Arizona Medicare Advantage Companies for 2021 (Full List of Plans)

There are a lot of Medicare Advantage companies in Arizona to choose from, and each has a different selection of plans available. Arizona Medicare Advantage plans vary by county and even sometimes by ZIP code. You may be able to get Medicare Advantage coverage in Arizona without paying anything more than your original Medicare Part B cost.

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D. Gilson is a writer and author of essays, poetry, and scholarship that explore the relationship between popular culture, literature, sexuality, and memoir. His latest book is Jesus Freak, with Will Stockton, part of Bloomsbury’s 33 1/3 Series. His other books include I Will Say This Exactly One Time and Crush. His first chapbook, Catch & Release, won the 2012 Robin Becker Prize from Seve...

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Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Reviewed by Leslie Kasperowicz
Farmers CSR for 4 Years

UPDATED: Sep 23, 2021

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The Highlights

  • You’ll still need to pay your Arizona original Medicare premium if you choose Medicare Advantage
  • You can choose from Arizona PPO and HMO Medicare Advantage plans
  • Standalone Medicare Part D Plans in Arizona can help cover prescription drugs

If you’re shopping for a Medicare Advantage plan in Arizona, there are a lot of options to choose from. 24 companies offer Medicare Advantage (Part C) coverage in Arizona. Plans vary by county and include HMO, PPO, and POS options.

Finding the best Medicare company can be a challenge. To choose the right AZ Medicare company and plan for your needs, compare rates as well as out-of-pocket costs to find the best combination of cost and coverage.

Ready to compare Medicare plans from top companies in Arizona? Enter your ZIP code for fast, free Arizona Medicare quotes today.

The Complete List of Medicare Advantage Companies in Arizona

You have a lot of companies to choose from for Part C Medicare Advantage in AZ. Take a look at the complete listing of health insurance companies that offer Medicare Advantage plans in Arizona, which counties the plans are offered in, and how many plans each company offers.

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Medicare Advantage Companies in Arizona

Company Number of Plans Counties
Aetna 3 Pima, Cochise, Coconino, Yavapai, Santa Cruz, Graham, Gila, Mohave, Pinal, Maricopa, Yuma
Aetna Medicare 5 Pima, Yavapai, Mohave, Pinal, Maricopa
Allwell 6 Pima, Cochise, Yavapai, Santa Cruz, Yuma, Pinal, Maricopa, Greenlee, Graham, Gila, La Paz
Amerigroup 11 Pima, Maricopa
Amerigroup Ohio 2 Pima
Banner Health 2 Pima, Pinal, Maricopa
Banner-University Care 1 Pima, Cochise, Greenlee, Santa Cruz, Graham, Gila, Yuma, La Paz, Pinal, Maricopa
Blue Cross Blue Shield of Arizona 2 Maricopa
Blue Cross Blue Shield of Arizona Advantage 2 Santa Cruz, Pinal, Maricopa
BlueCross BlueShield of Arizona 3 Pima, Maricopa, Pinal
Bright Health 5 Maricopa
Cigna 3 Pima, Pinal, Maricopa
Clover Health 1 Pima
Devoted Health 3 Maricopa
Health Choice 1 Coconino, Yavapai, Gila, Navajo, Mohave, Pinal, Maricopa, Apache
Humana 13 Pima, Cochise, Coconino, Yavapai, Greenlee, Santa Cruz, Graham, Gila, Yuma, Navajo, Mohave, La Paz, Pinal, Maricopa, Apache
Imperial Insurance Companies 1 Pima, Coconino, Yavapai, Pinal, Maricopa
Imperial Insurance Companies, Inc 2 Pima, Coconino, Yavapai, Pinal, Maricopa
Lasso Healthcare 2 Pima, Cochise, Coconino, Yavapai, Greenlee, Santa Cruz, Graham, Gila, Yuma, Navajo, Mohave, La Paz, Pinal, Maricopa, Apache
Mercy Care 1 Pima, Cochise, Coconino, Yavapai, Greenlee, Santa Cruz, Graham, Gila, Yuma, Navajo, Mohave, La Paz, Pinal, Maricopa, Apache
Molina Healthcare 1 Gila, Pinal, Maricopa
UnitedHealthCare 3 Pima, Maricopa, Yavapai
UnitedHealthcare 11 Pima, Yavapai, Pinal, Maricopa, Coconino, Greenlee, Gila, Yuma, Mohave, La Paz, Cochise, Santa Cruz, Graham, Navajo, Apache
WellCare 7 Pima, Yavapai, Pinal, Maricopa, Coconino, Gila, Navajo, Mohave, Apache

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Medicare Advantage Plans by Company in Arizona

To compare Medicare Advantage plans by company in Arizona, we’ve gathered a list of all the plans available from each AZ Medicare company.

