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

There are a lot of Medicare Advantage companies in Connecticut to choose from, and each has a different selection of plans available. Connecticut Medicare Advantage plans vary by county and even sometimes by ZIP code. You may be able to get Medicare Advantage coverage in Connecticut 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
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UPDATED: Sep 23, 2021

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The Highlights

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

If you’re shopping for a Medicare Advantage plan in Connecticut, there are a lot of options to choose from. 8 companies offer Medicare Advantage (Part C) coverage in Connecticut. Plans vary by county and include HMO, PPO, and POS options.

Finding the best Medicare company can be a challenge. To choose the right CT 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 Connecticut? Enter your ZIP code for fast, free Connecticut Medicare quotes today.

The Complete List of Medicare Advantage Companies in Connecticut

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

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Medicare Advantage Companies in Connecticut

Company Number of Plans Counties
Aetna 1 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield
Aetna Medicare 5 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield
Anthem 4 Tolland, Fairfield, Middlesex, New Haven, Hartford, Litchfield, Windham, New London
Anthem Blue Cross and Blue Shield 5 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield
CarePartners of Connecticut 4 Tolland, Middlesex, Windham, New Haven, New London, Hartford, Litchfield
ConnectiCare 10 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield
UnitedHealthcare 9 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield
WellCare 7 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield

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Medicare Advantage Plans by Company in Connecticut

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

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

CarePartners of Connecticut Medicare Plans in Connecticut

Plan Name Base Plan ID Counties Plan Type Monthly Premium
CarePartners Access (PPO) H0342-001 Tolland, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local PPO $0.00
CarePartners of CT CareAdvantage Premier (HMO) H5273-003 Tolland, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $90.00
CarePartners of CT CareAdvantage Preferred (HMO) H5273-001 Tolland, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00
CarePartners of CT CareAdvantage Prime (HMO) H5273-002 Tolland, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $30.00

ConnectiCare Medicare Plans in Connecticut

Plan Name Base Plan ID Counties Plan Type Monthly Premium
ConnectiCare Choice Dual (HMO D-SNP) H3276-001 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
ConnectiCare Choice Dual Basic (HMO D-SNP) H3276-002 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
ConnectiCare Choice Plan 2 (HMO) H3528-003 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO * $0.00
ConnectiCare Passage Plan 1 (HMO) H3528-010 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00
ConnectiCare Flex Plan 1 (HMO-POS) H3528-006 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $241.00
ConnectiCare Choice Plan 1 (HMO) H3528-016 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $183.00
ConnectiCare Choice Part B Saver (HMO) H3528-017 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00
ConnectiCare Flex Plan 2 (HMO-POS) H3528-015 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $134.00
ConnectiCare Choice Plan 3 (HMO) H3528-014 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00
ConnectiCare Flex Plan 3 (HMO-POS) H3528-011 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $49.00

Anthem Medicare Plans in Connecticut

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Anthem MediBlue ESRD Care (HMO-POS C-SNP) H5854-012 Tolland, Fairfield, Middlesex, New Haven, Hartford, Litchfield Local HMO $16.40
Anthem MediBlue Dual Advantage Select (HMO D-SNP) H5854-013 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
Anthem MediBlue Care To You (HMO I-SNP) H5854-014 Tolland, Middlesex, New Haven, Hartford Local HMO $7.40
Anthem MediBlue Dual Advantage (HMO D-SNP) H5854-008 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

UnitedHealthcare Medicare Plans in Connecticut

Plan Name Base Plan ID Counties Plan Type Monthly Premium
AARP Medicare Advantage Walgreens (PPO) H3442-001 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local PPO $0.00
UnitedHealthcare Medicare Advantage Plan 1 (HMO) H0755-030 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $94.00
AARP Medicare Advantage Choice (Regional PPO) R7444-001 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Regional PPO $49.00
UnitedHealthcare Medicare Advantage Patriot (HMO) H0755-032 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO * $0.00
UnitedHealthcare Medicare Advantage Plan 3 (HMO) H0755-033 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00
UnitedHealthcare Nursing Home Plan (PPO I-SNP) H0710-026 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local PPO $36.20
UnitedHealthcare Medicare Advantage Plan 2 (HMO) H0755-031 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $29.00
UnitedHealthcare Dual Complete (PPO D-SNP) H0271-014 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local PPO $0.00 for people who qualify for both Medicare and Medicaid.
UnitedHealthcare Assisted Living Plan (PPO I-SNP) H0710-009 Fairfield, New Haven, Hartford Local PPO $35.20

WellCare Medicare Plans in Connecticut

Plan Name Base Plan ID Counties Plan Type Monthly Premium
WellCare Endurance (PPO) H1914-003 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local PPO $0.00
WellCare Compass (HMO) H0712-020 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $21.40
WellCare Absolute (PPO) H1914-002 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local PPO $0.00
WellCare Freedom (HMO D-SNP) H0712-029 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00 for people who qualify for both Medicare and Medicaid.
WellCare Premier (PPO) H1914-001 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local PPO $0.00
WellCare Value (HMO) H0712-019 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00
WellCare Access (HMO D-SNP) H0712-005 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Anthem Blue Cross and Blue Shield Medicare Plans in Connecticut

