Medicare Advantage and Medicare Prescription Drug Plans in Lewis County, New York
Find and compare 2025 Medicare Advantage plans in Lewis County, New York.
Compare your 2025 Medicare Advantage (Part C) and Medicare Prescription Drug Plan (Part D) options in Lewis County, New York.
Use the filters on this page to toggle between Part C and Part D Plans and sort by properties like star rating and premium. Once you find a plan you like, click the “See Plan” button to get a detailed breakdown of your estimated costs and benefits.
Part C
Part D
2025 Medicare Advantage Plans in Lewis County, New York
Medicare Advantage is another way to get Original Medicare Part A and Part B. Many Medicare Advantage Plans offer additional benefits that Original Medicare does not.
The following Medicare Advantage (Part C) plans are available in Lewis County, New York.
(4 / 5)2025
Premium:$84.00
Health Plan Deductible:$0
MOOP:$8,500 In and Out-of-network
$5,000 In-network
$5,000 In-network
Drugs Covered
Drug Deductible:$0.00
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$8,950 In and Out-of-network
$4,950 In-network
$4,950 In-network
(4.5 / 5)2025
Premium:$139.00
Health Plan Deductible:$0
MOOP:$6,300 In and Out-of-network
$4,500 In-network
$4,500 In-network
Drugs Covered
Drug Deductible:$590.00
(4 / 5)2025
Premium:$31.50
Health Plan Deductible:$0
MOOP:$10,950 In and Out-of-network
$7,200 In-network
$7,200 In-network
Drugs Covered
Drug Deductible:$0.00
(3.5 / 5)2025
Premium:$28.00
Health Plan Deductible:$280 annual deductible
MOOP:$14,000 In and Out-of-network
$9,350 In-network
$9,350 In-network
Drugs Covered
Drug Deductible:$590.00
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$7,800 In and Out-of-network
$4,500 In-network
$4,500 In-network
(3 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$10,100 In and Out-of-network
$6,700 In-network
$6,700 In-network
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$11,300 In and Out-of-network
$8,850 In-network
$8,850 In-network
Drugs Covered
Drug Deductible:$150.00
(3 / 5)2025
Premium:$75.00
Health Plan Deductible:$0
MOOP:$14,000 In and Out-of-network
$8,900 In-network
$8,900 In-network
Drugs Covered
Drug Deductible:$570.00
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$11,300 In and Out-of-network
$8,850 In-network
$8,850 In-network
Drugs Covered
Drug Deductible:$350.00
(3.5 / 5)2025
Premium:$119.00
Health Plan Deductible:$0
MOOP:$11,800 In and Out-of-network
$7,000 In-network
$7,000 In-network
Drugs Covered
Drug Deductible:$0.00
(4 / 5)2025
Premium:$22.00
Health Plan Deductible:$0
MOOP:$11,700 In and Out-of-network
$7,900 In-network
$7,900 In-network
Drugs Covered
Drug Deductible:$275.00
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$12,000 In and Out-of-network
$7,800 In-network
$7,800 In-network
Drugs Covered
Drug Deductible:$350.00
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$9,350 In-network
Drugs Covered
Drug Deductible:$450.00
(3.5 / 5)2025
Premium:$44.00
Health Plan Deductible:$0
MOOP:$12,000 In and Out-of-network
$7,900 In-network
$7,900 In-network
Drugs Covered
Drug Deductible:$350.00
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$7,900 In-network
Drugs Covered
Drug Deductible:$340.00
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$6,200 In-network
Drugs Covered
Drug Deductible:$0.00
(4.5 / 5)2025
Premium:$96.20
Health Plan Deductible:$0
MOOP:$6,000 In-network
Drugs Covered
Drug Deductible:$0.00
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$4,800 In-network
(2.5 / 5)2025
Premium:$114.00
Health Plan Deductible:$0
MOOP:$3,400 In and Out-of-network
$3,400 In-network
$3,400 In-network
Drugs Covered
Drug Deductible:$420.00
(4.5 / 5)2025
Premium:$126.00
Health Plan Deductible:$0
MOOP:$6,000 In-network
Drugs Covered
Drug Deductible:$0.00
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$7,300 In-network
Drugs Covered
Drug Deductible:$350.00
(2.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$13,300 In and Out-of-network