Take a look at the AZ Medicare plans by company here, and bear in mind that plan availability and details vary by county.

Lasso Healthcare Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Lasso Healthcare Growth Plus (MSA) H1924-004 Pima, Cochise, Coconino, Yavapai, Greenlee, Santa Cruz, Graham, Gila, Yuma, Navajo, Mohave, La Paz, Pinal, Maricopa, Apache MSA * MSAs do not have a monthly premium.
Lasso Healthcare Growth (MSA) H1924-001 Pima, Cochise, Coconino, Yavapai, Greenlee, Santa Cruz, Graham, Gila, Yuma, Navajo, Mohave, La Paz, Pinal, Maricopa, Apache MSA * MSAs do not have a monthly premium.

Amerigroup Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Amerivantage Classic (HMO) H2593-001 Pima Local HMO $0.00
Amerivantage Lung Care (HMO C-SNP) H2593-005 Pima Local HMO $0.00
Amerivantage CareMore Care To You Plus (HMO I-SNP) H1423-007 Pima, Maricopa Local HMO $0.00
Amerivantage CareMore Care To You (HMO I-SNP) H2593-003 Pima, Maricopa Local HMO $0.00
Amerivantage Diabetes Care Plus (HMO C-SNP) H1423-002 Pima Local HMO $0.00
Amerivantage Lung Care Plus (HMO C-SNP) H1423-001 Pima Local HMO $0.00
Amerivantage CareMore ESRD Care (HMO C-SNP) H2593-040 Pima Local HMO $0.00
Amerivantage Heart Care Plus (HMO C-SNP) H1423-003 Pima Local HMO $0.00
Amerivantage Heart Care (HMO C-SNP) H2593-013 Pima Local HMO $0.00
Amerivantage Diabetes Care (HMO C-SNP) H2593-006 Pima Local HMO $0.00
Amerivantage Smart Value (HMO) H2593-018 Pima Local HMO $0.00

UnitedHealthCare Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
AARP Medicare Advantage Walgreens Plan 1 (PPO) H2228-075 Pima, Maricopa Local PPO $0.00
AARP Medicare Advantage (HMO) H0609-025 Pima, Yavapai Local HMO $0.00
AARP Medicare Advantage Walgreens Plan 2 (PPO) H2228-096 Pima, Maricopa Local PPO $25.00

WellCare Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
WellCare Compass (HMO) H6439-003 Pima, Yavapai, Pinal, Maricopa Local HMO $15.50
WellCare Premier (PPO) H8553-001 Pima, Maricopa Local PPO $0.00
WellCare Dividend (HMO) H6439-004 Pima, Yavapai, Pinal, Maricopa Local HMO $0.00
WellCare Value (HMO) H6439-002 Pima, Yavapai, Pinal, Maricopa Local HMO $0.00
WellCare Patriot (PPO) H8553-002 Pima, Maricopa Local PPO * $0.00
WellCare Rx Plus (PPO) H8553-003 Pima, Maricopa Local PPO $0.00
WellCare Liberty (HMO D-SNP) H5430-001 Coconino, Yavapai, Gila, Navajo, Mohave, Pinal, Maricopa, Apache Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Humana Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
HumanaChoice R7220-002 (Regional PPO) R7220-002 Pima, Cochise, Coconino, Yavapai, Greenlee, Santa Cruz, Graham, Gila, Yuma, Navajo, Mohave, La Paz, Pinal, Maricopa, Apache Regional PPO $52.00
HumanaChoice R7220-001 (Regional PPO) R7220-001 Pima, Cochise, Coconino, Yavapai, Greenlee, Santa Cruz, Graham, Gila, Yuma, Navajo, Mohave, La Paz, Pinal, Maricopa, Apache Regional PPO * $0.00
HumanaChoice H5216-224 (PPO) H5216-224 Pima, Cochise, Santa Cruz, Pinal, Maricopa Local PPO $16.00
Humana Honor (PPO) H5216-213 Pima, Cochise, Coconino, Yavapai, Greenlee, Santa Cruz, Graham, Yuma, Mohave, La Paz, Pinal, Maricopa, Apache Local PPO * $0.00
HumanaChoice H5216-034 (PPO) H5216-034 Pima, Yavapai, Santa Cruz, Mohave, La Paz, Pinal, Maricopa Local PPO $120.00
Humana Value Plus H5216-197 (PPO) H5216-197 Pima, Cochise, Coconino, Yavapai, Greenlee, Santa Cruz, Graham, Yuma, Mohave, La Paz, Pinal, Maricopa, Apache Local PPO $20.90
Humana Gold Plus H0028-021 (HMO) H0028-021 Pima, Pinal Local HMO $0.00
HumanaChoice H5216-198 (PPO) H5216-198 Coconino, Yavapai, Greenlee, Graham, Yuma, Mohave, La Paz, Apache Local PPO $31.00
Humana Gold Plus H0028-028 (HMO) H0028-028 Yavapai, Maricopa Local HMO $0.00
Humana Gold Plus H0028-023 (HMO) H0028-023 Yavapai, Mohave, La Paz, Maricopa Local HMO $50.00
Humana Gold Plus H2463-001 (HMO) H2463-001 Yuma, Pinal Local HMO $0.00
Humana Gold Plus H0028-024 (HMO) H0028-024 Mohave, La Paz Local HMO $0.00
Humana Gold Plus H0028-027 (HMO) H0028-027 Maricopa Local HMO $0.00

