Medicare Plans in
Oakland County, MI

74 Medicare Advantage Plans Found in Oakland County. See Plans

Oakland County, MI
Medicare Information

For Oakland County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 74 MA plans are available in Oakland 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 Oakland County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 74 MA plans are available in Oakland 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 Oakland 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 Oakland County

Average Cost of Medicare Advantage Plans in Oakland County, Michigan
Average Monthly Premium $64.86
Average in-network out-of-pocket spending limit $5,245.80
Average drug deductible in 2023 (weighted) $429.57
Percentage of plans rated 4 stars or higher 33.8%
Average Cost of Medicare Advantage Plans in Oakland County, Michigan
Average Monthly Premium
$64.86
Average in-network out-of-pocket spending limit
$5,245.80
Average drug deductible in 2021 (weighted)
$429.57
Percentage of plans rated 4 stars or higher
33.8%

Learn More About Medicare Advantage
Prescription Drug Plans

Oakland 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 Oakland County, MI

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Michigan in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Value (PPO) H5521: 214 $0 $0 $4,950 Yes
3.5 out of 5
Aetna Medicare Eagle (PPO) H5521: 286 $0 N/A $4,390 No
3.5 out of 5
Aetna Medicare Premier (HMO-POS) H3192: 003 $0 $0 $3,900 Yes
3.5 out of 5
Aetna Medicare Assure Premier (HMO D-SNP) H3192: 007 $0 $0 $8,300 Yes
3.5 out of 5
Aetna Medicare Premier Plus (PPO) H5521: 217 $27 $0 $4,500 Yes
3.5 out of 5
SilverScript Choice (PDP) S5601: 026 $31 $505 N/A Yes
3.5 out of 5
SilverScript Plus (PDP) S5601: 027 $71 $0 N/A Yes
3.5 out of 5
Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of Michigan Medicare Advantage Plans in Oakland 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 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
BCN Advantage Elements (HMO-POS) H5883: 001 $0 N/A N/A No
4.5 out of 5
BCN Advantage HMO-POS Prime Value (HMO-POS) H5883: 014 $0 $0 $0 Yes
4.5 out of 5
BCN Advantage Local (HMO) H5883: 015 $0 $0 $4,500 Yes
4.5 out of 5
Medicare Plus Blue PPO Essential (PPO) H9572: 004 $0 $0 $5,200 Yes
4.5 out of 5
BCN Advantage HMO-POS Community Value (HMO-POS) H5883: 012 $17 $0 $0 Yes
4.5 out of 5
BCN Advantage HMO ConnectedCare (HMO) H5883: 007 $56 $0 $3,800 Yes
4.5 out of 5
Medicare Plus Blue PPO Vitality (PPO) H9572: 002 $83 $0 $5,000 Yes
4.5 out of 5
Prescription Blue Select (PDP) S5584: 001 $95 $505 N/A Yes
4 out of 5
Prescription Blue Premium (PDP) S5584: 002 $112 $0 N/A Yes
4 out of 5
BCN Advantage HMO-POS Classic (HMO-POS) H5883: 002 $122 $0 N/A Yes
4.5 out of 5
Medicare Plus Blue PPO Signature (PPO) H9572: 001 $150 $0 $4,700 Yes
4.5 out of 5
BCN Advantage HMO-POS Prestige (HMO-POS) H5883: 003 $236 $0 N/A Yes
4.5 out of 5
Medicare Plus Blue PPO Assure (PPO) H9572: 003 $284 $0 $3,425 Yes
4.5 out of 5

Centene Corporation

Centene Corporation Medicare Advantage Plans in Oakland County, MI

The following table includes cost information and other plan details for Centene Corporation Medicare Advantage plans available in Michigan in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Ascension Complete Michigan Reward (HMO) H0482: 003 $0 $480 $3,450 Yes
Not enough data available
Ascension Complete Michigan Secure (HMO) H0482: 004 $0 $0 $2,900 Yes
Not enough data available
Ascension Complete Michigan DSNP (HMO D-SNP) H0482: 006 $0 $0 $0 Yes
Not enough data available
Ascension Complete Michigan Access Plus (PPO) H7512: 001 $0 $0 $3,450 Yes
Plan too new to be measured
Ascension Complete Michigan Access (PPO) H7512: 002 $0 $0 $2,900 Yes
Plan too new to be measured
Cigna

Cigna Medicare Advantage Plans in Oakland County, MI

The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in Michigan in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Cigna Extra Rx (PDP) S5617: 258 $52 $100 N/A Yes
3 out of 5
Humana Inc.

Humana Inc. Medicare Advantage Plans in Oakland County, MI

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Michigan in 2023.

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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
4.5 out of 5
HumanaChoice H5216-287 (PPO) H5216: 287 $0 $0 $4,900 Yes
4.5 out of 5
Humana USAA Honor with Rx (PPO) H5216: 305 $0 $350 $6,550 Yes
4.5 out of 5
HumanaChoice H5216-306 (PPO) H5216: 306 $0 $350 $6,550 Yes
4.5 out of 5
Humana Gold Plus H8908-004 (HMO-POS) H8908: 004 $0 $0 $4,500 Yes
3.5 out of 5
Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP) H8908: 005 $0 $0 $0 Yes
3.5 out of 5
HumanaChoice R3887-001 (Regional PPO) R3887: 001 $0 N/A $5,500 No
4 out of 5
HumanaChoice H5216-133 (PPO) H5216: 133 $17 $0 $6,400 Yes
4.5 out of 5
HumanaChoice H8087-001 (PPO) H8087: 001 $19 $0 $5,900 Yes
3.5 out of 5
Humana Walmart Value Rx Plan (PDP) S5884: 192 $31 $505 N/A Yes
3 out of 5
Humana Gold Plus H8908-001 (HMO-POS) H8908: 001 $45 $0 $3,900 Yes
3.5 out of 5
Humana Premier Rx Plan (PDP) S5884: 159 $77 $300 N/A Yes
3 out of 5
HumanaChoice R3887-002 (Regional PPO) R3887: 002 $87 $505 $4,500 Yes
4 out of 5
HumanaChoice H5216-011 (PPO) H5216: 011 $99 $0 $5,900 Yes
4.5 out of 5

