Medicare Plans in
Gilpin County, CO

39 Medicare Advantage Plans Found in Gilpin County. See Plans

Gilpin County, CO
Medicare Information

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For Gilpin 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, 39 private Medicare plans are available in Gilpin County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

Have Medicare questions?

Talk to a licensed agent today to find a plan that fits your needs.


For Gilpin 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, 39 private Medicare plans are available in Gilpin 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 Gilpin County, Colorado, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

Average Cost of Medicare
Plans in Gilpin County

Average Cost of Medicare Advantage Plans in Gilpin County, Colorado
Average Monthly Premium $60.41
Average in-network out-of-pocket spending limit $5,702.63
Average drug deductible in 2024 (weighted) $373.50
Percentage of plans rated 4 stars or higher 64.1%
Average Cost of Medicare Advantage Plans in Gilpin County, Colorado
Average Monthly Premium
$60.41
Average in-network out-of-pocket spending limit
$5,702.63
Average drug deductible in 2021 (weighted)
$373.50
Percentage of plans rated 4 stars or higher
64.1%

Learn More About Medicare
Prescription Drug Plans

Gilpin 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:
Plan Type Description
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.
Plan Type and Description
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.

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.

Have Medicare questions?

Talk to a licensed agent today to find a plan that fits your needs.

Medicare Advantage Plans

Aetna Inc.

Aetna Inc. Medicare Plans in Gilpin County, CO

The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Colorado in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Premier 1 (HMO-POS) H3931: 153 $0 $0 $4,000 Yes
4 out of 5
Aetna Medicare Premier 3 (HMO-POS) H4711: 008 $0 $250 $4,500 Yes
3 out of 5
Aetna Medicare Eagle 1 (PPO) H5521: 378 $0 N/A $5,500 No
4 out of 5
Aetna Medicare Elite 1 (HMO-POS) H4711: 006 $0 $250 $4,900 Yes
3 out of 5
Aetna Medicare Eagle (HMO-POS) H4711: 010 $0 N/A $5,000 No
3 out of 5
Aetna Medicare Premier Plus 1 (PPO) H5521: 250 $0 $0 $5,200 Yes
4 out of 5
Aetna Medicare Assure Premier (HMO D-SNP) H4711: 012 $0 $0 $8,850 Yes
3 out of 5
Aetna Medicare Value Plus (PPO) H5521: 443 $29 $250 $5,300 Yes
4 out of 5

Devoted Health

Devoted Health Medicare Plans in Gilpin County, CO

The following table includes cost information and other plan details for Devoted Health private Medicare plans available in Colorado in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Devoted CHOICE GIVEBACK Colorado (PPO) H4808: 003 $0 $545 $7,900 Yes
Plan too new to be measured
Devoted CORE Colorado (HMO-POS) H7147: 004 $0 $0 $3,900 Yes
Plan too new to be measured
Devoted CHOICE Colorado (PPO) H4808: 002 $0 $0 $5,500 Yes
Plan too new to be measured
Devoted GIVEBACK Colorado (HMO-POS) H7147: 005 $0 $150 $5,900 Yes
Plan too new to be measured
Devoted DUAL Colorado (HMO-POS D-SNP) H7147: 007 $0 $0 $4,900 Yes
Plan too new to be measured
Devoted DUAL PLUS Colorado (HMO-POS D-SNP) H7147: 003 $0 $0 $8,850 Yes
Plan too new to be measured
Humana Inc.

Humana Inc. Medicare Plans in Gilpin County, CO

The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Colorado in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana USAA Honor (PPO) H5216: 213 $0 N/A $4,900 No
4.5 out of 5
HumanaChoice H5216-077 (PPO) H5216: 077 $0 N/A $3,900 No
4.5 out of 5
HumanaChoice SNP-DE H5216-267 (PPO D-SNP) H5216: 267 $0 $0 $8,850 Yes
4.5 out of 5
HumanaChoice H5216-137 (PPO) H5216: 137 $0 $500 $7,350 Yes
4.5 out of 5
HumanaChoice H5216-223 (PPO) H5216: 223 $34 $0 $4,900 Yes
4.5 out of 5
Humana Value Plus H5216-195 (PPO) H5216: 195 $47 $545 $7,550 Yes
4.5 out of 5
Humana Gold Choice H8145-123 (PFFS) H8145: 123 $60 $300 N/A Yes
4 out of 5
HumanaChoice H5216-078 (PPO) H5216: 078 $66 $0 $6,700 Yes
4.5 out of 5
HumanaChoice H5216-333 (PPO) H5216: 333 $102 $0 $2,900 Yes
4.5 out of 5

Kaiser Foundation Health Plan, Inc.

Kaiser Foundation Health Plan, Inc. Medicare Plans in Gilpin County, CO

The following table includes cost information and other plan details for Kaiser Foundation Health Plan, Inc. private Medicare plans available in Colorado in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Kaiser Permanente Senior Advantage Bronze DM (HMO-POS) H0630: 025 $0 $0 $4,100 Yes
4.5 out of 5
Kaiser Permanente Senior Advantage Core DM (HMO) H0630: 013 $0 $0 $3,900 Yes
4.5 out of 5
Kaiser Permanente Senior Advantage Choice DM (PPO) H3138: 001 $0 $0 $5,100 Yes
Plan too new to be measured
Kaiser Permanente Senior Advantage Silver DM (HMO-POS) H0630: 015 $35 $0 $3,400 Yes
4.5 out of 5
Senior Advantage Medicare Medicaid (HMO D-SNP) H0630: 014 $47 $545 $4,200 Yes
4.5 out of 5
Kaiser Permanente Senior Advantage Gold (HMO-POS) H0630: 016 $181 $0 $3,000 Yes
4.5 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Plans in Gilpin County, CO

The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Colorado in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
UHC Dual Complete CO-S002 (HMO-POS D-SNP) H0624: 001 $0 $0 $8,850 Yes
4 out of 5
AARP Medicare Advantage from UHC CO-0006 (PPO) H2577: 001 $0 $400 $7,550 Yes
3.5 out of 5
UHC Dual Complete CO-S001 (PPO D-SNP) H0271: 046 $0 $0 $8,850 Yes
4 out of 5
AARP Medicare Advantage Patriot No Rx CO-MA03 (PPO) H2406: 107 $0 N/A $4,400 No
4 out of 5
AARP Medicare Advantage from UHC CO-0008 (PPO) H2577: 003 $0 $0 $6,300 Yes
3.5 out of 5
UHC Dual Complete CO-V001 (PPO D-SNP) H0271: 045 $0 $0 $4,900 Yes
4 out of 5
AARP Medicare Advantage from UHC CO-0012 (PPO) H2406: 103 $0 $0 $7,500 Yes
4 out of 5
AARP Medicare Advantage from UHC CO-0013 (PPO) H2406: 104 $0 $0 $5,900 Yes
4 out of 5
AARP Medicare Advantage from UHC CO-0017 (PPO) H2406: 110 $29 $0 $5,200 Yes
4 out of 5
AARP Medicare Advantage from UHC CO-0009 (PPO) H2577: 022 $35 $0 $6,300 Yes
3.5 out of 5