Aetna Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Premier Plan (HMO) H4835-004 Pima, Cochise, Coconino, Yavapai, Santa Cruz, Graham, Gila, Mohave, Pinal, Maricopa Local HMO $0.00
Aetna Medicare Platinum Plan (PPO) H5521-184 Pima, Cochise, Coconino, Yavapai, Santa Cruz, Graham, Gila, Yuma, Mohave, Pinal, Maricopa Local PPO $59.00
Aetna Medicare Platinum Plan (HMO) H3931-129 Pima, Yavapai, Gila, Mohave, Pinal, Maricopa Local HMO $0.00

Allwell Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Allwell Medicare Premier II (HMO) H0351-052 Pima, Cochise, Yavapai, Santa Cruz, Yuma, Pinal, Maricopa Local HMO $0.00
Allwell Dual Medicare (HMO D-SNP) H5590-008 Pima, Cochise, Greenlee, Santa Cruz, Graham, Gila, Yuma, La Paz, Pinal, Maricopa Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Allwell Medicare Boost (HMO) H0351-054 Cochise, Santa Cruz, Yuma Local HMO $0.00
Allwell Medicare Essentials I (HMO) H5590-007 Cochise, Santa Cruz, Yuma Local HMO $24.20
Allwell Medicare (HMO) H5590-004 Yavapai, Yuma Local HMO $29.00
Allwell Medicare Essentials (HMO) H5590-005 Pinal, Maricopa Local HMO $0.00

BlueCross BlueShield of Arizona Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
BluePathway Plan 2 (HMO) H6936-005 Pima, Maricopa Local HMO $0.00
BlueJourney (PPO) H5140-002 Pima, Maricopa Local PPO $59.00
Blue Medicare Advantage Classic (HMO) H0302-008 Pima, Pinal, Maricopa Local HMO $0.00

Amerigroup Ohio Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Amerivantage Classic Plus (HMO) H1423-004 Pima Local HMO $0.00
Amerivantage Smart Value Plus (HMO) H1423-005 Pima Local HMO $0.00

Mercy Care Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Mercy Care Advantage (HMO D-SNP) H5580-005 Pima, Cochise, Coconino, Yavapai, Greenlee, Santa Cruz, Graham, Gila, Yuma, Navajo, Mohave, La Paz, Pinal, Maricopa, Apache Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Imperial Insurance Companies, Inc Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Imperial Insurance Company Traditional (HMO) H2793-003 Pima, Coconino, Yavapai, Pinal, Maricopa Local HMO $0.00
Imperial Insurance Traditional Plus (HMO) H2793-007 Pima, Coconino, Yavapai, Pinal, Maricopa Local HMO $32.40

Cigna Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Cigna Preferred Medicare (HMO) H0354-024 Pima, Pinal, Maricopa Local HMO $0.00
Cigna Alliance Medicare (HMO) H0354-028 Pinal, Maricopa Local HMO $0.00
Cigna Achieve Medicare (HMO C-SNP) H0354-027 Pinal, Maricopa Local HMO $0.00

Aetna Medicare Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Eagle Plan (PPO) H5521-329 Pima, Yavapai, Mohave, Pinal, Maricopa Local PPO * $0.00
Aetna Medicare Freedom Plan (PPO) H5521-100 Pima, Pinal, Maricopa Local PPO $0.00
Aetna Medicare Elite Plan (PPO) H5521-290 Yavapai, Mohave Local PPO $0.00
Aetna Medicare Prime Plus Plan (HMO) H4835-001 Maricopa Local HMO $0.00
Aetna Medicare Prime Plan (HMO) H3931-092 Maricopa Local HMO $0.00