$8,850 In-network
$8,850 In-network
Drugs Covered
Drug Deductible:$420.00
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$6,100 In-network
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$10,100 In and Out-of-network
$6,750 In-network
$10,100 Out-of-network
$6,750 In-network
$10,100 Out-of-network
Drugs Covered
Drug Deductible:$300.00
(2.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$180 annual deductible
MOOP:$13,300 In and Out-of-network
$8,850 In-network
$8,850 In-network
Drugs Covered
Drug Deductible:$420.00
(4.5 / 5)2025
Premium:$62.00
Health Plan Deductible:$0
MOOP:$6,400 In-network
Drugs Covered
Drug Deductible:$0.00
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$9,550 In and Out-of-network
$6,100 In-network
$9,550 Out-of-network
$6,100 In-network
$9,550 Out-of-network
(2.5 / 5)2025
Premium:$28.30
Health Plan Deductible:$0
MOOP:$13,300 In and Out-of-network
$8,850 In-network
$8,850 In-network
Drugs Covered
Drug Deductible:$580.00
(3 / 5)2025
Premium:$19.00
Health Plan Deductible:$0
MOOP:$14,000 In and Out-of-network
$7,900 In-network
$7,900 In-network
Drugs Covered
Drug Deductible:$495.00
(4.5 / 5)2025
Premium:$70.00
Health Plan Deductible:$0
MOOP:$10,100 In and Out-of-network
$6,000 In-network
$10,100 Out-of-network
$6,000 In-network
$10,100 Out-of-network
Drugs Covered
Drug Deductible:$0.00
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$6,700 In and Out-of-network
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$6,750 In-network
Drugs Covered
Drug Deductible:$250.00
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$14,000 In and Out-of-network
$8,900 In-network
$8,900 In-network
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$6,700 In and Out-of-network
(3 / 5)2025
Premium:$38.40
Health Plan Deductible:$0
MOOP:$6,900 In-network
Drugs Covered
Drug Deductible:$460.00
(4.5 / 5)2025
Premium:$33.00
Health Plan Deductible:$0
MOOP:$14,000 In and Out-of-network
$7,900 In-network
$7,900 In-network
Drugs Covered
Drug Deductible:$590.00
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$7,200 In-network
(3 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$8,300 In-network
Drugs Covered
Drug Deductible:$420.00
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$14,000 In and Out-of-network
$7,900 In-network
$7,900 In-network
Drugs Covered
Drug Deductible:$590.00
(3.5 / 5)2024
Premium:$88.00
Health Plan Deductible:
MOOP:$7,200.00
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(3.5 / 5)2024
Premium:$29.00
Health Plan Deductible:
MOOP:$7,900.00
Drugs Covered
Drug Deductible:$295.00
Gap Coverage:Yes
(3.5 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$8,950 In and Out-of-network
$4,500 In-network
$4,500 In-network
(4 / 5)2024
Premium:$150.00
Health Plan Deductible:$0.00
MOOP:$6,000 In and Out-of-network
$4,300 In-network
$4,300 In-network
Drugs Covered
Drug Deductible:$250.00
Gap Coverage:Yes
(0 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$7,300.00
Drugs Covered
Drug Deductible:$275.00
Gap Coverage:Yes
(0 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$4,800.00
(0 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$6,200.00
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(0 / 5)2024
Premium:$29.00
Health Plan Deductible:$0.00
MOOP:$5,500.00
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(3.5 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$9,150 In and Out-of-network
$5,300 In-network
$5,300 In-network
Drugs Covered
Drug Deductible:$250.00
Gap Coverage:Yes
(3.5 / 5)2024
Premium:$0.00
Health Plan Deductible:$395 annual deductible
MOOP:$9,500 In and Out-of-network
$5,350 In-network
$5,350 In-network
Drugs Covered
Drug Deductible:$310.00
Gap Coverage:Yes
(3.5 / 5)2024
Premium:$27.00
Health Plan Deductible:$0.00
MOOP:$8,950 In and Out-of-network
$4,950 In-network
$4,950 In-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(3 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$7,550 In-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:
(4 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$11,300 In and Out-of-network
$7,550 In-network
$7,550 In-network
Drugs Covered
Drug Deductible:$150.00
Gap Coverage:Yes
(4 / 5)2024
Premium:$28.00
Health Plan Deductible:$0.00
MOOP:$12,500 In and Out-of-network
$8,500 In-network
$8,500 In-network
Drugs Covered
Drug Deductible:$250.00
Gap Coverage:Yes
(4 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$9,500 In and Out-of-network
$7,000 In-network
$7,000 In-network
(4 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$12,500 In and Out-of-network
$8,500 In-network
$8,500 In-network
Drugs Covered
Drug Deductible:$250.00
Gap Coverage:Yes
(4.5 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$9,550 In and Out-of-network
$6,100 In-network
$9,550 Out-of-network
$6,100 In-network
$9,550 Out-of-network
(4.5 / 5)2024
Premium:$34.80
Health Plan Deductible:$0.00
MOOP:$9,550 In and Out-of-network
$6,100 In-network
$9,550 Out-of-network
$6,100 In-network
$9,550 Out-of-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:
(3 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$7,550 In-network
Drugs Covered
Drug Deductible:$350.00
Gap Coverage:Yes
(3 / 5)2024
Premium:$25.00
Health Plan Deductible:$0.00
MOOP:$6,000 In-network
Drugs Covered
Drug Deductible:$275.00
Gap Coverage:Yes
(4.5 / 5)2024
Premium:$31.00
Health Plan Deductible:$0.00
MOOP:$6,700 In-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:
(4.5 / 5)2024
Premium:$39.90
Health Plan Deductible:$0.00
MOOP:$6,100 In-network
(3.5 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$7,900 In-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(4.5 / 5)2024
Premium:$147.40
Health Plan Deductible:$0.00
MOOP:$5,800 In-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(4.5 / 5)2024
Premium:$39.50
Health Plan Deductible:$0.00
MOOP:$7,550 In-network
Drugs Covered
Drug Deductible:$150.00
Gap Coverage:
(4 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$6,700 In and Out-of-network
(3 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$10,000 In and Out-of-network
$6,700 In-network
$6,700 In-network
Drugs Covered
Drug Deductible:$450.00
Gap Coverage:Yes
2025 Special Needs Plans (SNP) in Lewis County, New York
Special Needs Plans (SNPs) are Medicare Advantage Plans designed for people with specific characteristics and/or chronic conditions.
The following Medicare Special Needs Plans (SNPs) are available in Lewis County, New York.
NOTE: This section also includes Medicare-Medicaid Plans and National PACE plans.
(4 / 5)2025
Premium:$84.00
Health Plan Deductible:$0
MOOP:$8,500 In and Out-of-network
$5,000 In-network
$5,000 In-network
Drugs Covered
Drug Deductible:$0.00
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$8,950 In and Out-of-network
$4,950 In-network
$4,950 In-network
(4.5 / 5)2025
Premium:$139.00
Health Plan Deductible:$0
MOOP:$6,300 In and Out-of-network
$4,500 In-network
$4,500 In-network
Drugs Covered
Drug Deductible:$590.00
(4 / 5)2025
Premium:$31.50
Health Plan Deductible:$0
MOOP:$10,950 In and Out-of-network
$7,200 In-network
$7,200 In-network
Drugs Covered
Drug Deductible:$0.00
(3.5 / 5)2025
Premium:$28.00
Health Plan Deductible:$280 annual deductible
MOOP:$14,000 In and Out-of-network
$9,350 In-network
$9,350 In-network
Drugs Covered
Drug Deductible:$590.00
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$7,800 In and Out-of-network
$4,500 In-network
$4,500 In-network
(3 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$10,100 In and Out-of-network
$6,700 In-network
$6,700 In-network
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$11,300 In and Out-of-network
$8,850 In-network
$8,850 In-network
Drugs Covered
Drug Deductible:$150.00
(3 / 5)2025
Premium:$75.00
Health Plan Deductible:$0
MOOP:$14,000 In and Out-of-network
$8,900 In-network
$8,900 In-network
Drugs Covered
Drug Deductible:$570.00
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$11,300 In and Out-of-network
