| Company | Plan ID | Plan Name | Plan Type | National Network | Referrals | Premium | Drug Deductible, On Tiers | Medical Deductible | MOOP | Hospital Inpatient, Days | Primary Doctor Copay | Secialist Copay |
| | | | | | | | | In Net | Out Net | In Net | Out Net | Out Net | In Net | Out Net | In Net | Out Net | In Net |
| Humana | H0028-025-001 | Humana Gold Plus | HMO | N | N | 0 | 95, T4 & T5 | 0 | – | 4500 | – | 225, 1-5 | – | 0 | – | 40 | – |
| Humana | H0028-025-002 | Humana Gold Plus | HMO | N | N | 0 | 95, T4 & T5 | 0 | – | 5900 | – | 290, 1-5 | – | 0 | – | 40 | – |
| Humana | H0028-026-001 | Humana Gold Plus | HMO | N | N | 50 | 95, T4 & T5 | 0 | – | 6700 | – | 345, 1-5 | – | 11 | – | 50 | – |
| Humana | H0028-026-002 | Humana Gold Plus | HMO | N | N | 34 | 95, T4 & T5 | 0 | – | 5500 | – | 250, 1-5 | – | 0 | – | 45 | – |
| Humana | H5216-078-001 | HumanaChoice H5216-078 (PPO) | PPO | Y | N | 55 | 195, T3-T5 | 0 | 800 | 6700 | 10000 | 325, 1-5 | 50% | 10 | 50% | 50 | 50% |
| Humana | H5216-078-002 | HumanaChoice H5216-078 (PPO) | PPO | Y | N | 0 | 195, T3-T5 | 0 | 500 | 6700 | 10000 | 285, 1-6 | 50% | 0 | 50% | 45 | 50% |
| Humana | H5216-077-001 | HumanaChoice H5216-077 (PPO) | PPO | Y | N | 0 | – | 0 | 0 | 4400 | 6700 | 275, 1-5 | 300, 1-5 | 0 | 30% | 30 | 30% |
| Humana | H5216-213-001 | Humana Honor (PPO) | PPO | Y | N | 0 | – | 0 | 0 | 4400 | 6700 | 195, 1-6 | 50% | 20 | 50% | 50 | 50% |
| Humana | H5216-195 | Humana Value Plus H5216-195 (PPO) | PPO | y | N | 24 | 435, T2-T5 | 185 | 185 | 6700 | 10000 | Same as Medicare | Same as Medicare | 20% | 20% | 20% | 20% |
| Humana | H8145-123 | Humana Gold Choice | PFFS | Y | N | 127 | 300, T3-T5 | 0 | 0 | 6700 | 6700 | 325, 1-5 | 325, 1-5 | 15 | 15 | 50 | 50 |
| Humana | H8145-120 | Humana Gold Choice | PFFS | Y | N | 59 | – | 150 | 150 | 6700 | 6700 | 360, 1-5 | 40% | 20 | 40% | 50 | 40% |
| | | | | | | | | | | | | | | | | | |
| UnitedHealthcare (AARP) | H0609-007-0 | AARP Medicare Advantage SecureHorizons Plan 2 (HMO) | HMO | N | Y | 49 | 75, T4-T5 | 0 | – | 3000 | – | 185, 1-5 | – | 0 | – | 25 | – |
| UnitedHealthcare (AARP) | H0609-012-0 | AARP Medicare Advantage SecureHorizons Plan 1 (HMO) | HMO | N | Y | 0 | 75, T4-T5 | 0 | – | 3900 | – | 225, 1-6 | – | 0 | – | 35 | – |
| UnitedHealthcare (AARP) | H0609-018-0 | AARP Medicare Advantage SecureHorizons Essential (HMO) | HMO | N | Y | 0 | – | 0 | – | 3900 | – | 225, 1-6 | – | 0 | – | 35 | – |
| UnitedHealthcare (AARP) | H0609-034-001 | AARP Medicare Advantage SecureHorizons Plan 1 (HMO) | HMO | N | Y | 39 | 75, T4-T5 | 0 | – | 3700 | – | 225, 1-6 | – | 0 | – | 30 | – |