UnitedHealthcare Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
UnitedHealthcare Nursing Home Plan (PPO I-SNP) H0710-005 Pima, Yavapai, Pinal, Maricopa Local PPO $36.10
AARP Medicare Advantage Patriot (PPO) H2228-095 Pima, Coconino, Yavapai, Greenlee, Gila, Yuma, Mohave, La Paz, Maricopa Local PPO * $0.00
UnitedHealthcare Dual Complete LP (HMO D-SNP) H0321-002 Pima, Cochise, Coconino, Yavapai, Greenlee, Santa Cruz, Graham, Gila, Yuma, Navajo, Mohave, La Paz, Pinal, Maricopa, Apache Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
AARP Medicare Advantage Plus (HMO-POS) H5253-035 Pima, Santa Cruz, Graham Local HMO $12.00
AARP Medicare Advantage Choice Plan 2 (PPO) H2228-094 Coconino, Yavapai, Greenlee, Gila, Yuma, Mohave, La Paz Local PPO $0.00
UnitedHealthcare Dual Complete ONE (HMO D-SNP) H0321-004 Coconino, Yavapai, Gila, Navajo, Mohave, Pinal, Maricopa, Apache Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
AARP Medicare Advantage Choice Plan 1 (PPO) H2228-076 Coconino, Yavapai, Greenlee, Gila, Yuma, Mohave, La Paz Local PPO $34.00
UnitedHealthcare Medicare Advantage Assure (PPO) H0271-008 Yavapai, Santa Cruz, Graham Local PPO $27.20
AARP Medicare Advantage Plan 1 (HMO) H0609-026 Pinal, Maricopa Local HMO $0.00
AARP Medicare Advantage Plan 2 (HMO) H0609-027 Pinal, Maricopa Local HMO $0.00
AARP Medicare Advantage Walgreens Plan 3 (PPO) H2228-097 Maricopa Local PPO $25.00

Clover Health Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Clover Health Choice (PPO) H5141-040 Pima Local PPO $0.00

Imperial Insurance Companies Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Imperial Insurance Value (HMO C-SNP) H2793-005 Pima, Coconino, Yavapai, Pinal, Maricopa Local HMO $0.00

Banner Health Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Banner Medicare Advantage Plus (PPO) H7273-002 Pima, Pinal, Maricopa Local PPO $40.00
Banner Medicare Advantage Prime (HMO) H5843-002 Pima, Pinal, Maricopa Local HMO $0.00

Banner-University Care Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Banner – University Care Advantage (HMO D-SNP) H4931-006 Pima, Cochise, Greenlee, Santa Cruz, Graham, Gila, Yuma, La Paz, Pinal, Maricopa Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Health Choice Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Health Choice Pathway (HMO D-SNP) H5587-002 Coconino, Yavapai, Gila, Navajo, Mohave, Pinal, Maricopa, Apache Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Blue Cross Blue Shield of Arizona Advantage Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Blue Medicare Advantage Standard (HMO) H0302-009 Santa Cruz Local HMO $0.00
Blue Medicare Advantage Plus (HMO) H0302-001 Pinal, Maricopa Local HMO $43.00

Molina Healthcare Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Magellan Complete Care of Arizona (HMO D-SNP) H8845-001 Gila, Pinal, Maricopa Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Bright Health Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Bright Advantage Plus (HMO) H4853-014 Maricopa Local HMO $54.00
Bright Advantage Choice (PPO) H5841-003 Maricopa Local PPO $0.00
Bright Advantage Choice Plus (PPO) H5841-004 Maricopa Local PPO $49.00
Bright Advantage (HMO) H4853-001 Maricopa Local HMO $0.00
Bright Advantage Assist (HMO) H4853-002 Maricopa Local HMO $36.10

Devoted Health Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Devoted Health Flex (HMO) H8173-003 Maricopa Local HMO $39.00
Devoted Health Core (HMO) H8173-001 Maricopa Local HMO $0.00
Devoted Health Select (HMO) H8173-002 Maricopa Local HMO $36.10

Blue Cross Blue Shield of Arizona Medicare Plans in Arizona

Plan Name Base Plan ID Counties Plan Type Monthly Premium
BluePathway Plan 3 (HMO) H6936-004 Maricopa Local HMO $32.00
BluePathway Plan 1 (HMO) H6936-006 Maricopa Local HMO $0.00

Arizona Medicare Advantage Plans With No Additional Cost

If you choose to buy Medicare Advantage in Arizona, you will still have to pay your original Medicare Part B premium. Several AZ Medicare companies offer Advantage plans that don’t have any additional cost beyond your original Medicare costs. Take a look at the options.

