Medicare Plans Found For Part C With Drug Coverage

Blue Medicare Choice (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$4,200.00

Drugs Covered

Drug Deductible:
$615.00

Blue Medicare Essential Plus (HMO-POS)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$4,900.00

Drugs Covered

Drug Deductible:
$615.00

Blue Medicare Enhanced (HMO-POS)

Plan Not Rated

2026

Not Applicable

Premium:
$30.00

Health Plan Deductible:

MOOP:
$4,200.00

Drugs Covered

Drug Deductible:
$100.00

Aetna Medicare Dual (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$36.20

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Aetna Medicare Signature Care (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,350.00

Drugs Covered

Drug Deductible:
$615.00

Aetna Medicare Full Dual Care (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$28.20

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Aetna Medicare Enhanced (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$63.00

Health Plan Deductible:

MOOP:
$5,900.00

Drugs Covered

Drug Deductible:
$615.00

Aetna Medicare Value Plus (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$32.20

Health Plan Deductible:

MOOP:
$5,500.00

Drugs Covered

Drug Deductible:
$615.00

AARP Medicare Advantage from UHC NC-0017 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,200.00

Drugs Covered

Drug Deductible:
$600.00

AARP Medicare Advantage from UHC NC-0016 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$53.00

Health Plan Deductible:

MOOP:
$4,200.00

Drugs Covered

Drug Deductible:
$520.00

HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)

Plan Not Rated

2026

Chronic or Disabling Condition

CardiovascularDisorders,ChronicHeartFailure,DiabetesMellitus

Premium:
$0.00

Health Plan Deductible:

MOOP:
$3,900.00

Drugs Covered

Drug Deductible:
$300.00

AARP Medicare Advantage Access from UHC NC-23 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$255.00

Health Plan Deductible:

MOOP:
$3,000.00

Drugs Covered

Drug Deductible:
$600.00

PacificSource Medicare MyCare Choice Rx 29 (HMO-POS)

Plan Not Rated

2026

Not Applicable

Premium:
$13.00

Health Plan Deductible:

MOOP:
$5,525.00

Drugs Covered

Drug Deductible:
$299.00

UHC Nursing Home Plan NC-F001 (PPO I-SNP)

Plan Not Rated

2026

Institutional

Not Applicable

Premium:
$36.20

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$14.20

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Humana Dual Select H1036-307 (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$13.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

HumanaChoice H5216-457 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,050.00

Drugs Covered

Drug Deductible:
$400.00

Humana Total Complete H6622-097 (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,200.00

Drugs Covered

Drug Deductible:
$615.00

Humana Essentials Plus Giveback H7617-024 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$7,900.00

Drugs Covered

Drug Deductible:
$615.00

Humana Full Access H7617-026 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$29.00

Health Plan Deductible:

MOOP:
$5,500.00

Drugs Covered

Drug Deductible:
$615.00

Humana Value Choice H7617-030 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,050.00

Drugs Covered

Drug Deductible:
$400.00

Humana Gold Plus SNP-DE H1036-331 (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$20.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Humana Gold Plus H1036-335 (HMO-POS)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$3,950.00

Drugs Covered

Drug Deductible:
$250.00

Humana Gold Plus Giveback H1036-318 (HMO-POS)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$450.00

Humana Gold Plus – Diabetes and Heart (HMO C-SNP)

Plan Not Rated

2026

Chronic or Disabling Condition

CardiovascularDisorders,DiabetesMellitus

Premium:
$0.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$450.00

UHC Dual Complete NC-S001 (PPO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$36.20

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Wellcare Simple Open (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$4,300.00

Drugs Covered

Drug Deductible:
$615.00

Wellcare Dual Liberty Open (PPO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$25.80

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$395.00

Wellcare Assist Open (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$31.00

Health Plan Deductible:

MOOP:
$4,201.00

Drugs Covered

Drug Deductible:
$480.00

Wellcare Giveback Open (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$8,300.00

Drugs Covered

Drug Deductible:
$615.00

UHC Dual Complete NC-S2 (PPO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$36.20

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Blue Cross Medicare Advantage Choice Plus (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Blue Cross Medicare Advantage Dental Premier (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$8,100.00

Drugs Covered

Drug Deductible:
$615.00

Blue Cross Medicare Advantage Health Choice (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,750.00

