2020 Medicare List ( 不付费,含药计划 )

      月费 最高支付 药费首付 首选常药 常药 首选新药 新药 特种药 急诊 救护车 家庭医生 专科医生
Aetna Medicare Plus Plan PPO H3288-014 0 6700/10000 350 0 0 47 100 26% 90 300 0/50% 50/50%
Aetna Medicare Value Plan PPO H3288-047 0 6700/10000 195 0 0 47 100 29% 90 295 0/50% 35/50%
Aetna Medicare Premier Plan  HMO H4523-015 0 6700 250 0 0 47 100 28% 90 300 0 40
Aetna Medicare Prime Plan  HMO H4523-024 0 3400 250 0 0 47 100 28% 120 300 0 30
Amerivantage Classic  HMO H2593-028 0 5500 0 5 12 42 95 33% 90 275 5 35
Amerivantage select  HMO H2593-029 0 3400 0 3 10 42 95 33% 120 210 0 25
Blue Cross Medicare Basic  HMO H1666-001 0 3400 0 0 8 39 95 33% 90 200 0 30
Cigna-HealthSpring Preferred HMO H4513-025 0 3400 0 0 4 40 80 33% 120 200 0 30
Devoted Health  HMO H7993-001 0 3400 0 0 0 40 80 33% 120 250 0 15
Humana Gold Plus   HMO H0028-042 0 3400 195 2 14 47 100 29% 120 265 0 20
KelseyCare Advantage Rx  HMO H0332-002 0 3400 100 3 5 40 60 31% 120 100 0 35
Memorial Hermann Advantage  HMO H7115-001 0 3900 300 2 10 39 92 27% 90 250 0 50
Oscar HMO H5126-001 0 3400 0 0 10 40 95 33% 120 250 0 25
UnitedHealthcare HMO H4514-007 0 5900 195 3 14 47 100 29% 90 275 0 45
UnitedHealthcare HMO H4527-037 0 3400 195 3 14 47 100 29% 90 275 0 40
WellCare TexanPlus Choice HMO-POS H4506-029 0 3400/10000 250 0 5 40 35% 29% 120 215 0/40% 40/40%
WellCare TexanPlus Classic  HMO H4506-003 0 3400 0 0 5 40 80 33% 120 250 0 35
WellCare Premier PPO H7323-003 0 6700/10000 200 0 8 45 45% 29% 90 275 0/0-350 35/0-350
WellCare Value HMO-POS H0174-005 0 4500/4500 0 0 5 30 48% 33% 90 225 0/35% $30/35%
Wellcare Divident Primer HMO H0174-007 0 6700 300 0 7 30 48% 27% 90 300 0 50

 

      住院 门诊手术 医院用药 上门服务 医疗器具 接送 健身房 助听器 眼镜/年 牙齿 OTC 退你月费
Aetna Medicare Plus Plan PPO H3288-014 375/day 325 20%/50% 0/50% 20%/45% No yes   125 200 No 89x12
Aetna Medicare Value Plan PPO H3288-047 300/day 250 20%/50% 0/50% 20%/50% No yes          
Aetna Medicare Premier Plan  HMO H4523-015 300/day 250 20% 0 20% No yes   $125 $500 25x12  
Aetna Medicare Prime Plan  HMO H4523-024 300/day 125 20% 0 20% 24 yes   $225 $2,000 25x12  
Amerivantage Classic  HMO H2593-028 220/day 125 20% 0 20% 60 Yes 3000 100 125 4x200  
Amerivantage select  HMO H2593-029 120/day 50 20% 0 20% 60 Yes 3000 $200 4x400 4x200  
Blue Cross Medicare Basic  HMO H1666-001 350/stay 175 20% 0 20% 12 Yes 1500 125 1000    
Cigna-HealthSpring Preferred HMO H4513-025 500/stay 150 20% 0 20% unlimit Yes 700 250 1000 4x50 125x12
Devoted Health  HMO H7993-001 225/sta 100 0--20% 0 20% yes Yes $1,200 $200 1500 $600  
Humana Gold Plus   HMO H0028-042 350/stay 100 20% 0 20% yes Yes $999 100 2000 4x50  
KelseyCare Advantage Rx  HMO H0332-002 500/stay 300 20% 10 20% yes Yes          
Memorial Hermann Advantage  HMO H7115-001 300/stay 300 20% 0 20% No Yes          
Oscar HMO H5126-001 499/stay 250 20% 0 20% yes Yes          
UnitedHealthcare HMO H4514-007 335/day 335 20% 0 20% NO No 2075        
UnitedHealthcare HMO H4527-037 325/day 250 20% 0 20% NO Yes 2075        
WellCare TexanPlus Choice HMO-POS H4506-029 300/day 240 20%/40% 20%/40% 20%/40% NO Yes          
WellCare TexanPlus Classic  HMO H4506-003 $275/天 $175 10% 0 10% 36/y Yes 750 $100 $500    
WellCare Premier PPO H7323-003 300/day 250 20%/50% 0/50% 20%/45% No Yes          
WellCare Value HMO-POS H0174-005 $225/天 $250 20%35% 0/40% 20%/35% No Yes          
Wellcare Divident Primer HMO H0174-007 $325/天 $300 20% 0% 20% No Yes 750 $100 $500   95x12