Arizona Medicare Advantage Plans With No Additional Cost

Plan Name County Preferred Pharmacy Copay/ Coinsurance 30-Day Supply MOOP for Part A & B Benefits
Lasso Healthcare Growth (MSA) – H1924-001-0 Santa Cruz, Navajo, Mohave, Yuma, Gila, Greenlee, Graham, Cochise, La Paz, Yavapai, Pinal, Pima, Coconino, Apache, Maricopa This Plan does NOT include Prescription Drug coverage. n/a
Lasso Healthcare Growth Plus (MSA) – H1924-004-0 Santa Cruz, Navajo, Mohave, Yuma, Gila, Greenlee, Graham, Cochise, La Paz, Yavapai, Pinal, Pima, Coconino, Apache, Maricopa This Plan does NOT include Prescription Drug coverage. n/a
Allwell Medicare Boost (HMO) – H0351-054-0 Pima Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 26%, Select Care Drugs: $0.00 $7,550
Allwell Medicare Premier II (HMO) – H0351-053-0 Pinal, Maricopa Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $7,550
Blue Medicare Advantage Standard (HMO) – H0302-009-0 Pima Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 30% $4,500
Humana Honor (PPO) – H5216-213-0 Maricopa This Plan does NOT include Prescription Drug coverage. $4,400
HumanaChoice R7220-001 (Regional PPO) – R7220-001-0 Maricopa This Plan does NOT include Prescription Drug coverage. $6,000
Mercy Care Advantage (HMO D-SNP) – H5580-005-0 Pima Tier 1: $0.00 n/a
Allwell Dual Medicare (HMO D-SNP) – H5590-008-0 Pima Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 25% n/a
Banner – University Care Advantage (HMO D-SNP) – H4931-008-0 Pima Tier 1: 15% n/a
Banner – University Care Advantage (HMO D-SNP) – H4931-016-0 Maricopa Tier 1: 15% n/a
UnitedHealthcare Dual Complete LP (HMO D-SNP) – H0321-002-0 Maricopa Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% n/a
WellCare Liberty (HMO D-SNP) – H5430-001-0 Pinal, Maricopa Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $45.00, Non-Preferred Drug: 49%, Specialty Tier: 25% n/a
Health Choice Pathway (HMO D-SNP) – H5587-002-0 Pima Tier 1: 15% n/a
UnitedHealthcare Dual Complete ONE (HMO D-SNP) – H0321-004-0 Pinal Tier 1: 15%, Tier 2: 15%, Tier 3: 15%, Tier 4: 15%, Tier 5: 15% n/a
AARP Medicare Advantage Choice Plan 2 (PPO) – H2228-094-0 Pima Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 27% $6,200
AARP Medicare Advantage Patriot (PPO) – H2228-095-0 Pinal, Maricopa This Plan does NOT include Prescription Drug coverage. $5,000
Aetna Medicare Eagle Plan (PPO) – H5521-329-0 Pima This Plan does NOT include Prescription Drug coverage. $5,500
Aetna Medicare Elite Plan (PPO) – H5521-290-0 Maricopa Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Aetna Medicare Premier Plan (HMO) – H4835-005-0 Maricopa Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% $6,700
Humana Gold Plus H0028-024 (HMO) – H0028-024-0 Pinal Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% $4,900
Humana Gold Plus H2463-001 (HMO) – H2463-001-0 Maricopa Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $4,900
Mercy Care Advantage (HMO D-SNP) – H5580-001-0 Pima Tier 1: $0.00 n/a
Mercy Care Advantage (HMO D-SNP) – H5580-004-0 Maricopa Tier 1: $0.00 n/a
Banner – University Care Advantage (HMO D-SNP) – H4931-001-0 Pima Tier 1: 15% n/a
Banner – University Care Advantage (HMO D-SNP) – H4931-013-0 Pima Tier 1: 15% n/a
Magellan Complete Care of Arizona (HMO D-SNP) – H8845-001-0 Pima Tier 1: 15% n/a
Humana Gold Plus H0028-028 (HMO) – H0028-028-0 Pima Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $5,500
Imperial Insurance Company Traditional (HMO) – H2793-003-0 Maricopa Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% $2,999
Imperial Insurance Value (HMO C-SNP) – H2793-005-0 Maricopa Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $3.00 n/a
WellCare Dividend (HMO) – H6439-004-0 Pima Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,400
WellCare Value (HMO) – H6439-002-0 Pima Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,400
AARP Medicare Advantage Plan 1 (HMO) – H0609-026-0 Pima Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 30% $3,900
AARP Medicare Advantage Plan 2 (HMO) – H0609-027-0 Pinal, Maricopa Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,000
Aetna Medicare Freedom Plan (PPO) – H5521-100-0 Maricopa Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,350
Aetna Medicare Platinum Plan (HMO) – H3931-129-0 Maricopa Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% $7,550
Aetna Medicare Premier Plan (HMO) – H4835-003-0 Pinal Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $4,700
Allwell CHF/Diabetes Medicare (HMO C-SNP) – H0351-038-0 Pima Preferred Generic: $5.00, Generic: $15.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Allwell Medicare Essentials (HMO) – H5590-005-0 Maricopa Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $3,450
Allwell Medicare Premier II (HMO) – H0351-052-0 Maricopa Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $3,450
Banner Medicare Advantage Prime (HMO) – H5843-001-0 Maricopa Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 30%, Select Care Drugs: $0.00 $4,450
Blue Medicare Advantage Classic (HMO) – H0302-006-0 Maricopa Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33% $4,250
Cigna Achieve Medicare (HMO C-SNP) – H0354-027-0 Pima Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Diabetic Drugs: $9.00 n/a
Cigna Alliance Medicare (HMO) – H0354-028-0 Pima Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,200