Molina Healthcare, Inc.,

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

The following table includes cost information and other plan details for Molina Healthcare, Inc., Medicare Advantage plans available in Michigan in 2023.

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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 $8,300 Yes
3 out of 5
Molina Medicare Choice Care Select (HMO) H5926: 007 $0 $375 $8,300 Yes
3 out of 5
Molina Medicare Complete Care (HMO D-SNP) H5926: 001 $33 $505 $8,300 Yes
3 out of 5
Molina Medicare Complete Care Select (HMO D-SNP) H5926: 005 $33 $505 $8,300 Yes
3 out of 5

Mutual of Omaha

Mutual of Omaha Medicare Advantage Plans in Oakland County, MI

The following table includes cost information and other plan details for Mutual of Omaha Medicare Advantage plans available in Michigan in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Mutual of Omaha Rx Essential (PDP) S7126: 115 $19 $505 N/A Yes
2 out of 5
Mutual of Omaha Rx Premier (PDP) S7126: 082 $63 $505 N/A Yes
2 out of 5
Mutual of Omaha Rx Plus (PDP) S7126: 012 $84 $505 N/A Yes
2 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Advantage Plans in Oakland County, MI

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Michigan in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
UnitedHealthcare Dual Complete Choice (PPO D-SNP) H0271: 028 $0 $0 $0 Yes
4 out of 5
AARP Medicare Advantage Open Plan 1 (PPO) H0294: 017 $0 $0 $4,500 Yes
4.5 out of 5
AARP Medicare Advantage Patriot (PPO) H0294: 022 $0 N/A $5,500 No
4.5 out of 5
UnitedHealthcare Dual Complete (HMO-POS D-SNP) H2247: 001 $0 $0 $0 Yes
3.5 out of 5
UnitedHealthcare Dual Complete Select (HMO-POS D-SNP) H2247: 003 $0 $0 $0 Yes
3.5 out of 5
AARP Medicare Advantage Open Plan 2 (PPO) H0294: 018 $28 $0 $3,900 Yes
4.5 out of 5
AARP MedicareRx Walgreens (PDP) S5921: 394 $28 $350 N/A Yes
3 out of 5
AARP MedicareRx Saver Plus (PDP) S5921: 358 $28 $505 N/A Yes
3 out of 5
AARP MedicareRx Preferred (PDP) S5820: 012 $106 $0 N/A Yes
3.5 out of 5
WellCare Health Plans, Inc.

WellCare Health Plans, Inc. Medicare Advantage Plans in Oakland County, MI

The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Michigan in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare No Premium Open (PPO) H2117: 001 $0 $0 $5,000 Yes
Plan too new to be measured
Wellcare Dual Access Open (PPO D-SNP) H2117: 002 $0 $0 $0 Yes
Plan too new to be measured
Wellcare Patriot Giveback Open (PPO) H2117: 003 $0 N/A $5,000 No
Plan too new to be measured
Wellcare Dual Access (HMO-POS D-SNP) H5475: 001 $0 $0 $0 Yes
2.5 out of 5
Wellcare No Premium (HMO-POS) H5475: 026 $0 $0 $5,500 Yes
2.5 out of 5
Wellcare Giveback (HMO) H5475: 031 $0 $505 $7,550 Yes
2.5 out of 5
Wellcare Value Script (PDP) S4802: 148 $11 $505 N/A Yes
3 out of 5
Wellcare Assist (HMO) H5475: 038 $12 $505 $5,000 Yes
2.5 out of 5
Wellcare Low Premium (HMO-POS) H5475: 024 $15 $0 $5,000 Yes
2.5 out of 5
Wellcare Classic (PDP) S4802: 084 $30 $505 N/A Yes
3 out of 5
Wellcare Community Assist (PPO) H2117: 004 $33 $380 $5,000 Yes
Plan too new to be measured
Wellcare Medicare Rx Value Plus (PDP) S4802: 216 $71 $0 N/A Yes
3 out of 5
Wellcare Medicare Rx Value Plus (PDP) S4802: 237 $71 $0 N/A Yes
3 out of 5

Zing Health

Zing Health Medicare Advantage Plans in Oakland County, MI

The following table includes cost information and other plan details for Zing Health Medicare Advantage plans available in Michigan in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Zing Choice MI (HMO) H4624: 006 $0 $0 $4,500 Yes
Not enough data available
Zing Essential Wellness Diabetes and Heart MI (HMO C-SNP) H4624: 012 $0 $0 $4,500 Yes
Not enough data available
Zing Dual Complete Plus MI (HMO D-SNP) H4624: 019 $0 $0 $0 Yes
Not enough data available
Zing Premium Giveback MI (HMO) H4624: 021 $0 $0 $6,700 Yes
Not enough data available
Zing Open Access MI (HMO-POS) H4624: 007 $25 $0 $4,500 Yes
Not enough data available