$8,850 In-network
$8,850 In-network
Drugs Covered
Drug Deductible:$350.00
(3.5 / 5)2025
Premium:$119.00
Health Plan Deductible:$0
MOOP:$11,800 In and Out-of-network
$7,000 In-network
$7,000 In-network
Drugs Covered
Drug Deductible:$0.00
(4 / 5)2025
Premium:$22.00
Health Plan Deductible:$0
MOOP:$11,700 In and Out-of-network
$7,900 In-network
$7,900 In-network
Drugs Covered
Drug Deductible:$275.00
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$12,000 In and Out-of-network
$7,800 In-network
$7,800 In-network
Drugs Covered
Drug Deductible:$350.00
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$9,350 In-network
Drugs Covered
Drug Deductible:$450.00
(3.5 / 5)2025
Premium:$44.00
Health Plan Deductible:$0
MOOP:$12,000 In and Out-of-network
$7,900 In-network
$7,900 In-network
Drugs Covered
Drug Deductible:$350.00
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$7,900 In-network
Drugs Covered
Drug Deductible:$340.00
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$6,200 In-network
Drugs Covered
Drug Deductible:$0.00
(4.5 / 5)2025
Premium:$96.20
Health Plan Deductible:$0
MOOP:$6,000 In-network
Drugs Covered
Drug Deductible:$0.00
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$4,800 In-network
(2.5 / 5)2025
Premium:$114.00
Health Plan Deductible:$0
MOOP:$3,400 In and Out-of-network
$3,400 In-network
$3,400 In-network
Drugs Covered
Drug Deductible:$420.00
(4.5 / 5)2025
Premium:$126.00
Health Plan Deductible:$0
MOOP:$6,000 In-network
Drugs Covered
Drug Deductible:$0.00
(4 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$7,300 In-network
Drugs Covered
Drug Deductible:$350.00
(2.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$13,300 In and Out-of-network
$8,850 In-network
$8,850 In-network
Drugs Covered
Drug Deductible:$420.00
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$6,100 In-network
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$10,100 In and Out-of-network
$6,750 In-network
$10,100 Out-of-network
$6,750 In-network
$10,100 Out-of-network
Drugs Covered
Drug Deductible:$300.00
(2.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$180 annual deductible
MOOP:$13,300 In and Out-of-network
$8,850 In-network
$8,850 In-network
Drugs Covered
Drug Deductible:$420.00
(4.5 / 5)2025
Premium:$62.00
Health Plan Deductible:$0
MOOP:$6,400 In-network
Drugs Covered
Drug Deductible:$0.00
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$9,550 In and Out-of-network
$6,100 In-network
$9,550 Out-of-network
$6,100 In-network
$9,550 Out-of-network
(2.5 / 5)2025
Premium:$28.30
Health Plan Deductible:$0
MOOP:$13,300 In and Out-of-network
$8,850 In-network
$8,850 In-network
Drugs Covered
Drug Deductible:$580.00
(3 / 5)2025
Premium:$19.00
Health Plan Deductible:$0
MOOP:$14,000 In and Out-of-network
$7,900 In-network
$7,900 In-network
Drugs Covered
Drug Deductible:$495.00
(4.5 / 5)2025
Premium:$70.00
Health Plan Deductible:$0
MOOP:$10,100 In and Out-of-network
$6,000 In-network
$10,100 Out-of-network
$6,000 In-network
$10,100 Out-of-network
Drugs Covered
Drug Deductible:$0.00
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$6,700 In and Out-of-network
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$6,750 In-network
Drugs Covered
Drug Deductible:$250.00
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$14,000 In and Out-of-network
$8,900 In-network
$8,900 In-network
(3.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$6,700 In and Out-of-network
(3 / 5)2025
Premium:$38.40
Health Plan Deductible:$0
MOOP:$6,900 In-network
Drugs Covered
Drug Deductible:$460.00
(4.5 / 5)2025
Premium:$33.00
Health Plan Deductible:$0
MOOP:$14,000 In and Out-of-network
$7,900 In-network
$7,900 In-network
Drugs Covered
Drug Deductible:$590.00
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$7,200 In-network
(3 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$8,300 In-network
Drugs Covered
Drug Deductible:$420.00
(4.5 / 5)2025
Premium:$0.00
Health Plan Deductible:$0