| UnitedHealthcare (AARP) | H0609-034-002 | AARP Medicare Advantage SecureHorizons Plan 1 (HMO) | HMO | N | Y | 39 | 75, T4-T5 | 0 | – | 3200 | – | 225, 1-6 | – | 0 | – | 30 | – |
| UnitedHealthcare (AARP) | H0609-035-001 | AARP Medicare Advantage SecureHorizons Essential (HMO) | HMO | N | Y | -40 | — | 0 | – | 4700 | – | 275, 1-6 | – | 0 | – | 40 | – |
| UnitedHealthcare (AARP) | H0609-035-002 | AARP Medicare Advantage SecureHorizons Essential (HMO) | HMO | N | Y | -30 | — | 0 | – | 4700 | – | 275, 1-6 | – | 0 | – | 40 | – |
| UnitedHealthcare (AARP) | H0609-036-001 | AARP Medicare Advantage SecureHorizons Plan 2 (HMO) | HMO | N | Y | 0 | 75, T4-T5 | 0 | – | 4700 | – | 275, 1-6 | – | 0 | – | 40 | – |
| UnitedHealthcare (AARP) | H0609-036-002 | AARP Medicare Advantage SecureHorizons Plan 2 (HMO) | HMO | N | Y | 0 | 75, T4-T5 | 0 | – | 4500 | – | 275, 1-6 | – | 0 | – | 40 | – |
| UnitedHealthcare (AARP) | H0624-001-000 | UnitedHealthcare Dual Complete (HMO D-SNP) | HMO | N | Y | 28 | 0 or 89 (LIS) | 0 | – | 6700 | – | Original Medicare | – | 0 | – | 0 | – |
| UnitedHealthcare (AARP) | H2577-001-001 | AARP Medicare Advantage Walgreens Plan 1 (PPO) | PPO | Y | N | 0 | 195, T3-T5 | 0 | – | 6700 | 10000 | 325, 1-5 | 500, 1-20 | 0 | 35 | 50 | 70 |
| UnitedHealthcare (AARP) | H2577-001-002 | AARP Medicare Advantage Walgreens Plan 1 (PPO) | PPO | Y | N | 0 | 195, T3-T5 | 0 | – | 5500 | 10000 | 295, 1-6 | 500, 1-20 | 0 | 35 | 45 | 70 |
| UnitedHealthcare (AARP) | H2577-002-000 | AARP Medicare Advantage Walgreens (PPO) | PPO | Y | N | 0 | 195, T3-T5 | 0 | – | 6700 | 10000 | 325, 1-5 | 500, 1-20 | 0 | 35 | 50 | 70 |
| UnitedHealthcare (AARP) | H2577-003-001 | AARP Medicare Advantage Walgreens Plan 2 (PPO) | PPO | Y | N | -40 | 435, T3-T5 | 0 | – | 6700 | 10000 | 490, 1-4 | 500, 1-20 | 25 | 50 | 50 | 70 |
| UnitedHealthcare (AARP) | H2577-003-002 | AARP Medicare Advantage Walgreens Plan 2 (PPO) | PPO | Y | N | -40 | 435, T3-T5 | 0 | – | 6700 | 10000 | 490, 1-4 | 500, 1-20 | 25 | 50 | 50 | 70 |
| | | | | | | | | | | | | | | | | | |
| Aetna Medicare | H3931-093 | Prime Plan | HMO | n | y | 0 | 195, T4-T5 | 0 | – | 5900 | – | 290, 1-5 | – | 10 | – | 45 | – |
| Aetna | H3931-136-0 | Prime Plan | HMO | N | | 0 | | 0 | – | 6700 | – | | | | | | |
| Aetna Medicare | H5521-250 | Prime Essential | PPO | n | n | 0 | 195, T4-T5 | 0 | 0 | 6700 | 10000 | 325, 1-5 | 40% | 10 | 40% | 50 | 40% |
| Aetna Medicare | H5521-057 | Prime Plan | PPO | n | n | 47 | 195, T4-T5 | 0 | 0 | 6100 | 10000 | 325, 1-5 | 40% | 5 | 40% | 40 | 40% |
