Medicare Plans in
Cuyahoga County, OH
85 Medicare Advantage Plans Found in Cuyahoga County. See Plans
Cuyahoga County, OH
Medicare Information
For Cuyahoga 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, 85 private Medicare plans are available in Cuyahoga 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 Cuyahoga County, Ohio, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.
Average Cost of Medicare
Plans in Cuyahoga County
| Average Cost of Medicare Advantage Plans in Cuyahoga County, Ohio | |
|---|---|
| Average Monthly Premium | $58.85 |
| Average in-network out-of-pocket spending limit | $5,590.83 |
| Average drug deductible in 2023 (weighted) | $359.41 |
| Percentage of plans rated 4 stars or higher | 49.4% |
| Average Cost of Medicare Advantage Plans in Cuyahoga County, Ohio |
|---|
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Average Monthly Premium $58.85 |
|
Average in-network out-of-pocket spending limit $5,590.83 |
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Average drug deductible in 2021 (weighted) $359.41 |
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Percentage of plans rated 4 stars or higher 49.4% |
Learn More About Medicare
Prescription Drug Plans
Cuyahoga 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.
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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.
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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.
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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.
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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.
Medicare Advantage Plans
Aetna Inc. Medicare Plans in Cuyahoga County, OH
The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Ohio 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 Plan (HMO-POS) | H3931: 107 | $0 | $0 | $7,550 | Yes | 3.5 out of 5 |
| Aetna Medicare Premier (HMO-POS) | H0628: 005 | $0 | $0 | $4,500 | Yes | 4 out of 5 |
| Aetna Medicare Assure 1 (HMO D-SNP) | H0628: 013 | $0 | $0 | $8,300 | Yes | 4 out of 5 |
| Aetna Medicare Eagle (HMO) | H0628: 015 | $0 | N/A | $5,900 | No | 4 out of 5 |
| Aetna Medicare Advantra Silver (PPO) | H1608: 029 | $0 | $0 | $4,900 | Yes | 3.5 out of 5 |
| Aetna Medicare Value Plan (PPO) | H5521: 088 | $0 | $0 | $5,300 | Yes | 3.5 out of 5 |
| SilverScript Choice (PDP) | S5601: 028 | $33 | $505 | N/A | Yes | 3.5 out of 5 |
| SilverScript Plus (PDP) | S5601: 029 | $74 | $0 | N/A | Yes | 3.5 out of 5 |
| Aetna Medicare Premier 2 (PPO) | H5521: 020 | $101 | $0 | $4,800 | Yes | 3.5 out of 5 |
| Aetna Medicare Premier 1 (PPO) | H5521: 134 | $120 | $0 | $5,500 | Yes | 3.5 out of 5 |
| Aetna Medicare Premier Plus 2 (Regional PPO) | R6694: 005 | $137 | $505 | $5,100 | Yes | 4 out of 5 |
| Aetna Medicare Premier Plus 1 (Regional PPO) | R6694: 003 | $198 | $0 | $4,900 | Yes | 4 out of 5 |
Anthem Blue Cross and Blue Shield Medicare Plans in Cuyahoga County, OH
The following table includes cost information and other plan details for Anthem Blue Cross and Blue Shield private Medicare plans available in Ohio in 2023.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Anthem MediBlue Dual Advantage (HMO D-SNP) | H3655: 033 | $0 | $0 | $8,300 | Yes | 4 out of 5 |
| Anthem MediBlue Prime Select (HMO) | H3655: 038 | $0 | $0 | $3,450 | Yes | 4 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 | 4.5 out of 5 |
| Anthem MediBlue Access Core (Regional PPO) | R5941: 013 | $0 | N/A | $4,900 | No | 4 out of 5 |
| Anthem MediBlue Extra (HMO) | H3655: 041 | $10 | $505 | $7,550 | Yes | 4 out of 5 |
| Anthem MediBlue Preferred Plus (HMO) | H3655: 042 | $25 | $0 | $3,400 | Yes | 4 out of 5 |
| Anthem MediBlue Rx Standard (PDP) | S5596: 013 | $56 | $505 | N/A | Yes | 3.5 out of 5 |
