Medicare Plans in
Claiborne County, KY

47 Medicare Advantage Plans Found in Claiborne County. See Plans

Claiborne County, KY
Medicare Information

Have Medicare questions?

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

For Claiborne 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, 47 private Medicare plans are available in Claiborne 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 Claiborne 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, 47 private Medicare plans are available in Claiborne 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 Claiborne County, Kentucky, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

Average Cost of Medicare
Plans in Claiborne County

Average Cost of Medicare Advantage Plans in Claiborne County, Kentucky
Average Monthly Premium $47.11
Average in-network out-of-pocket spending limit $6,542.55
Average drug deductible in 2024 (weighted) $314.09
Percentage of plans rated 4 stars or higher 63.8%
Average Cost of Medicare Advantage Plans in Claiborne County, Kentucky
Average Monthly Premium
$47.11
Average in-network out-of-pocket spending limit
$6,542.55
Average drug deductible in 2021 (weighted)
$314.09
Percentage of plans rated 4 stars or higher
63.8%

Learn More About Medicare
Prescription Drug Plans

Claiborne 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

Anthem Blue Cross and Blue Shield

Anthem Blue Cross and Blue Shield Medicare Plans in Claiborne County, KY

The following table includes cost information and other plan details for Anthem Blue Cross and Blue Shield private Medicare plans available in Kentucky in 2024.

Scroll to the right to continue reading the chart
Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Anthem Kidney Care (HMO C-SNP) H9525: 011 $0 $0 $6,700 Yes
3.5 out of 5
Anthem Medicare Advantage (PPO) H4036: 036 $0 $0 $5,400 Yes
4.5 out of 5
Anthem Veteran (PPO) H4909: 023 $0 N/A $6,700 No
3 out of 5
Anthem Full Dual Advantage (HMO D-SNP) H9525: 007 $0 $0 $8,850 Yes
3.5 out of 5
Anthem Medicare Advantage (HMO) H9525: 013 $0 $0 $4,900 Yes
3.5 out of 5
Anthem Medicare Advantage 2 (PPO) H4036: 035 $28 $0 $4,950 Yes
4.5 out of 5
Anthem Dual Advantage (HMO D-SNP) H9525: 016 $30 $0 $4,900 Yes
3.5 out of 5
Anthem Medicare Advantage 3 (PPO) H4036: 034 $44 $0 $5,000 Yes
4.5 out of 5
Anthem Medicare Advantage (Regional PPO) R4487: 001 $73 $0 $6,400 Yes
4 out of 5
Humana Inc.

Humana Inc. Medicare Plans in Claiborne County, KY

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

Scroll to the right to continue reading the chart
Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
HumanaChoice SNP-DE H5525-045 (PPO D-SNP) H5525: 045 $0 $0 $8,850 Yes
4 out of 5
Humana Gold Plus H5619-071 (HMO) H5619: 071 $0 $0 $4,800 Yes
4 out of 5
Humana USAA Honor (PPO) H5216: 225 $0 N/A $6,700 No
4.5 out of 5
Humana USAA Honor (PPO) H5216: 105 $0 N/A $4,200 No
4.5 out of 5
HumanaChoice H5216-226 (PPO) H5216: 226 $0 $0 $7,250 Yes
4.5 out of 5
Humana Gold Plus SNP-DE H5619-075 (HMO D-SNP) H5619: 075 $0 $0 $8,850 Yes
4 out of 5
Humana USAA Honor with Rx (PPO) H5216: 396 $0 $0 $8,850 Yes
4.5 out of 5
HumanaChoice R0865-001 (Regional PPO) R0865: 001 $0 N/A $4,350 No
4.5 out of 5
Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP) H5619: 163 $0 $0 $8,850 Yes
4 out of 5
HumanaChoice H5216-317 (PPO) H5216: 317 $0 $0 $5,500 Yes
4.5 out of 5
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) H5619: 164 $0 $150 $6,700 Yes
4 out of 5
HumanaChoice H5216-322 (PPO) H5216: 322 $0 $545 $7,550 Yes
4.5 out of 5
HumanaChoice H5216-188 (PPO) H5216: 188 $22 $0 $6,800 Yes
4.5 out of 5
HumanaChoice H5525-044 (PPO) H5525: 044 $26 $545 $8,850 Yes
4 out of 5
HumanaChoice R0865-003 (Regional PPO) R0865: 003 $46 $245 $7,550 Yes
4.5 out of 5
HumanaChoice H5216-324 (PPO) H5216: 324 $77 $250 $2,250 Yes
4.5 out of 5
HumanaChoice H5216-107 (PPO) H5216: 107 $123 $200 $6,700 Yes
4.5 out of 5

