最高支付	家庭医生	专科医生	住院	门诊手术	药费首付	首选常药	常药	首选品牌药	品牌药	特种药
AetnaMedicare Freedom Plan	PPO	H2293-016	5900	0	35	300/day	250	590	0	0	24%	25%	25%
Aetna Medicare Premier Plan	HMO	H4523-015	6350	0	35	300/day	250	590	0	0	24%	25%	25%
Aetna Medicare Prime Plan	HMO	H4523-024	3800	0	25	150/day	200	0	0	5	25%	35%	33%
Blue Cross Medicare advantage Choice Plus	PPO	H1666-006	7950	6	40	390/day	395	590	0	10	47	44%	25%
Blue Cross Medicare advantage Classic	PPO	H4801-002	6850	0	35	395/day	375	250	0	10	47	33%	30%
Blue Cross Medicare advantage Complete	PPO	H4801-011	6950	0	22	390/day	390	0	10	47	47	31%	33%
Blue Cross Medicare Dental Premier	PPO	H4801-016	6700	0	42	380/day	395	590	0	10	47	30%	25%
Blue Cross Medicare health Choice	PPO	H4801-018	7900	0	40	390/day	395	590	0	10	47	25%	25%
Blue Cross Medicare Advantage Basic	HMO	H8133-001	4750	0	17	350/day	325	0	18	20	47	50%	33%
Blue Cross Medicare Advantage Dental Value	HMO	H9706-007	4850	0	29	370/day	325	590	18	20	47	25%	25%
Blue Cross Medicare Advantage Saver	HMO	H9706-008	7500	0	28	370/day	350	0	18	20	47	25%	33%
Blue Cross Medicare Advantage Value	HMO	H9706-005	4100	0	15	295/day	250	0	18	20	47	30%	33%
Cigna Preferred Medicare	HMO	H4513-061	3500	0	25	350/stay	150	0	0	4	47	100	33%
Cigna Aliance Medicare	HMO	H4513-064	3200	0	10	225/stay	125	0	0	4	45	100	33%
Cigna Preferred  Savings Medicare	HMO	H4513-083	6900	0	45	325/stay	350	0	0	0	45	100	33%
Cigna Preferred full Saving Medicare	HMO	H4513-091	7500	0	55	340/stsy	350	0	0	0	45	100	33%
Cigna True Choice Medicare	PPO	H7849-038	9350	0	35	255/day	275	0	0	4	45	100	33%
Devoted Core  Great Houston	HMO	H7993-001	4150	0	25	225/day	325	590	0	0	25%	25%	25%
Devoted Extra Great Houston	HMO	H7993-019	4900	0	30	325/day	425	590	0	0	25%	25%	25%
Devoted GIVEBACK Greater Houston	HMO	H7993-006	7200	0	45	425/day	525	590	0	0	18%	25%	25%
Humana Gold Plus	HMO	H0028-042	3450	0	20	150/day	200	300	0	12	47	33%	29%
Humana Gold Plus	HMO	H0028-072	3400	0	20	350/stay	200	200	0	5	47	38%	30%
Humana Choice	PPO	H5216-043	7500	0	35	340/day	435	250	0	9	47	43%	30%
Humana Choice  Giveback	PPO	H5216-358	8300	0	55	310/day	350	590	0	9	47	42%	25%
KelseyCare Advantage  Freedom	HMO-POS	H0332-004	6500	0	35	375/day	350	200	0	5	40	40%	30%
KelseyCare Advantage Signature	HMO	H0332-009	4500	0	20	325/day	300	100	0	5	40	40%	30%
Memorial Hermann  Advantage HMO	HMO	H7115-001	2950	0	15	350/day	25	0	0	4	25%	45%	33%
SCAN Classic	HMO	H8902-005	2900	0	15	95/day	175	0	0	0	42	50%	33%
AARP Medicare GiveBack from UHC TX-31	PPO	H1278-021	8200	0	55	440/day	440	495	0	14	47	35	100
AARP Medicare Advantage from UHC TX-0006	PPO	H1278-014	6700	0	40	375/day	375	420	0	10	47	100	28%
AARP Medicare Advantage from UHC tx_001P	HMO-POS	H4514-014	3900	0	20	320/day	320	225	0	0	47	100	30%
AARP Medicare Advantage from UHC tx_0015	HMO-POS	H4527-037	4100	0	25	375/day	375	340	0	12	47	100	29%
Verda Health Plan of Texas	HMO	H5163-001	1699	0	0	0/stay	90	0	0	0	35	30%	33%
Wellcare Simple	HMO	H0174-010	3500	0	15	325/day	150	420	0	0	25%	44%	28%
Wellcare  GiveBack	HMO	H0174-019	6900	0	50	395/day	300	420	0	0	25%	46%	28%
Wellcare TexasPlus Classic  Simple	HMO-POS	H4506-003	3400	0	15	325/stay	200	420	0	0	25%	39%	28%
Wellcare TexasPlus   Simple	HMO-POS	H4506-029	3400	0	25	350/day	280	420	0	0	25%	36%	28%
Wellcare Simple RX Plus Open	PPO	H7323-006	6000	0	30	350/day	300	420	0	0	25%	38%	28%