| Anthem MediBlue Access (PPO) | H4036: 025 | $56 | $0 | $5,500 | Yes | 4.5 out of 5 |
| Anthem MediBlue Rx Plus (PDP) | S5596: 014 | $67 | $0 | N/A | Yes | 3.5 out of 5 |
| Anthem MediBlue Access Basic (Regional PPO) | R5941: 014 | $78 | $50 | $6,050 | Yes | 4 out of 5 |
| Anthem MediBlue Access Plus (PPO) | H4036: 017 | $87 | $40 | $4,300 | Yes | 4.5 out of 5 |
Cigna Medicare Plans in Cuyahoga County, OH
The following table includes cost information and other plan details for Cigna private Medicare plans available in Ohio in 2023.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Cigna Preferred Medicare (HMO) | H0672: 006 | $0 | $0 | $3,850 | Yes | 2.5 out of 5 |
| Cigna TotalCare (HMO D-SNP) | H0672: 012 | $0 | $0 | $0 | Yes | 2.5 out of 5 |
| Cigna Preferred Savings Medicare (HMO) | H0672: 016 | $0 | $0 | $5,600 | Yes | 2.5 out of 5 |
| Cigna True Choice Medicare (PPO) | H7849: 015 | $0 | $0 | $4,900 | Yes | 3 out of 5 |
| Cigna True Choice Courage Medicare (PPO) | H7849: 090 | $0 | N/A | $4,100 | No | 3 out of 5 |
| Cigna Preferred Plus Medicare (HMO) | H0672: 011 | $23 | $0 | $3,500 | Yes | 2.5 out of 5 |
| Cigna Extra Rx (PDP) | S5617: 259 | $57 | $100 | N/A | Yes | 3 out of 5 |
Devoted Health
Devoted Health Medicare Plans in Cuyahoga County, OH
The following table includes cost information and other plan details for Devoted Health private Medicare plans available in Ohio in 2023.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Devoted CHOICE Ohio (PPO) | H2526: 001 | $0 | $150 | $5,300 | Yes | Plan too new to be measured |
| Devoted CORE Ohio (HMO) | H2697: 001 | $0 | $0 | $3,800 | Yes | 5 out of 5 |
| Devoted GIVEBACK Ohio (HMO) | H2697: 003 | $0 | $350 | $5,900 | Yes | 5 out of 5 |
| Devoted DUAL Ohio - 1 (HMO D-SNP) | H2697: 010 | $0 | $0 | $8,300 | Yes | 5 out of 5 |
| Devoted DUAL Ohio - 2 (HMO D-SNP) | H2697: 011 | $0 | $0 | $3,900 | Yes | 5 out of 5 |
| Devoted PRIME Ohio (HMO) | H2697: 002 | $19 | $0 | $3,900 | Yes | 5 out of 5 |
Humana Inc. Medicare Plans in Cuyahoga County, OH
The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Ohio 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: 218 | $0 | N/A | $5,900 | No | 4.5 out of 5 |
| HumanaChoice H5216-285 (PPO) | H5216: 285 | $0 | $200 | $5,300 | Yes | 4.5 out of 5 |
| HumanaChoice H5216-309 (PPO) | H5216: 309 | $0 | $350 | $6,500 | Yes | 4.5 out of 5 |
| HumanaChoice H5525-042 (PPO) | H5525: 042 | $0 | $250 | $7,550 | Yes | 4 out of 5 |
| Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP) | H6622: 015 | $0 | $0 | $0 | Yes | 4.5 out of 5 |
| Humana Gold Plus - Diabetes and Heart (HMO C-SNP) | H6622: 017 | $0 | $200 | $6,700 | Yes | 4.5 out of 5 |
| Humana Gold Plus H6622-022 (HMO-POS) | H6622: 022 | $0 | $0 | $4,500 | Yes | 4.5 out of 5 |
| Humana Cleveland Clinic Preferred (HMO-POS) | H6622: 023 | $0 | $0 | $3,900 | Yes | 4.5 out of 5 |
| HumanaChoice R5495-001 (Regional PPO) | R5495: 001 | $0 | N/A | $6,500 | No | 4 out of 5 |
| HumanaChoice H5216-106 (PPO) | H5216: 106 | $14 | $0 | $3,900 | Yes | 4.5 out of 5 |
| Humana Value Plus H5525-041 (PPO) | H5525: 041 | $26 | $260 | $7,550 | Yes | 4 out of 5 |
| Humana Walmart Value Rx Plan (PDP) | S5884: 193 | $31 | $505 | N/A | Yes | 3 out of 5 |
| HumanaChoice H5216-024 (PPO) | H5216: 024 | $75 | $100 | $6,700 | Yes | 4.5 out of 5 |
| HumanaChoice R5495-002 (Regional PPO) | R5495: 002 | $84 | $505 | $6,700 | Yes | 4 out of 5 |
| Humana Premier Rx Plan (PDP) | S5884: 160 | $88 | $500 | N/A | Yes | 3 out of 5 |
Molina Healthcare, Inc.,
Molina Healthcare, Inc., Medicare Plans in Cuyahoga County, OH
The following table includes cost information and other plan details for Molina Healthcare, Inc., private Medicare plans available in Ohio 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) | H9955: 002 | $0 | $125 | $8,300 | Yes | 3 out of 5 |