Molina Healthcare, Inc.,

Molina Healthcare, Inc., Medicare Plans in Claiborne County, KY

The following table includes cost information and other plan details for Molina Healthcare, Inc., private Medicare plans available in Kentucky in 2024.

Scroll to the right to continue reading the chart
Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Passport Advantage (HMO D-SNP) H1799: 001 $0 $0 $8,850 No
Plan too new to be measured
Passport Medicare Choice Care (HMO) H1799: 002 $0 $125 $8,300 Yes
Plan too new to be measured
UnitedHealthcare

UnitedHealthcare Medicare Plans in Claiborne County, KY

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

Scroll to the right to continue reading the chart
Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
UHC Dual Complete KY-S002 (HMO-POS D-SNP) H6595: 004 $0 $0 $8,850 Yes
4 out of 5
AARP Medicare Advantage from UHC KY-0003 (PPO) H8768: 013 $0 $0 $5,500 Yes
4 out of 5
AARP Medicare Advantage from UHC KY-0004 (HMO-POS) H5253: 127 $0 $395 $6,500 Yes
4.5 out of 5
AARP Medicare Advantage from UHC KY-0005 (HMO-POS) H5253: 128 $0 $0 $6,300 Yes
4.5 out of 5
AARP Medicare Advantage Patriot No Rx KY-MA01 (PPO) H8768: 020 $0 N/A $6,700 No
4 out of 5
UHC Dual Complete KY-S001 (PPO D-SNP) H1889: 008 $0 $0 $8,850 Yes
4 out of 5
UHC Dual Complete KY-V001 (HMO-POS D-SNP) H6595: 003 $0 $0 $3,900 Yes
4 out of 5
AARP Medicare Advantage from UHC KY-0001 (HMO-POS) H5253: 099 $0 $0 $4,900 Yes
4.5 out of 5
AARP Medicare Advantage from UHC KY-0002 (HMO-POS) H5253: 100 $29 $0 $4,500 Yes
4.5 out of 5
Wellcare Health Plans, Inc.

Wellcare Health Plans, Inc. Medicare Plans in Claiborne County, KY

The following table includes cost information and other plan details for Wellcare Health Plans, Inc. private Medicare plans available in Kentucky in 2024.

Scroll to the right to continue reading the chart
Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare No Premium (HMO) H9730: 009 $0 $0 $5,000 Yes
3.5 out of 5
Wellcare Dual Access Open (PPO D-SNP) H3975: 004 $0 $0 $8,850 Yes
2.5 out of 5
Wellcare Dual Liberty (HMO D-SNP) H9730: 004 $0 $0 $8,850 Yes
3.5 out of 5
Wellcare Giveback (HMO) H9730: 007 $0 $545 $6,700 Yes
3.5 out of 5
Wellcare No Premium Essential (HMO-POS) H9730: 005 $0 $0 $5,000 Yes
3.5 out of 5
Wellcare All Dual Assure (HMO D-SNP) H9730: 011 $0 $0 $5,000 No
3.5 out of 5
Wellcare Dual Access (HMO D-SNP) H9730: 003 $0 $0 $8,850 Yes
3.5 out of 5
Wellcare Patriot Giveback Open (PPO) H3975: 002 $0 N/A $6,700 No
2.5 out of 5
Wellcare No Premium Open (PPO) H3975: 001 $0 $250 $6,000 Yes
2.5 out of 5
Wellcare Assist (HMO) H9730: 010 $21 $205 $5,000 Yes
3.5 out of 5