Wellcare Simple  Open	PPO	H7323-007	5000	0	35	350/day	250	420	0	0	25%	39%	28%
Wellcare Mutural of Omaha simple  open	PPO	H7323-012	5900	0	0	320/day	250	420	0	0	25%	50%	28%
WellPoint  Select	HMO-POS	H-8849-009	3400	0	25	120/day	50	0	0	2	35%	35%	33%

 

			急诊	救护车	健身房	接送	助听器	眼镜/年	牙齿	OTC/3M	每月退款
AetnaMedicare Freedom Plan	PPO	H2293-016	125	260	Y		500X2	205	1500
Aetna Medicare Premier Plan	HMO	H4523-015	125	290	Y		1000x2	305	2500	60
Aetna Medicare Prime Plan	HMO	H4523-024	135	270	Y		1250x2	375	3500
Blue Cross Medicare advantage Choice Plus	PPO	H1666-006	100	275	Y	NO	699	100	1000	0
Blue Cross Medicare advantage Classic	PPO	H4801-002	110	275	Y	NO	699	125	1000	50
Blue Cross Medicare advantage Complete	PPO	H4801-011	125	275	Y	NO	699	100	1000	70
Blue Cross Medicare Dental Premier	PPO	H4801-016	100	275	Y	NO	699	100	5000	35
Blue Cross Medicare health Choice	PPO	H4801-018	110	275	Y	NO	699	100	1000
Blue Cross Medicare Advantage Basic	HMO	H8133-001	125	295	Y	12	999	150	1000	50
Blue Cross Medicare Advantage Dental Value	HMO	H9706-007	125	275	Y	NO	999	100	5000	50
Blue Cross Medicare Advantage Saver	HMO	H9706-008	100	275	Y	NO	999	100	1000		40
Blue Cross Medicare Advantage Value	HMO	H9706-005	135	295	Y	12	999	150	1000	25
Cigna Preferred Medicare	HMO	H4513-061	140	250	Y	50	399X2	200	2450	90
Cigna Aliance Medicare	HMO	H4513-064	140	250	Y	unlimit	399X2	400	2600	170
Cigna Preferred Savings Medicare	HMO	H4513-083	110	250	Y	NO	399X2	200	20000	55	125
Cigna Preferred Full Saving Medicare	HMO	H4513-091	110	250	Y	NO	399X2	100	20000	30	174.7
Cigna True Choice Medicare	PPO	H7849-038	110	260	Y	NO	1800X2	300	2000
Devoted Core  Greater Houston	HMO	H7993-001	140	325	Y	NO	299X2		1000
Devoted Extra Greater Houston	HMO	H7993-019	125	325	Y	NO	399X2		1000
Devoted GIVEBACK Greater Houston	HMO	H7993-006	110	375	Y	NO	599X2		250		174.7
Humana Gold Plus	HMO	H0028-042	140	315	Y	60	699X2	150	2000
Humana Gold Plus	HMO	H0028-072	140	315	Y	60	299X2	250	3000	75
Humana Choice	PPO	H5216-043	110	315		NO	699X2	100	2000	50
Humana Choice  Giveback	PPO	H5216-358	110	315		NO	699X2	100	1500		85
KelseyCare Advantage  Freedom	HMO-POS	H0332-004	125	275		10	750	175	2000	25
KelseyCare Advantage Signature	HMO	H0332-009	125	275		10	750	125	2500	25
Memorial Hermann  Advantage HMO	HMO	H7115-001	140	250		20	1000		3000	75
SCAN Classic	HMO	H8902-005	90	125		54	550	300	2000	65
AARP Medicare GiveBack from UHC TX-31	PPO	H1278-021	110	275	Y		1249				57
AARP Medicare Advantage from UHC TX-0006	PPO	H1278-014	125	275	Y	No	1249
AARP Medicare Advantage from UHC tx_001P	HMO-POS	H4514-014	140	275	Y	No	1249	300	3000	40
AARP Medicare Advantage from UHC tx_0015	HMO-POS	H4527-037			Y		1249	200		55
Verda Health Plan of Texas	HMO	H5163-001	90	119	Y	unlimit	299	250	Yes	225
Wellcare Simple	HMO	H0174-010	140	250	Y	12	750	300		131
Wellcare  GiveBack	HMO	H0174-019	110	265	Y	No	350	100			113
Wellcare TexasPlus Classic  Simple	HMO-POS	H4506-003	140	250	Y	24	750	200	2000	89
Wellcare TexasPlus   Simple	HMO-POS	H4506-029	140	300	Y	NO		100	1000	81
Wellcare Simple RX Plus Open	PPO	H7323-006	125	285	Y	24	1000	300	0
Wellcare Simple  Open	PPO	H7323-007	125	245	Y	36	750	200	1000	101
Wellcare Mutural of Omaha simple  open	PPO	H7323-012	125	300	Y	No	350	100		30
WellPoint  Select	HMO-POS	H-8849-009	120	210	Y		3000	350	2500	215