Cigna Preferred Medicare (HMO) – H0354-001-0 Pima Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,450
Humana Gold Plus H0028-021 (HMO) – H0028-021-0 Maricopa Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $2,800
Banner – University Care Advantage (HMO D-SNP) – H4931-015-0 Pima, Maricopa Tier 1: 15% n/a
Banner – University Care Advantage (HMO D-SNP) – H4931-007-0 Pima, Maricopa Tier 1: 15% n/a
AARP Medicare Advantage (HMO) – H0609-025-0 Pima Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $2,600
AARP Medicare Advantage Walgreens Plan 1 (PPO) – H2228-075-0 Pima Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% $5,000
Aetna Medicare Premier Plan (HMO) – H4835-004-0 Pima Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,600
Amerivantage CareMore Care To You (HMO I-SNP) – H2593-003-0 Maricopa Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Amerivantage CareMore Care To You Plus (HMO I-SNP) – H1423-007-0 Maricopa Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Amerivantage CareMore ESRD Care (HMO C-SNP) – H2593-040-0 Maricopa Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Amerivantage Classic (HMO) – H2593-001-0 Pima Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $7,550
Amerivantage Classic Plus (HMO) – H1423-004-0 Pima Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $2,700
Amerivantage Diabetes Care (HMO C-SNP) – H2593-006-0 Pima Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Amerivantage Diabetes Care Plus (HMO C-SNP) – H1423-002-0 Maricopa Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Amerivantage Heart Care (HMO C-SNP) – H2593-013-0 Maricopa Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Amerivantage Heart Care Plus (HMO C-SNP) – H1423-003-0 Pima Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Amerivantage Lung Care (HMO C-SNP) – H2593-005-0 Pima Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Amerivantage Lung Care Plus (HMO C-SNP) – H1423-001-0 Maricopa Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Amerivantage Smart Value (HMO) – H2593-018-0 Maricopa Preferred Generic: $5.00, Generic: $10.50, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $10.00 $3,450
Amerivantage Smart Value Plus (HMO) – H1423-005-0 Maricopa Preferred Generic: $5.00, Generic: $10.50, Preferred Brand: $40.00, Non-Preferred Drug: $90.00, Specialty Tier: 33%, Select Care Drugs: $10.00 $3,400
Banner Medicare Advantage Prime (HMO) – H5843-002-0 Maricopa Preferred Generic: $2.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 29%, Select Care Drugs: $0.00 $4,450
Blue Medicare Advantage Classic (HMO) – H0302-008-0 Pima Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33% $3,400
BluePathway Plan 2 (HMO) – H6936-005-0 Pima Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33% $2,900
Cigna Preferred Medicare (HMO) – H0354-024-0 Pima Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,000
Clover Health Choice (PPO) – H5141-040-0 Maricopa Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,400
WellCare Patriot (PPO) – H8553-002-0 Pima, Maricopa This Plan does NOT include Prescription Drug coverage. $4,400
WellCare Premier (PPO) – H8553-001-0 Pima, Maricopa Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% $5,000
WellCare Rx Plus (PPO) – H8553-003-0 Pima, Maricopa Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: 45%, Specialty Tier: 27% $6,000
Banner – University Care Advantage (HMO D-SNP) – H4931-014-0 Pima Tier 1: 15% n/a
Banner – University Care Advantage (HMO D-SNP) – H4931-006-0 Pima Tier 1: 15% n/a
AARP Medicare Advantage Walgreens Plan 1 (PPO) – H2228-074-0 Maricopa Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $5,000
AARP Medicare Advantage Walgreens Plan 2 (PPO) – H2228-077-0 Maricopa Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% $5,900
Aetna Medicare Platinum Plan (HMO) – H3931-130-0 Maricopa Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% $7,550
Aetna Medicare Premier Plan (HMO) – H4835-002-0 Maricopa Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $4,700
Aetna Medicare Prime Plan (HMO) – H3931-092-0 Maricopa Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 31% $7,550
Aetna Medicare Prime Plus Plan (HMO) – H4835-001-0 Maricopa Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,600
Amerivantage CareMore Care To You (HMO I-SNP) – H2593-019-0 Maricopa Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
Amerivantage CareMore Care To You Plus (HMO I-SNP) – H1423-008-0 Maricopa Preferred Generic: $0.00, Generic: $7.50, Preferred Brand: $40.00, Non-Preferred Drug: $85.00, Specialty Tier: 33%, Select Care Drugs: $0.00 n/a
BluePathway Plan 1 (HMO) – H6936-006-0 Maricopa Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $40.00, Non-Preferred Brand: $90.00, Specialty Tier: 33% $2,900
BluePathway Plan 2 (HMO) – H6936-003-0 Maricopa Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33% $3,400
Bright Advantage (HMO) – H4853-001-0 Maricopa Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $4,900
Bright Advantage Choice (PPO) – H5841-003-0 Maricopa Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Select Care Drugs: $0.00 $6,500
Devoted Health Core (HMO) – H8173-001-0 Maricopa Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% $3,200
Humana Gold Plus H0028-027 (HMO) – H0028-027-0 Maricopa Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $3,400