| Molina Medicare Choice Care Select (HMO) | H9955: 004 | $0 | $375 | $8,300 | Yes | 3 out of 5 |
| Molina Medicare Complete Care (HMO D-SNP) | H9955: 001 | $35 | $505 | $8,300 | Yes | 3 out of 5 |
| Molina Medicare Complete Care Select (HMO D-SNP) | H9955: 003 | $35 | $505 | $8,300 | Yes | 3 out of 5 |
Mutual of Omaha
Mutual of Omaha Medicare Plans in Cuyahoga County, OH
The following table includes cost information and other plan details for Mutual of Omaha private Medicare plans available in Ohio 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: 116 | $18 | $505 | N/A | Yes | 2 out of 5 |
| Mutual of Omaha Rx Premier (PDP) | S7126: 083 | $74 | $505 | N/A | Yes | 2 out of 5 |
| Mutual of Omaha Rx Plus (PDP) | S7126: 013 | $80 | $505 | N/A | Yes | 2 out of 5 |
UnitedHealthcare Medicare Plans in Cuyahoga County, OH
The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Ohio 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 Select (HMO-POS D-SNP) | H5253: 122 | $0 | $0 | $0 | Yes | 4.5 out of 5 |
| UnitedHealthcare Dual Complete Choice (PPO D-SNP) | H0271: 055 | $0 | $0 | $0 | Yes | 4 out of 5 |
| AARP Medicare Advantage Plan 7 (HMO-POS) | H5253: 049 | $0 | $0 | $4,500 | Yes | 4.5 out of 5 |
| UnitedHealthcare Dual Complete LP (HMO-POS D-SNP) | H5253: 059 | $0 | $0 | $0 | Yes | 4.5 out of 5 |
| AARP Medicare Advantage Choice (PPO) | H8768: 014 | $0 | $0 | $5,100 | Yes | 4 out of 5 |
| AARP Medicare Advantage Patriot (PPO) | H8768: 021 | $0 | N/A | $4,500 | No | 4 out of 5 |
| AARP Medicare Advantage Plan 1 (HMO-POS) | H5253: 050 | $19 | $0 | $3,500 | Yes | 4.5 out of 5 |
| AARP Medicare Advantage Flex Plan 8 (HMO-POS) | H5253: 115 | $25 | $0 | $4,200 | Yes | 4.5 out of 5 |
| AARP MedicareRx Walgreens (PDP) | S5921: 395 | $28 | $350 | N/A | Yes | 3 out of 5 |
| AARP MedicareRx Saver Plus (PDP) | S5921: 359 | $50 | $505 | N/A | Yes | 3 out of 5 |
| AARP Medicare Advantage Plan 3 (HMO-POS) | H5253: 051 | $109 | $0 | $3,400 | Yes | 4.5 out of 5 |
| AARP MedicareRx Preferred (PDP) | S5820: 013 | $109 | $0 | N/A | Yes | 3.5 out of 5 |
WellCare Health Plans, Inc. Medicare Plans in Cuyahoga County, OH
The following table includes cost information and other plan details for WellCare Health Plans, Inc. private Medicare plans available in Ohio in 2023.
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| Plan Name | Plan Code | Monthly Premium | Deductible | Out of Pocket Max |
Prescription Drug Coverage |
Medicare Star Rating |
|---|---|---|---|---|---|---|
| Wellcare Dual Access (HMO D-SNP) | H0908: 001 | $0 | $0 | $0 | Yes | 3 out of 5 |
| Wellcare No Premium (HMO) | H0908: 003 | $0 | $75 | $4,700 | Yes | 3 out of 5 |
| Wellcare Giveback (HMO) | H0908: 005 | $0 | $505 | $7,500 | Yes | 3 out of 5 |
| Wellcare Dual Access Extra (HMO-POS D-SNP) | H5475: 021 | $0 | $0 | $0 | Yes | 2.5 out of 5 |
| Wellcare No Premium Essential (HMO-POS) | H5475: 022 | $0 | $0 | $4,200 | Yes | 2.5 out of 5 |
| Wellcare Dividend Giveback (HMO) | H5475: 032 | $0 | $505 | $7,500 | Yes | 2.5 out of 5 |
| Wellcare No Premium Open (PPO) | H7169: 001 | $0 | $160 | $5,900 | Yes | Plan too new to be measured |
| Wellcare Dual Access Open (PPO D-SNP) | H7169: 003 | $0 | $0 | $0 | Yes | Plan too new to be measured |
| Wellcare Patriot Giveback Open (PPO) | H7169: 004 | $0 | N/A | $6,700 | No | Plan too new to be measured |
| Wellcare Assist (HMO) | H0908: 004 | $11 | $505 | $4,700 | Yes | 3 out of 5 |
| Wellcare Value Script (PDP) | S4802: 149 | $11 | $505 | N/A | Yes | 3 out of 5 |
| Wellcare Classic (PDP) | S4802: 085 | $33 | $505 | N/A | Yes | 3 out of 5 |
| Wellcare Medicare Rx Value Plus (PDP) | S4802: 217 | $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 |
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