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Medicare Plans in
Pima County, AZ
44Medicare Advantage Plans Found in Pima County. See Plans
Pima County, AZ
Medicare Information
For Pima County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.
Currently, 44 private Medicare plans are available in Pima County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.
MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.
Part D plans, also referred to as PDPs, cover retail prescription drugs.
Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.
Learn more about some of the Medicare plans in Pima County, Arizona, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
For Pima County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare and Part D plans (PDP) can work alongside your Original Medicare benefits.
Currently, 44 private Medicare plans are available in Pima County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
Average Cost of Medicare
Plans in Pima County
| Average Cost of Medicare Advantage Plans in Pima County, Arizona | |
|---|---|
| Average Monthly Premium | $35.3 |
| Average in-network out-of-pocket spending limit | $4,752.09 |
| Average drug deductible in 2025 (weighted) | $450 |
| Percentage of plans rated 4 stars or higher | 29.4 % |
Learn More About Medicare
Prescription Drug Plans
Pima County Medicare beneficiaries who are interested in a private Medicare policy may choose among the following types of plans, depending on their needs and circumstances:
HMO HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. PPO Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. PFFS Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. SNP Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage. HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage. Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage. Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans. Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
Plan Type
Description
Plan Type and Description
Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.
Medicare Advantage Plans
Aetna Inc. Medicare Plans in Pima County, AZ
The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Arizona in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| Aetna Medicare Signature Extra (HMO) | H3931-129 | $0 | $615 | $4,900 | Yes | |
| Aetna Medicare Elite (PPO) | H5521-363 | $0 | $615 | $5,000 | Yes | |
| Aetna Medicare Signature (HMO) | H4835-002 | $0 | $615 | $6,750 | Yes | |
| Aetna Medicare Eagle (PPO) | H5521-329 | $0 | N/A | $5,500 | No | |
| Aetna Medicare Value Care (PPO) | H5521-649 | $16 | $615 | $5,900 | Yes | |
| Aetna Medicare Signature (PPO) | H5521-554 | $0 | $615 | $6,350 | Yes | |
| Aetna Medicare Signature Advantage (HMO) | H3931-146 | $0 | $615 | $3,300 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Anthem Inc. Medicare Plans in Pima County, AZ
The following table includes cost information and other plan details for Anthem Inc. private Medicare plans available in Arizona in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| Wellpoint Lung Care (HMO-POS C-SNP) | H1423-001 | $0 | $0 | $2,700 | Yes | |
| Wellpoint I CareMore Home Care (HMO I-SNP) | H1423-007 | $0 | $150 | $1,500 | Yes | |
| Wellpoint Lung Care 2 (HMO-POS C-SNP) | H2593-005 | $0 | $0 | $8,300 | Yes | |
| Wellpoint Premium Savings (HMO) | H1423-005 | $0 | $125 | $3,400 | Yes | |
| Wellpoint I CareMore Kidney Care (HMO-POS C-SNP) | H2593-040 | $0 | $0 | $3,000 | Yes | |
| Wellpoint Chronic Care 2 (HMO-POS C-SNP) | H2593-006 | $0 | $0 | $8,300 | Yes | |
| Wellpoint Medicare Advantage 1 (HMO-POS) | H1423-004 | $0 | $125 | $2,700 | Yes | |
| Wellpoint Medicare Advantage 2 (HMO-POS) | H2593-001 | $0 | $0 | $8,300 | Yes | |
| Wellpoint I CareMore Home Care 2 (HMO I-SNP) | H2593-003 | $0 | $340 | $1,500 | Yes | |
| Wellpoint Chronic Care (HMO-POS C-SNP) | H1423-002 | $0 | $150 | $2,700 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Cigna Medicare Plans in Pima County, AZ
The following table includes cost information and other plan details for Cigna private Medicare plans available in Arizona in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| HealthSpring Alliance (HMO) | H0354-028 | $0 | $200 | $2,300 | Yes | |
| HealthSpring Preferred (HMO) | H0354-001 | $0 | $200 | $2,750 | Yes | |
| HealthSpring Achieve (HMO C-SNP) | H0354-027 | $0 | $200 | $2,500 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Devoted Health
Devoted Health Medicare Plans in Pima County, AZ
The following table includes cost information and other plan details for Devoted Health private Medicare plans available in Arizona in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| DEVOTED CORE 016 AZ (HMO) | H8173-016 | $0 | $305 | $2,700 | Yes | |
| DEVOTED GIVEBACK 013 AZ (HMO) | H8173-013 | $0 | $605 | $7,900 | Yes | |
| DEVOTED C-SNP PLUS 025 AZ (HMO C-SNP) | H8173-025 | $17 | $615 | $9,250 | Yes | |
| DEVOTED C-SNP 023 AZ (HMO C-SNP) | H8173-023 | $0 | $395 | $3,000 | Yes | |
| DEVOTED C-SNP PREMIUM 024 AZ (HMO C-SNP) | H8173-024 | $17 | $615 | $3,000 | Yes | |
| DEVOTED CHOICE MA ONLY 005 AZ (PPO) | H6586-005 | $0 | N/A | $5,900 | No | |
| DEVOTED CHOICE 003 AZ (PPO) | H6586-003 | $0 | $595 | $5,900 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
Humana Inc. Medicare Plans in Pima County, AZ
The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Arizona in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| Humana Gold Plus H0028-021 (HMO) | H0028-021 | $0 | $250 | $4,200 | Yes | |
| HumanaChoice Giveback H5216-371 (PPO) | H5216-371 | $0 | $615 | $6,100 | Yes | |
| HumanaChoice H5216-224 (PPO) | H5216-224 | $11 | $400 | $4,150 | Yes | |
| HumanaChoice H5216-265 (PPO) | H5216-265 | $0 | $615 | $4,990 | Yes | |
| Humana USAA Honor Giveback (PPO) | H5216-436 | $0 | N/A | $5,150 | No | |
| Humana Essentials Plus Giveback H5216-435 (PPO) | H5216-435 | $0 | $0 | $7,850 | Yes | |
| Humana Gold Plus H0028-074 (HMO) | H0028-074 | $0 | $0 | $2,550 | Yes | |
| HumanaChoice Giveback H7617-051 (PPO) | H7617-051 | $0 | $615 | $6,100 | Yes | |
| HumanaChoice R7220-002 (Regional PPO) | R7220-002 | $37 | $615 | $6,800 | Yes | |
| Humana Gold Plus H4461-059 (HMO) | H4461-059 | $0 | $0 | $2,550 | Yes | |
| HumanaChoice R7220-001 (Regional PPO) | R7220-001 | $0 | N/A | $6,000 | No | |
| HumanaChoice H5216-034 (PPO) | H5216-034 | $114 | $615 | $7,900 | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
UnitedHealthcare Medicare Plans in Pima County, AZ
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Arizona in 2025.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max | Prescription Drug Coverage | Medicare Star Rating |
|---|---|---|---|---|---|---|
| UHC Complete Care AZ-3P (HMO-POS C-SNP) | H0609-043 | $0 | $355 | $2,400 | Yes | |
| AARP Medicare Advantage Essentials from UHC AZ-1 (HMO-POS) | H0609-025 | $0 | $355 | $2,800 | Yes | |
| AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS) | H0609-045 | $0 | $440 | $3,300 | Yes | |
| AARP Medicare Advantage from UHC AZ-0007 (PPO) | H2406-062 | $0 | $600 | $6,200 | Yes | |
| UHC Dual Complete AZ-S001 (HMO-POS D-SNP) | H0321-002 | $0 | $615 | $ | Yes |
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.