Medicare Plans in
Auglaize County, OH

37 Medicare Advantage Plans Found in Auglaize County. See Plans

Auglaize County, OH
Medicare Information

For Auglaize County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 37 MA plans are available in Auglaize 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 Auglaize County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 37 MA plans are available in Auglaize 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 Auglaize County, Ohio, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

Average Cost of Medicare Advantage
Plans in Auglaize County

Average Cost of Medicare Advantage Plans in Auglaize County, Ohio
Average Monthly Premium $92.09
Average in-network out-of-pocket spending limit $5,344.44
Average drug deductible in 2022 (weighted) $204.60
Percentage of plans rated 4 stars or higher 54.1%
Average Cost of Medicare Advantage Plans in Auglaize County, Ohio
Average Monthly Premium
$92.09
Average in-network out-of-pocket spending limit
$5,344.44
Average drug deductible in 2021 (weighted)
$204.60
Percentage of plans rated 4 stars or higher
54.1%

Learn More About Medicare Advantage
Prescription Drug Plans

Auglaize 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 Auglaize County, OH

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Ohio 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) H0628: 001 $0 $0 $4,900 Yes
Plan too new to be measured
Aetna Medicare Value Plan (PPO) H5521: 088 $0 $150 $5,300 Yes
4 out of 5
Aetna Medicare Premier Plus 2 (Regional PPO) R6694: 005 $179 $260 $5,100 Yes
3.5 out of 5
Aetna Medicare Premier Plus 1 (Regional PPO) R6694: 003 $217 $0 $4,900 Yes
3.5 out of 5
Anthem Blue Cross and Blue Shield

Anthem Blue Cross and Blue Shield Medicare Advantage Plans in Auglaize County, OH

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

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Anthem MediBlue Access Core (Regional PPO) R5941: 013 $0 N/A $4,900 No
3.5 out of 5
Anthem MediBlue Preferred (HMO) H3655: 045 $0 $0 $4,200 Yes
4 out of 5
Anthem MediBlue Service (PPO) H4036: 022 $0 N/A $6,700 No
4 out of 5
Anthem MediBlue Extra (HMO) H3655: 041 $22 $480 $7,550 Yes
4 out of 5
Anthem MediBlue Access (PPO) H4036: 025 $56 $0 $5,500 Yes
4 out of 5
Anthem MediBlue Access Basic (Regional PPO) R5941: 014 $83 $200 $6,000 Yes
3.5 out of 5
Humana Inc.

Humana Inc. Medicare Advantage Plans in Auglaize County, OH

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Ohio 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: 218 $0 N/A $5,900 No
4 out of 5
HumanaChoice H5216-285 (PPO) H5216: 285 $0 $200 $5,300 Yes
4 out of 5
HumanaChoice H5525-042 (PPO) H5525: 042 $0 $250 $7,550 Yes
4 out of 5
HumanaChoice R5495-001 (Regional PPO) R5495: 001 $0 N/A $7,550 No
3 out of 5
HumanaChoice H5216-109 (PPO) H5216: 109 $19 $150 $5,700 Yes
4 out of 5
Humana Value Plus H5525-041 (PPO) H5525: 041 $21 $260 $7,550 Yes
4 out of 5
HumanaChoice H5216-050 (PPO) H5216: 050 $80 $0 $5,300 Yes
4 out of 5
Humana Gold Choice H8145-032 (PFFS) H8145: 032 $83 $225 N/A Yes
3.5 out of 5
HumanaChoice R5495-002 (Regional PPO) R5495: 002 $114 $480 $6,700 Yes
3 out of 5
HumanaChoice H5525-030 (PPO) H5525: 030 $151 $100 $3,400 Yes
4 out of 5

MEDICAL MUTUAL OF OHIO

MEDICAL MUTUAL OF OHIO Medicare Advantage Plans in Auglaize County, OH

The following table includes cost information and other plan details for MEDICAL MUTUAL OF OHIO Medicare Advantage plans available in Ohio in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
MedMutual Advantage Classic (HMO) H6723: 001 $0 $95 $5,850 Yes
4 out of 5
MedMutual Advantage Preferred (PPO) H4497: 002 $80 $55 $5,900 Yes
4.5 out of 5
MedMutual Advantage Choice (HMO) H6723: 002 $100 $55 $4,800 Yes
4 out of 5
MedMutual Advantage Select (PPO) H4497: 001 $100 $95 $6,900 Yes
4.5 out of 5
MedMutual Advantage Plus (HMO) H6723: 003 $134 $55 $3,450 Yes
4 out of 5
MedMutual Advantage Premium (PPO) H4497: 003 $200 $55 $3,450 Yes
4.5 out of 5

Molina Healthcare, Inc.,

Molina Healthcare, Inc., Medicare Advantage Plans in Auglaize County, OH

The following table includes cost information and other plan details for Molina Healthcare, Inc., Medicare Advantage plans available in Ohio 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) H9955: 002 $0 $125 $7,550 Yes
Plan too new to be measured

Summa Health System

Summa Health System Medicare Advantage Plans in Auglaize County, OH

The following table includes cost information and other plan details for Summa Health System Medicare Advantage plans available in Ohio in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
SummaCare Medicare Amber (HMO) H3660: 052 $0 N/A $3,450 No
4 out of 5
SummaCare Medicare Sapphire (HMO-POS) H3660: 029 $76 $0 $3,600 Yes
4 out of 5
WellCare Health Plans, Inc.

WellCare Health Plans, Inc. Medicare Advantage Plans in Auglaize County, OH

The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Ohio in 2022.

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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) H7169: 001 $0 $160 $5,900 Yes
na
Wellcare Giveback (HMO) H0908: 005 $0 $480 $5,500 Yes
3.5 out of 5
Wellcare Giveback Boost (HMO) H0724: 007 $0 $75 $7,550 Yes
3 out of 5
Wellcare No Premium (HMO) H0908: 003 $0 $75 $3,450 Yes
3.5 out of 5
Wellcare No Premium Medicare (HMO) H0724: 001 $0 $75 $3,450 Yes
3 out of 5
Wellcare Patriot No Premium (HMO) H0724: 005 $0 N/A $3,450 No
3 out of 5
Wellcare Assist (HMO) H0908: 004 $17 $480 $4,700 Yes
3.5 out of 5
Wellcare Assist Complement (HMO) H0724: 006 $18 $480 $3,450 Yes
3 out of 5