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Anthem MediBlue Access Select (PPO) H2836-005 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local PPO $25.00
Anthem MediBlue Extra (HMO) H5854-011 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $35.20
Anthem MediBlue Select (HMO) H5854-010 Fairfield, Middlesex, Windham, New Haven, Hartford, Litchfield Local HMO $0.00
Anthem MediBlue Plus (HMO) H5854-009 Fairfield, Middlesex, Windham, New Haven, Hartford, Litchfield Local HMO $36.00
Anthem MediBlue Prime (HMO) H5854-015 New Haven Local HMO $0.00

Aetna Medicare Medicare Plans in Connecticut

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Explorer Premier Plan (PPO) H5521-013 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local PPO $99.00
Aetna Medicare Value Plan (HMO) H5793-001 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $99.00
Aetna Medicare Elite Plan (PPO) H5521-157 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local PPO $0.00
Aetna Medicare Prime PCP Elite Plan (HMO) H5793-012 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00
Aetna Medicare Elite Plan (HMO) H5793-010 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00

Aetna Medicare Plans in Connecticut

Plan Name Base Plan ID Counties Plan Type Monthly Premium
Aetna Medicare Assure Plan (HMO-POS D-SNP) H5793-017 Tolland, Fairfield, Middlesex, Windham, New Haven, New London, Hartford, Litchfield Local HMO $0.00 for people who qualify for both Medicare and Medicaid.

Connecticut Medicare Advantage Plans With No Additional Cost

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

Connecticut Medicare Advantage Plans With No Additional Cost

Plan Name County Preferred Pharmacy Copay/ Coinsurance 30-Day Supply MOOP for Part A & B Benefits
AARP Medicare Advantage Walgreens (PPO) – H3442-001-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,700
Aetna Medicare Elite Plan (HMO) – H5793-010-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $7,550
Aetna Medicare Elite Plan (PPO) – H5521-157-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,700
Aetna Medicare Prime PCP Elite Plan (HMO) – H5793-012-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% $6,700
CarePartners Access (PPO) – H0342-001-0 New Haven Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $7,550
CarePartners of CT CareAdvantage Preferred (HMO) – H5273-001-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Hartford Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Vaccines: $0.00 $7,550
ConnectiCare Choice Part B Saver (HMO) – H3528-017-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% $7,550
ConnectiCare Choice Plan 2 (HMO) – H3528-003-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford This Plan does NOT include Prescription Drug coverage. $6,000
ConnectiCare Choice Plan 3 (HMO) – H3528-014-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 25% $7,550
ConnectiCare Passage Plan 1 (HMO) – H3528-010-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 28% $7,550
UnitedHealthcare Medicare Advantage Patriot (HMO) – H0755-032-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford This Plan does NOT include Prescription Drug coverage. $6,000
UnitedHealthcare Medicare Advantage Plan 3 (HMO) – H0755-033-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% $6,700
WellCare Absolute (PPO) – H1914-002-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 33% $6,500
WellCare Endurance (PPO) – H1914-003-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $35.00, Non-Preferred Drug: 48%, Specialty Tier: 33% $6,700
WellCare Premier (PPO) – H1914-001-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 31% $5,000
WellCare Value (HMO) – H0712-019-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $1.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 33% $5,500
UnitedHealthcare Dual Complete (PPO D-SNP) – H0271-014-0 Tolland, Middlesex, New Haven, Hartford Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
WellCare Freedom (HMO D-SNP) – H0712-029-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $0.00, Generic: $6.00, Preferred Brand: $47.00, Non-Preferred Drug: 45%, Specialty Tier: 25% n/a
WellCare Access (HMO D-SNP) – H0712-005-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: 48%, Specialty Tier: 25% n/a
Aetna Medicare Assure Plan (HMO-POS D-SNP) – H5793-017-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% n/a
Anthem MediBlue Dual Advantage (HMO D-SNP) – H5854-008-0 Hartford Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
Anthem MediBlue Dual Advantage Select (HMO D-SNP) – H5854-013-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Preferred Generic: $0.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 n/a
ConnectiCare Choice Dual (HMO D-SNP) – H3276-001-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
ConnectiCare Choice Dual Basic (HMO D-SNP) – H3276-002-0 New London, Litchfield, Tolland, Windham, Middlesex, New Haven, Fairfield, Hartford Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 n/a
Anthem MediBlue Select (HMO) – H5854-010-0 New Haven Preferred Generic: $0.00, Generic: $14.00, Preferred Brand: $41.00, Non-Preferred Drug: $95.00, Specialty Tier: 28%, Select Care Drugs: $0.00 $6,950
Anthem MediBlue Prime (HMO) – H5854-015-0 New Haven Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 $7,550