Standalone Medicare Part D Plans in Arizona

If you need to purchase Part D Medicare coverage in Arizona as a standalone policy, these plans are available. Remember that plans vary by county, and make sure to check that your AZ Medicare Advantage plan doesn’t already include Part D prescription drug coverage.

Standalone Medicare Part D Plans in Arizona

Plan Details Tiers
SilverScript SmartRx (PDP)
S5601 – 203 – 0
by Aetna Medicare
Monthly Premium: $6.60
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $19.00
Tier 3: $46.00
Tier 4: 49%
Tier 5: 25%
WellCare Wellness Rx (PDP)
S4802 – 197 – 0
by WellCare
Monthly Premium: $14.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $6.00
Tier 3: $40.00
Tier 4: 46%
Tier 5: 25%
Clear Spring Health Premier Rx (PDP)
S6946 – 052 – 0
by Clear Spring Health
Monthly Premium: $15.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $40.00
Tier 4: 45%
Tier 5: 25%
Humana Walmart Value Rx Plan (PDP)
S5884 – 207 – 0
by Humana
Monthly Premium: $17.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: 19%
Tier 4: 35%
Tier 5: 25%
WellCare Medicare Rx Select (PDP)
S5810 – 294 – 0
by WellCare
Monthly Premium: $17.60
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $3.00
Tier 3: $47.00
Tier 4: 42%
Tier 5: 25%
WellCare Value Script (PDP)
S4802 – 134 – 0
by WellCare
Monthly Premium: $17.80
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $10.00
Tier 3: $43.00
Tier 4: 47%
Tier 5: 25%
Amerivantage Rx Enhanced (PDP)
S8182 – 004 – 0
by Amerigroup
Monthly Premium: $21.90
Annual Deductable: $350
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 20%
Tier 4: 39%
Tier 5: 26%
Express Scripts Medicare – Saver (PDP)
S5660 – 244 – 0
by Express Scripts Medicare
Monthly Premium: $22.50
Annual Deductable: $285
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $35.00
Tier 4: 50%
Tier 5: 28%
Mutual of Omaha Rx Premier (PDP)
S7126 – 097 – 0
by Mutual of Omaha Rx
Monthly Premium: $23.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 23%
Tier 4: 44%
Tier 5: 25%
Cigna Secure-Essential Rx (PDP)
S5617 – 307 – 0
by Cigna
Monthly Premium: $24.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 18%
Tier 4: 48%
Tier 5: 25%
WellCare Classic (PDP)
S4802 – 092 – 0
by WellCare
Monthly Premium: $26.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $3.00
Tier 3: $30.00
Tier 4: 33%
Tier 5: 25%
Cigna Secure Rx (PDP)
S5617 – 138 – 0
by Cigna
Monthly Premium: $28.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $7.00
Tier 3: $47.00
Tier 4: 50%
Tier 5: 25%
Clear Spring Health Value Rx (PDP)
S6946 – 023 – 0
by Clear Spring Health
Monthly Premium: $30.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $42.00
Tier 4: 35%
Tier 5: 25%
SilverScript Choice (PDP)
S5601 – 056 – 0
by Aetna Medicare
Monthly Premium: $31.00
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $5.00
Tier 3: $35.00
Tier 4: 39%
Tier 5: 25%
AARP MedicareRx Walgreens (PDP)
S5921 – 409 – 0
by UnitedHealthcare
Monthly Premium: $31.10
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $6.00
Tier 3: $40.00
Tier 4: 40%
Tier 5: 25%
Blue MedicareRx Value (PDP)
S6506 – 001 – 0
by Blue Cross Blue Shield of Arizona
Monthly Premium: $31.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $4.00