| Aetna Medicare | H5521-187 | Platinum Plan | PPO | y | n | 94 | 95, T4-T5 | 0 | 0 | 5500 | 10000 | 275, 1-5 | 40% | 0 | 40% | 35 | 40% |
| Aetna Medicare | H5521-207 | Essential Plan | PPO | n | n | 0 | 195, T4-T5 | 0 | 500 | 6700 | 10000 | 370, 1-5 | 40% | 10 | 40% | 40 | 40% |
| Aetna Medicare | H5521-208 | Prime Plan | PPO | n | n | 57 | 195, T4-T5 | 0 | 0 | 6700 | 10000 | 325, 1-5 | 40% | 0 | 40% | 45 | 40% |
| | | | | | | | | | | | | | | | | | |
| Anthem Blue Cross and Blue Shield | H4346-012-0 | MediBlue Plus | HMO | N | y | 0 | 0 | 0 | – | 6200 | – | 289, 1-6 | – | 0 | – | 45 | – |
| Anthem Blue Cross and Blue Shield | H4346-013-0 | MediBlue Plus | HMO | N | y | 0 | 0 | 0 | – | 5900 | – | 289, 1-6 | – | 0 | – | 45 | – |
| Anthem Blue Cross and Blue Shield | H4346-014-0 | MediBlue Dual Advantage SNP | HMO-SNP | N | Y | 0 | 0 | 0 | – | 6700 | – | 0 | – | 0 | – | 0 | – |
| | | | | | | | | | | | | | | | | | |
| BrightHealth | H7853-001-0 | Bright Advantage | HMO | N | N | 0 | 0 | 0 | – | 4200 | – | 250, 1-5 | – | 0 | – | 35 | – |
| BrightHealth | H7853-002-0 | Bright Advantage Plus | HMO | N | N | 41 | 0 | 0 | – | 3250 | – | 195, 1-5 | – | 0 | – | 20 | – |
| BrightHealth | H7853-005-0 | Bright Advantage Assist | HMO | N | N | 30 | 435, T2-T5 | 0 | – | 6700 | – | 295 1-6 | – | 0 | – | 25 | – |
| BrightHealth | H7853-003-0 | Bright Advantage Choice | HMO-POS | N | N | 0 | 150, T3-T5 | 0 | – | 4500 | 25K max POS | 295, 1-5 | Not covered | 0 | 35% | 40 | 35% |
| BrightHealth | H7853-004-0 | Bright Advantage Choice Plus | HMO-POS | N | N | 67 | 0 | 0 | – | 3250 | 25K max for POS | 195, 1-5 | Not covered | 0 | 30% | 20 | 30% |
| BrightHealth | H5841-001 | Bright Advantage Flex (PPO) | PPO | Limited | N | 0 | 150, T3-T5 | 0 | | 5900 | 10000 | 295, 1-5 | 35% | 0 | 35% | 40 | 35% |
| BrightHealth | H5841-002 | Bright Advantage Flex Plus (PPO) | PPO | Limited | N | 61 | 0 | 0 | | 5000 | 10000 | 250, 1-5 | 35% | 0 | 35% | 25 | 35% |
| BrightHealth | H5841-007-0 | Bright Advantage Access (PPO) | PPO | Limited | N | 0 | 150, T2-T5 | 0 | | 6700 | 10000 | 500, 1-not limited | Original Medicare amounts | 0 | 20% | 30 | 20% |
| | | | | | | | | | | | | | | | | | |
| Cigna | H0672-001-000 | Cigna-HealthSpring Preferred (HMO) | HMO | N | Y | 0 | 0 | 0 | – | 3900 | – | 290, 1-5 | – | 0 | – | 35 | – |
| Cigna | H0672-002-000 | Cigna-HealthSpring Preferred (HMO) | HMO | N | Y | 0 | 0 | 0 | – | 3900 | – | 290, 1-5 | – | 0 | – | 35 | – |
| Cigna | H7849-001-000 | Cigna-HealthSpring True Choice (PPO) | PPO | Limited | N | 0 | 0 | 0 | 0 | 5900 | 10000 | 330, 1-5 | 40% | 5 | $40 | 40 | $55 |