Standalone Medicare Part D Plans in Connecticut

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

Standalone Medicare Part D Plans in Connecticut

Plan Details Tiers
SilverScript SmartRx (PDP)
S5601 – 177 – 0
by Aetna Medicare
Monthly Premium: $7.20
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%
Elixir RxPlus (PDP)
S7694 – 125 – 0
by Elixir Insurance
Monthly Premium: $14.30
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $6.00
Tier 3: $43.00
Tier 4: 45%
Tier 5: 25%
WellCare Wellness Rx (PDP)
S4802 – 171 – 0
by WellCare
Monthly Premium: $14.40
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $8.00
Tier 3: $40.00
Tier 4: 46%
Tier 5: 25%
WellCare Value Script (PDP)
S4802 – 137 – 0
by WellCare
Monthly Premium: $16.20
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $8.00
Tier 3: $43.00
Tier 4: 47%
Tier 5: 25%
Humana Walmart Value Rx Plan (PDP)
S5884 – 182 – 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: 17%
Tier 4: 35%
Tier 5: 25%
Cigna Secure-Essential Rx (PDP)
S5617 – 281 – 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: 49%
Tier 5: 25%
Mutual of Omaha Rx Premier (PDP)
S7126 – 072 – 0
by Mutual of Omaha Rx
Monthly Premium: $25.10
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: 45%
Tier 5: 25%
WellCare Medicare Rx Select (PDP)
S5810 – 276 – 0
by WellCare
Monthly Premium: $26.40
Annual Deductable: $400
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%
Express Scripts Medicare – Saver (PDP)
S5660 – 219 – 0
by Express Scripts Medicare
Monthly Premium: $27.40
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%
WellCare Classic (PDP)
S4802 – 076 – 0
by WellCare
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: $2.00
Tier 3: $30.00
Tier 4: 34%
Tier 5: 25%
AARP MedicareRx Saver Plus (PDP)
S5921 – 348 – 0
by UnitedHealthcare
Monthly Premium: $31.90
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $5.00
Tier 3: $31.00
Tier 4: 40%
Tier 5: 25%
Express Scripts Medicare – Value (PDP)
S5660 – 105 – 0
by Express Scripts Medicare
Monthly Premium: $32.80
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: $30.00
Tier 4: 50%
Tier 5: 25%
SilverScript Choice (PDP)
S5601 – 004 – 0
by Aetna Medicare
Monthly Premium: $32.90
Annual Deductable: $225
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: 41%
Tier 5: 29%
Elixir RxSecure (PDP)
S7694 – 002 – 0
by Elixir Insurance
Monthly Premium: $34.40
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: 32%
Tier 5: 25%
Humana Basic Rx Plan (PDP)
S5884 – 102 – 0
by Humana
Monthly Premium: $35.10
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 – 036 – 0
by WellCare
Monthly Premium: $35.70
Annual Deductable: $445
Zero Premium If Full LIS Benefits: Yes
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $0.00
Tier 2: $2.00
Tier 3: $42.00
Tier 4: 37%
Tier 5: 25%
Cigna Secure Rx (PDP)
S5617 – 008 – 0
by Cigna
Monthly Premium: $36.50
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: $41.00
Tier 4: 50%
Tier 5: 25%
AARP MedicareRx Walgreens (PDP)
S5921 – 385 – 0
by UnitedHealthcare
Monthly Premium: $37.90
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%
Cigna Secure-Extra Rx (PDP)
S5617 – 247 – 0
by Cigna
Monthly Premium: $40.90
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%
Blue MedicareRx Value Plus (PDP)
S2893 – 001 – 0
by Anthem Blue Cross and Blue Shield
Monthly Premium: $50.50
Annual Deductable: $445
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: No
Tier 1: $1.00
Tier 2: $6.00
Tier 3: $36.00
Tier 4: 40%
Tier 5: 25%
Humana Premier Rx Plan (PDP)
S5884 – 149 – 0
by Humana
Monthly Premium: $65.40
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%
SilverScript Plus (PDP)
S5601 – 005 – 0
by Aetna Medicare
Monthly Premium: $72.00
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: 45%
Tier 5: 33%
WellCare Medicare Rx Value Plus (PDP)
S5768 – 126 – 0
by WellCare
Monthly Premium: $74.40
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: 47%
Tier 5: 33%
Express Scripts Medicare – Choice (PDP)
S5660 – 206 – 0
by Express Scripts Medicare
Monthly Premium: $76.40
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%
AARP MedicareRx Preferred (PDP)
S5820 – 002 – 0
by UnitedHealthcare
Monthly Premium: $86.00
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 – 002 – 0
by Mutual of Omaha Rx
Monthly Premium: $87.10
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: 39%
Tier 5: 25%
Blue MedicareRx Premier (PDP)
S2893 – 003 – 0
by Anthem Blue Cross and Blue Shield
Monthly Premium: $135.00
Annual Deductable: $0
Zero Premium If Full LIS Benefits: No
ICL: $4,130
Additional Gap Coverage: Yes
Tier 1: $1.00
Tier 2: $7.00
Tier 3: $30.00
Tier 4: 35%
Tier 5: 33%

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Medicare Advantage in Connecticut
Medicare Advantage in Connecticut