Medicare Plans in
Clare County, MI

34 Medicare Advantage Plans Found in Clare County. See Plans

Clare County, MI
Medicare Information

For Clare County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 34 MA plans are available in Clare 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.

For Clare County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 34 MA plans are available in Clare 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.

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 Medicare Advantage plans in Clare County, Michigan, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

Average Cost of Medicare Advantage
Plans in Clare County

Average Cost of Medicare Advantage Plans in Clare County, Michigan
Average Monthly Premium $114.64
Average in-network out-of-pocket spending limit $5,092.50
Average drug deductible in 2022 (weighted) $185.83
Percentage of plans rated 4 stars or higher 55.9%
Average Cost of Medicare Advantage Plans in Clare County, Michigan
Average Monthly Premium
$114.64
Average in-network out-of-pocket spending limit
$5,092.50
Average drug deductible in 2021 (weighted)
$185.83
Percentage of plans rated 4 stars or higher
55.9%

Learn More About Medicare Advantage
Prescription Drug Plans

Clare County Medicare beneficiaries who are interested in a Part C 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.

In addition to these primary types of plans, some members 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.

Aetna Inc. Medicare Advantage Plans in Clare County, MI

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Michigan in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Premier (HMO-POS) H3192: 002 $0 $0 $3,900 Yes
Plan too new to be measured
Aetna Medicare Eagle (PPO) H5521: 286 $0 N/A $5,500 No
4 out of 5
Aetna Medicare Value (PPO) H5521: 288 $0 $0 $4,900 Yes
4 out of 5
Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of Michigan Medicare Advantage Plans in Clare County, MI

The following table includes cost information and other plan details for Blue Cross Blue Shield of Michigan Medicare Advantage plans available in Michigan in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
BCN Advantage HMO-POS Prime Value (HMO-POS) H5883: 014 $0 $50 N/A Yes
4 out of 5
Medicare Plus Blue PPO Essential (PPO) H9572: 004 $10 $0 $6,000 Yes
3.5 out of 5
BCN Advantage HMO-POS Elements (HMO-POS) H5883: 001 $34 N/A N/A No
4 out of 5
Medicare Plus Blue PPO Vitality (PPO) H9572: 002 $85 $0 $5,000 Yes
3.5 out of 5
BCN Advantage HMO-POS Classic (HMO-POS) H5883: 002 $124 $0 N/A Yes
4 out of 5
Medicare Plus Blue PPO Signature (PPO) H9572: 001 $152 $0 $4,700 Yes
3.5 out of 5
BCN Advantage HMO-POS Prestige (HMO-POS) H5883: 003 $238 $0 N/A Yes
4 out of 5
Medicare Plus Blue PPO Assure (PPO) H9572: 003 $301 $0 $3,425 Yes
3.5 out of 5

Health Alliance Plan

Health Alliance Plan Medicare Advantage Plans in Clare County, MI

The following table includes cost information and other plan details for Health Alliance Plan Medicare Advantage plans available in Michigan in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
HAP Senior Plus Option 1 (PPO) H2322: 011 $0 $0 $6,500 Yes
4 out of 5
HAP Senior Plus (HMO) H2354: 015 $0 $0 $4,500 Yes
4.5 out of 5
HAP Senior Plus Medical Only (HMO) H2354: 019 $0 N/A $4,000 No
4.5 out of 5
HAP Senior Plus Option 2 (PPO) H2322: 012 $65 $0 $5,000 Yes
4 out of 5
HAP Senior Plus Option 1 (HMO-POS) H2354: 021 $90 $0 $4,200 Yes
4.5 out of 5
HAP Senior Plus Option 3 (PPO) H2322: 008 $165 $0 $4,500 Yes
4 out of 5
HAP Senior Plus Option 2 (HMO-POS) H2354: 022 $190 $0 $4,000 Yes
4.5 out of 5
HAP Senior Plus Option 4 (PPO) H2322: 004 $200 $0 $4,000 Yes
4 out of 5
Humana Inc.

Humana Inc. Medicare Advantage Plans in Clare County, MI

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Michigan in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Honor (PPO) H5216: 190 $0 N/A $5,500 No
4 out of 5
HumanaChoice H8087-004 (PPO) H8087: 004 $0 $0 $5,500 Yes
Plan too new to be measured
HumanaChoice R3887-001 (Regional PPO) R3887: 001 $0 N/A $5,500 No
3.5 out of 5
HumanaChoice H8087-001 (PPO) H8087: 001 $20 $0 $5,900 Yes
Plan too new to be measured
Humana Value Plus H8087-002 (PPO) H8087: 002 $21 $260 $7,550 Yes
Plan too new to be measured
HumanaChoice H5216-009 (PPO) H5216: 009 $71 $0 $5,900 Yes
4 out of 5
HumanaChoice R3887-002 (Regional PPO) R3887: 002 $112 $480 $5,300 Yes
3.5 out of 5

Molina Healthcare, Inc.,

Molina Healthcare, Inc., Medicare Advantage Plans in Clare County, MI

The following table includes cost information and other plan details for Molina Healthcare, Inc., Medicare Advantage plans available in Michigan in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Molina Medicare Choice Care (HMO) H5926: 006 $0 $125 $7,550 Yes
3.5 out of 5

Priority Health

Priority Health Medicare Advantage Plans in Clare County, MI

The following table includes cost information and other plan details for Priority Health Medicare Advantage plans available in Michigan in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
PriorityMedicare Key (HMO-POS) H2320: 022 $0 $0 $5,500 Yes
4 out of 5
PriorityMedicare Compass (PPO) H4875: 021 $0 $0 $5,650 Yes
3.5 out of 5
PriorityMedicare Ideal (PPO) H4875: 018 $24 $125 $5,800 Yes
3.5 out of 5
PriorityMedicare Value (HMO-POS) H2320: 029 $72 $75 $4,900 Yes
4 out of 5
PriorityMedicare Merit (PPO) H4875: 016 $107 $0 $4,100 Yes
3.5 out of 5
PriorityMedicare (HMO-POS) H2320: 028 $119 $0 $4,500 Yes
4 out of 5
PriorityMedicare Select (PPO) H4875: 017 $208 $0 $3,500 Yes
3.5 out of 5