $0 | $4,900 In-network | $40 copay | $699-999 copay |
| SummaCare Medicare Advantage Plans | SummaCare Medicare Topaz (HMO) | $0 | $3,900 In-network | $0-20 copay | $795 copay |
| Medical Mutual of Ohio | MedMutual Advantage Signature (HMO) | $0 | $4,200 In-network | $0 copay | $699-999 copay |
| UnitedHealthcare | AARP Medicare Advantage Patriot (PPO) | $0 | $10,000 In and Out-of-network $4,500 In-network | $0 copay $50 copay | $375-2,075 copay $375 copay |
| UnitedHealthcare | AARP Medicare Advantage Choice (PPO) | $30 | $10,000 In and Out-of-network $4,500 In-network | $0 copay $60 copay | $375-2,075 copay $375 copay |
| Humana | Humana Gold Plus H6622-055 (HMO) | $20 | $4,200 In-network | $30 copay | $399-699 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Prime Select (HMO) | $0 | $3,450 In-network | $35 copay | $0 copay |
| Medical Mutual of Ohio | MedMutual Advantage Premium (PPO) | $128 | $5,150 In and Out-of-network $3,450 In-network | $0 copay 30% coinsurance | $699-999 copay $699-999 copay |
| Humana | Humana Gold Plus H6622-014 (HMO) | $0 | $4,300 In-network | $40 copay | $699-999 copay |
| Humana | HumanaChoice H5525-042 (PPO) | $0 | $7,550 In and Out-of-network $7,550 In-network | $50 copay $50 copay | $699-999 copay $699-999 copay |
| UnitedHealthcare | AARP Medicare Advantage Plan 2 (HMO) | $20 | $4,200 In-network | $0 copay | $375-2,075 copay |
| Medical Mutual of Ohio | MedMutual Advantage Choice (HMO) | $34 | $4,000 In-network | $0 copay | $699-999 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Essential (HMO) | $0 | $4,900 In-network | $40 copay | $0 copay |
| Anthem Blue Cross and Blue Shield | Anthem MediBlue Access Core (Regional PPO) | $0 | $4,900 In and Out-of-network $4,900 In-network | $30 copay $50 copay | $0 copay $0 copay |
| WellCare | WellCare Essential (HMO-POS) | $0 | $3,450 In-network | $35 copay 40% coinsurance | $0 copay |
| SummaCare Medicare Advantage Plans | SummaCare Medicare Garnet (HMO) | $29 | $3,800 In-network | $0-15 copay | $795 copay |
| Humana | Humana Gold Plus H6622-019 (HMO) | $90 | $3,900 In-network | $20 copay | $699-999 copay |
| Aetna Medicare | Aetna Medicare Value Plan (PPO) | $0 | $11,300 In and Out-of-network $5,900 In-network | $45 copay 50% coinsurance | $0 copay $0 copay |
| MediGold | MediGold Classic Preferred (HMO) | $120 | $3,900 In-network | $30 copay | $499-799 copay |
| UPMC for Life | UPMC for Life HMO Rx Enhanced (HMO) | $302 | $7,550 In-network | $25 copay | $0 copay |
| Humana | Humana Gold Plus H6622-070 (HMO) | $20 | $3,950 In-network | $30 copay | $699-999 copay |
| Medical Mutual of Ohio | MedMutual Advantage Premium (PPO) | $128 | $5,150 In and Out-of-network $3,450 In-network | $0 copay 30% coinsurance | $699-999 copay $699-999 copay |
| Humana | HumanaChoice H5216-023 (PPO) | $57 | $10,000 In and Out-of-network $6,200 In-network | $45 copay 50% coinsurance | $699-999 copay $699-999 copay |
| Humana | HumanaChoice H5216-050 (PPO) | $79 | $10,000 In and Out-of-network $5,300 In-network | $40 copay 50% coinsurance | $699-999 copay $699-999 copay |
| Humana | Humana Gold Plus H6622-021 (HMO) | $0 | $4,900 In-network | $35 copay | $699-999 copay |
| Humana | HumanaChoice H5216-051 (PPO) | $43 | $10,000 In and Out-of-network $6,300 In-network | $45 copay 50% coinsurance | $699-999 copay $699-999 copay |
| PrimeTime Health Plan | PrimeTime Health Plan Aultimate (HMO-POS) | $0 | $4,500 In-network | $25 copay | $595-895 copay |
| Devoted Health | Devoted Health Saver (HMO) | $0 | $6,700 In-network | $50 copay | $599-899 copay |
| PrimeTime Health Plan | PrimeTime Health Plan Basic - MA Only (HMO-POS) | $0 | $3,400 In-network | $0 copay | $595-895 copay |
| UPMC for Life | UPMC for Life HMO No Rx (HMO) | $0 | $7,550 In-network | $45 copay | $0 copay |
| The Health Plan | The Health Plan SecureCare - Option I, MA Only (HMO) | $0 | $6,700 In-network | $45 copay | |
| UnitedHealthcare | AARP Medicare Advantage Plan 6 (HMO) | $0 | $4,900 In-network | $0 copay | $375-2,075 copay |
| Humana | HumanaChoice H5525-030 (PPO) | $155 | $3,400 In and Out-of-network $3,400 In-network | $30 copay $30 copay or 20% coinsurance | $699-999 copay $699-999 copay |
| MediGold | MediGold Classic Preferred (HMO) | $120 | $3,900 In-network | $30 copay | $499-799 copay |
| The Health Plan | The Health Plan SecureChoice - Option II (PPO) | $79 | $10,000 In and Out-of-network $6,700 In-network | $45 copay $60 copay | |
| Aetna Medicare | Aetna Medicare Premier Plus 1 (Regional PPO) | $225 | $11,300 In and Out-of-network $4,900 In-network | $20 copay 20% coinsurance | $0 copay $0 copay |
| SummaCare Medicare Advantage Plans | SummaCare Medicare Amber (HMO) | $0 | $3,450 In-network | $0-20 copay | $795 copay |
| MediGold | MediGold Essential Care (HMO) | $0 | $4,900 In-network | $40 copay | $699-999 copay |
| MediGold | MediGold True Advantage (HMO) | $49 | $4,500 In-network | $35 copay | $699-999 copay |
| MediGold | MediGold True Advantage (HMO) | $49 | $4,200 In-network | $35 copay | $699-999 copay |
| MediGold | MediGold True Advantage (HMO) | $49 | $3,900 In-network | $30 copay | $499-799 copay |
| MediGold | MediGold Essential Care (HMO) | $29 | $5,900 In-network | $50 copay | $699-999 copay |
| Paramount Elite/Medicare Plans | Paramount Elite Essential Medical & Drug (HMO) | $0 | $4,900 In-network | $40 copay | $699-999 copay |
| Paramount Elite/Medicare Plans | Paramount Elite Choice Medical & Drug (HMO) | $21 | $4,000 In-network | $35 copay | $699-999 copay |
| Humana | Humana Gold Plus H6622-016 (HMO) | $14 | $6,400 In-network | $45 copay | $699-999 copay |
| SummaCare Medicare Advantage Plans | SummaCare Medicare Ruby (HMO) | $59 | $3,750 In-network | $0-15 copay | $795 copay |
| UnitedHealthcare | AARP Medicare Advantage Plan 3 (HMO) | $111 | $3,400 In-network | $0 copay | $375-2,075 copay |
| WellCare | WellCare Exclusive (HMO) | $0 | $3,450 In-network | $10 copay or 20% coinsurance | $0 copay |