Drugs Covered

Drug Deductible:
$615.00

Humana Gold Plus H6622-007 (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$18.00

Health Plan Deductible:

MOOP:
$5,700.00

Drugs Covered

Drug Deductible:
$615.00

AARP Medicare Advantage Access from UHC MT-3 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$276.00

Health Plan Deductible:

MOOP:
$3,000.00

Drugs Covered

Drug Deductible:
$600.00

AARP Medicare Advantage from UHC MT-0001 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$49.00

Health Plan Deductible:

MOOP:
$5,900.00

Drugs Covered

Drug Deductible:
$600.00

AARP Medicare Advantage from UHC MT-0002 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,700.00

Drugs Covered

Drug Deductible:
$600.00

HumanaChoice H5216-089 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$14.00

Health Plan Deductible:

MOOP:
$5,300.00

Drugs Covered

Drug Deductible:
$350.00

Blue Cross Medicare Advantage Optimum (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$128.00

Health Plan Deductible:

MOOP:
$4,700.00

Drugs Covered

Drug Deductible:
$300.00

Blue Cross Medicare Advantage Classic (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$74.00

Health Plan Deductible:

MOOP:
$6,500.00

Drugs Covered

Drug Deductible:
$450.00

UHC Dual Complete MT-S001 (PPO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$41.50

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$30.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,750.00

Drugs Covered

Drug Deductible:
$200.00

HumanaChoice H5216-457 (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,500.00

Drugs Covered

Drug Deductible:
$400.00

HumanaChoice SNP-DE H7617-036 (PPO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$41.50

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

HumanaChoice SNP-DE H7617-037 (PPO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$41.50

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Zing Elite Diabetes & Heart TN-MS (HMO C-SNP)

Plan Not Rated

2026

Chronic or Disabling Condition

CardiovascularDisorders,ChronicHeartFailure,DiabetesMellitus

Premium:
$0.00

Health Plan Deductible:

MOOP:
$4,500.00

Drugs Covered

Drug Deductible:
$0.00

Zing Select Diabetes & Heart TN-MS (HMO C-SNP)

Plan Not Rated

2026

Chronic or Disabling Condition

CardiovascularDisorders,ChronicHeartFailure,DiabetesMellitus

Premium:
$0.00

Health Plan Deductible:

MOOP:
$4,500.00

Drugs Covered

Drug Deductible:
$0.00

Zing Elite Select TN-MS (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$3,900.00

Drugs Covered

Drug Deductible:
$0.00

Zing Select Care TN-MS (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$4,500.00

Drugs Covered

Drug Deductible:
$0.00

Zing Select Dialysis TN-MS (HMO C-SNP)

Plan Not Rated

2026

Chronic or Disabling Condition

ChronicKidneyDisease

Premium:
$0.00

Health Plan Deductible:

MOOP:
$4,950.00

Drugs Covered

Drug Deductible:
$0.00

Aetna Medicare Elite Giveback (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,900.00

Drugs Covered

Drug Deductible:
$200.00

HealthSpring True Choice (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,800.00

Drugs Covered

Drug Deductible:
$250.00

Blue Advantage Plus (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,750.00

Drugs Covered

Drug Deductible:
$320.00

Molina Medicare Complete Care (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Wellcare Simple (HMO-POS)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,500.00

Drugs Covered

Drug Deductible:
$615.00

HealthSpring Preferred Plus (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$16.00

Health Plan Deductible:

MOOP:
$6,350.00

Drugs Covered

Drug Deductible:
$200.00

HealthSpring TotalCare Plus (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,200.00

Drugs Covered

Drug Deductible:
$200.00

HealthSpring Achieve (HMO C-SNP)

Plan Not Rated

2026

Chronic or Disabling Condition

CardiovascularDisorders,ChronicHeartFailure,DiabetesMellitus

Premium:
$0.00

Health Plan Deductible:

MOOP:
$3,800.00

Drugs Covered

Drug Deductible:
$200.00

HealthSpring True Choice (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,500.00

Drugs Covered

Drug Deductible:
$200.00

Aetna Medicare Dual Extra Care (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$23.80

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Aetna Medicare Signature Care (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,100.00

Drugs Covered

Drug Deductible:
$200.00

DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP)

Plan Not Rated

2026

Chronic or Disabling Condition

CardiovascularDisorders,ChronicHeartFailure,DiabetesMellitus

Premium:
$23.80

Health Plan Deductible:

MOOP:
$9,250.00

Humana Gold Plus H1036-327 (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,700.00

Drugs Covered

Drug Deductible:
$615.00

Humana Gold Plus H1036-327 (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,700.00

HealthSpring TotalCare (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,750.00

Drugs Covered

Drug Deductible:
$615.00

HealthSpring TotalCare (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,750.00

Blue Advantage Capital (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$6,400.00

Drugs Covered

Drug Deductible:
$300.00

Blue Advantage Magnolia (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,250.00

Drugs Covered

Drug Deductible:
$325.00

Humana Gold Plus H6622-047 (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,700.00

Drugs Covered

Drug Deductible:
$590.00

Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$16.60

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Molina Medicare Complete Care (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$4.10

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP)

Plan Not Rated

2026

Chronic or Disabling Condition

CardiovascularDisorders,ChronicHeartFailure,DiabetesMellitus

Premium:
$23.80

Health Plan Deductible:

MOOP:
$5,700.00

Drugs Covered

Drug Deductible:
$615.00

DEVOTED C-SNP CHOICE PREMIUM 007 MS (PPO C-SNP)

Plan Not Rated

2026

Chronic or Disabling Condition

CardiovascularDisorders,ChronicHeartFailure,DiabetesMellitus

Premium:
$23.80

Health Plan Deductible:

MOOP:
$5,700.00

DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$23.80

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

DEVOTED DUAL CHOICE FULL 009 MS (PPO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$23.80

Health Plan Deductible:

MOOP:
$9,250.00

DEVOTED C-SNP CHOICE PLUS 010 MS (PPO C-SNP)

Plan Not Rated

2026

Chronic or Disabling Condition

CardiovascularDisorders,ChronicHeartFailure,DiabetesMellitus

Premium:
$23.80

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Aetna Medicare Signature Plus (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

DEVOTED CHOICE 001 MS (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,400.00

Drugs Covered

Drug Deductible:
$375.00

DEVOTED CHOICE GIVEBACK 002 MS (PPO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$605.00

DEVOTED DUAL CHOICE PLUS 003 MS (PPO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$23.80

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

DEVOTED DUAL CHOICE 004 MS (PPO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$23.80

Health Plan Deductible:

MOOP:
$5,400.00

Drugs Covered

Drug Deductible:
$615.00

DEVOTED C-SNP CHOICE 006 MS (PPO C-SNP)

Plan Not Rated

2026

Chronic or Disabling Condition

CardiovascularDisorders,ChronicHeartFailure,DiabetesMellitus

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,700.00

Drugs Covered

Drug Deductible:
$395.00

Wellcare Assist (HMO-POS)

Plan Not Rated

2026

Not Applicable

Premium:
$16.30

Health Plan Deductible:

MOOP:
$6,000.00

Drugs Covered

Drug Deductible:
$615.00

Wellcare Giveback (HMO-POS)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$7,700.00

Drugs Covered

Drug Deductible:
$615.00

Wellcare Simple (HMO-POS)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$5,500.00

Drugs Covered

Drug Deductible:
$615.00

Wellcare Dual Reserve (HMO-POS D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$14.20

Health Plan Deductible:

MOOP:
$5,500.00

Drugs Covered

Drug Deductible:
$615.00

Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$23.80

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Humana Gold Plus H1036-151 (HMO)

Plan Not Rated

2026

Not Applicable

Premium:
$0.00

Health Plan Deductible:

MOOP:
$4,900.00

Drugs Covered

Drug Deductible:
$250.00

Wellcare Dual Access Open (PPO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$20.60

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Wellcare Dual Liberty (HMO-POS D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$23.80

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Wellcare Low Premium (HMO-POS)

Plan Not Rated

2026

Not Applicable

Premium:
$38.00

Health Plan Deductible:

MOOP:
$5,600.00

Drugs Covered

Drug Deductible:
$615.00

Wellcare Dual Access (HMO-POS D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$23.80

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Humana Gold Plus SNP-DE H1036-328 (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$23.80

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00

Humana Dual Select H1036-329 (HMO D-SNP)

Plan Not Rated

2026

Dual-Eligible

Not Applicable

Premium:
$23.80

Health Plan Deductible:

MOOP:
$9,250.00

Drugs Covered

Drug Deductible:
$615.00