MOOP:$14,000 In and Out-of-network
$7,900 In-network
$7,900 In-network
Drugs Covered
Drug Deductible:$590.00
(3.5 / 5)2024
Premium:$88.00
Health Plan Deductible:
MOOP:$7,200.00
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(3.5 / 5)2024
Premium:$29.00
Health Plan Deductible:
MOOP:$7,900.00
Drugs Covered
Drug Deductible:$295.00
Gap Coverage:Yes
(3.5 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$8,950 In and Out-of-network
$4,500 In-network
$4,500 In-network
(4 / 5)2024
Premium:$150.00
Health Plan Deductible:$0.00
MOOP:$6,000 In and Out-of-network
$4,300 In-network
$4,300 In-network
Drugs Covered
Drug Deductible:$250.00
Gap Coverage:Yes
(0 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$7,300.00
Drugs Covered
Drug Deductible:$275.00
Gap Coverage:Yes
(0 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$4,800.00
(0 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$6,200.00
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(0 / 5)2024
Premium:$29.00
Health Plan Deductible:$0.00
MOOP:$5,500.00
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(3.5 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$9,150 In and Out-of-network
$5,300 In-network
$5,300 In-network
Drugs Covered
Drug Deductible:$250.00
Gap Coverage:Yes
(3.5 / 5)2024
Premium:$0.00
Health Plan Deductible:$395 annual deductible
MOOP:$9,500 In and Out-of-network
$5,350 In-network
$5,350 In-network
Drugs Covered
Drug Deductible:$310.00
Gap Coverage:Yes
(3.5 / 5)2024
Premium:$27.00
Health Plan Deductible:$0.00
MOOP:$8,950 In and Out-of-network
$4,950 In-network
$4,950 In-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(3 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$7,550 In-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:
(4 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$11,300 In and Out-of-network
$7,550 In-network
$7,550 In-network
Drugs Covered
Drug Deductible:$150.00
Gap Coverage:Yes
(4 / 5)2024
Premium:$28.00
Health Plan Deductible:$0.00
MOOP:$12,500 In and Out-of-network
$8,500 In-network
$8,500 In-network
Drugs Covered
Drug Deductible:$250.00
Gap Coverage:Yes
(4 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$9,500 In and Out-of-network
$7,000 In-network
$7,000 In-network
(4 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$12,500 In and Out-of-network
$8,500 In-network
$8,500 In-network
Drugs Covered
Drug Deductible:$250.00
Gap Coverage:Yes
(4.5 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$9,550 In and Out-of-network
$6,100 In-network
$9,550 Out-of-network
$6,100 In-network
$9,550 Out-of-network
(4.5 / 5)2024
Premium:$34.80
Health Plan Deductible:$0.00
MOOP:$9,550 In and Out-of-network
$6,100 In-network
$9,550 Out-of-network
$6,100 In-network
$9,550 Out-of-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:
(3 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$7,550 In-network
Drugs Covered
Drug Deductible:$350.00
Gap Coverage:Yes
(3 / 5)2024
Premium:$25.00
Health Plan Deductible:$0.00
MOOP:$6,000 In-network
Drugs Covered
Drug Deductible:$275.00
Gap Coverage:Yes
(4.5 / 5)2024
Premium:$31.00
Health Plan Deductible:$0.00
MOOP:$6,700 In-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:
(4.5 / 5)2024
Premium:$39.90
Health Plan Deductible:$0.00
MOOP:$6,100 In-network
(3.5 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$7,900 In-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(4.5 / 5)2024
Premium:$147.40
Health Plan Deductible:$0.00
MOOP:$5,800 In-network
Drugs Covered
Drug Deductible:$0.00
Gap Coverage:Yes
(4.5 / 5)2024
Premium:$39.50
Health Plan Deductible:$0.00
MOOP:$7,550 In-network
Drugs Covered
Drug Deductible:$150.00
Gap Coverage:
(4 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$6,700 In and Out-of-network
(3 / 5)2024
Premium:$0.00
Health Plan Deductible:$0.00
MOOP:$10,000 In and Out-of-network
$6,700 In-network
$6,700 In-network
Drugs Covered
Drug Deductible:$450.00
Gap Coverage:Yes
(2 / 5)
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