Tier 3: 25%
Tier 4: 44%
Tier 5: 25%
AARP MedicareRx Saver Plus (PDP)
S5921 – 380 – 0
by UnitedHealthcare
Monthly Premium: $31.60
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $12.00
Tier 3: $40.00
Tier 4: 40%
Tier 5: 25%
Elixir RxPlus (PDP)
S7694 – 028 – 0
by Elixir Insurance
Monthly Premium: $31.60
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $7.00
Tier 3: 15%
Tier 4: 27%
Tier 5: 25%
Humana Basic Rx Plan (PDP)
S5884 – 146 – 0
by Humana
Monthly Premium: $31.90
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $1.00
Tier 3: 20%
Tier 4: 35%
Tier 5: 25%
WellCare Medicare Rx Saver (PDP)
S5810 – 062 – 0
by WellCare
Monthly Premium: $32.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $4.00
Tier 3: $39.00
Tier 4: 40%
Tier 5: 25%
Express Scripts Medicare – Value (PDP)
S5660 – 130 – 0
by Express Scripts Medicare
Monthly Premium: $33.60
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $9.00
Tier 3: $46.00
Tier 4: 49%
Tier 5: 25%
Blue MedicareRx Essential (PDP)
S6506 – 003 – 0
by Blue Cross Blue Shield of Arizona
Monthly Premium: $39.50
Annual Deductable: $180
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $4.00
Tier 3: 18%
Tier 4: 40%
Tier 5: 26%
Amerivantage Rx Basic (PDP)
S8182 – 003 – 0
by Amerigroup
Monthly Premium: $40.00
Annual Deductable: $380
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $2.00
Tier 3: $35.00
Tier 4: 35%
Tier 5: 25%
Cigna Secure-Extra Rx (PDP)
S5617 – 273 – 0
by Cigna
Monthly Premium: $52.40
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $4.00
Tier 2: $10.00
Tier 3: $42.00
Tier 4: 50%
Tier 5: 31%
Amerivantage Rx Plus (PDP)
S8182 – 006 – 0
by Amerigroup
Monthly Premium: $57.00
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $3.00
Tier 3: $43.00
Tier 4: 45%
Tier 5: 33%
Humana Premier Rx Plan (PDP)
S5884 – 174 – 0
by Humana
Monthly Premium: $63.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $45.00
Tier 4: 49%
Tier 5: 25%
Express Scripts Medicare – Choice (PDP)
S5660 – 198 – 0
by Express Scripts Medicare
Monthly Premium: $77.00
Annual Deductable: $100
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $2.00
Tier 2: $7.00
Tier 3: $42.00
Tier 4: 50%
Tier 5: 31%
WellCare Medicare Rx Value Plus (PDP)
S5768 – 151 – 0
by WellCare
Monthly Premium: $83.50
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $4.00
Tier 3: $47.00
Tier 4: 48%
Tier 5: 33%
SilverScript Plus (PDP)
S5601 – 057 – 0
by Aetna Medicare
Monthly Premium: $84.10
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $47.00
Tier 4: 49%
Tier 5: 33%
AARP MedicareRx Preferred (PDP)
S5820 – 027 – 0
by UnitedHealthcare
Monthly Premium: $90.20
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $5.00
Tier 2: $10.00
Tier 3: $45.00
Tier 4: 40%
Tier 5: 33%
Mutual of Omaha Rx Plus (PDP)
S7126 – 027 – 0
by Mutual of Omaha Rx
Monthly Premium: $97.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: 20%
Tier 4: 35%
Tier 5: 25%
Blue MedicareRx Enhanced (PDP)
S6506 – 002 – 0
by Blue Cross Blue Shield of Arizona
Monthly Premium: $105.50
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $4.00
Tier 3: 18%
Tier 4: 40%
Tier 5: 33%

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Medicare Advantage in Arizona
Medicare Advantage in Arizona