Compare & Enroll — Part C & Part D

Compare & Enroll in Medicare Plans in 67481, KS

With 29 Medicare Advantage options from 7 insurers, 67481, KS has fewer plan options than the national average, suggesting a competitive market with meaningful insurer variety. Approximately 100% of local MA plans charge $0 beyond the standard Part B premium, reflecting strong price competition. With 2 hospitals within 25.0 miles, verifying your preferred hospital is in-network is especially important here. We've organized the CMS data below to help you cross-reference plan costs, quality ratings, and local provider access. Compare plans below, and when you're ready, enroll directly at Medicare.gov.

📊 Direct from CMS 🚫 No agents or commissions ✓ Just the data, no sales pitch
Compare Plans at Medicare.gov →

Data freshness: CMS data as of February 2026 • ACS data as of 2023 • Reviewed & approved on 2026-02-16
Reviewed by: Wes Ward, Founder & Data Lead • View our methodology

Important: We are not affiliated with Medicare or any government agency. This site displays publicly available CMS data to help you compare plans. We do not sell insurance or represent any insurance company. For official enrollment and complete plan information, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227).

Important: Plan availability, benefits, and CMS Star Ratings shown here come directly from CMS public files. Plan details can change—always verify with the insurer and at Medicare.gov.
Part C Plans
29
Part D Plans
12
Top MA Star
4.5
Top Drug Star
3.5
Happy senior couple reviewing Medicare plan options together

Medicare Eligibility in 67481, KS

Approximately 204 residents (27.8% of the population) in 67481, KS are 65 or older and likely Medicare-eligible. Whether you're approaching 65, already enrolled, or a caregiver comparing options, the plan data below is organized to help you evaluate Part C (Medicare Advantage) and Part D (prescription drug) coverage side by side.

The median household income in 67481, KS is $47,825 (36.4% below the National Average), which may affect eligibility for Extra Help with Part D drug costs.

Part C: Medicare Advantage Plans

Medicare Advantage (Part C) replaces Original Medicare through private insurers who bundle hospital, medical, and often drug coverage into a single plan. 67481, KS's 29 Medicare Advantage plans are a mix leaning toward HMO networks (16 HMO, 13 PPO). 29 plans offer $0 monthly premiums. The average local star rating is 3.5 out of 5, with the top plan earning 4.5 ★.

Top Medicare Advantage Plans in 67481, KS

We organize CMS plan data into separate leaderboards so you can compare based on what matters most to you. Part C premiums in 67481, KS range from $0 to $0/month. Among rated plans, 13 plans rated 4+ stars.

Highest CMS Star Ratings

Star Ratings are assigned by CMS based on quality measures including customer service, preventive care, and managing chronic conditions.

Plan NameInsurerStar RatingPremiumType
Humana Usaa Honor Giveback (PPO)Humana4.5 ★$0.00/moPPOEnroll
Humanachoice Giveback H7617-015 (PPO)Humana4.5 ★$0.00/moPPOEnroll
Kansas Health Advantage Choice (HMO I-SNP)Kansas Health Advantage4.5 ★$0.00/moHMO I-SNPEnroll
Kansas Health Advantage (HMO I-SNP)Kansas Health Advantage4.5 ★$0.00/moHMO I-SNPEnroll
Aarp Medicare Advantage From Uhc Ks-0001 (HMO-POS)Unitedhealthcare4.0 ★$0.00/moHMO-POSEnroll

Lowest Monthly Premium

Lower premiums can save money, but check total costs including deductibles, copays, and MOOP.

Plan NameInsurerMonthly PremiumMOOPStar Rating
Aarp Medicare Advantage From Uhc Ks-0003 (PPO)Unitedhealthcare$0.00/mo$4,9003.5 ★
Humana Value Choice H5216-318 (PPO)Humana$0.00/mo$4,0003.5 ★
Uhc Dual Complete Ks-S001 (HMO-POS D-SNP)Unitedhealthcare$0.00/mo$9,2503.5 ★
Blue Medicare Advantage Choice (PPO)Blue Cross And Blue Shield Of Kansas$0.00/mo$3,7003.0 ★
Aarp Medicare Advantage From Uhc Ks-0001 (HMO-POS)Unitedhealthcare$0.00/mo$4,1004.0 ★

Lowest Maximum Out-of-Pocket (MOOP)

MOOP caps your financial risk. Once you hit this limit, the plan covers 100% of covered services for the rest of the year.

Plan NameInsurerMOOP (In-Network)PremiumStar Rating
Aarp Medicare Advantage From Uhc Ks-0002 (HMO-POS)Unitedhealthcare$3,500$0.00/mo4.0 ★
Blue Medicare Advantage Choice (PPO)Blue Cross And Blue Shield Of Kansas$3,700$0.00/mo3.0 ★
Uhc Complete Care Ks-4 (HMO-POS C-SNP)Unitedhealthcare$3,900$0.00/mo4.0 ★
Humana Value Choice H5216-318 (PPO)Humana$4,000$0.00/mo3.5 ★
Aarp Medicare Advantage From Uhc Ks-0001 (HMO-POS)Unitedhealthcare$4,100$0.00/mo4.0 ★

Plan Type Mix in 67481, KS

HMO plans require referrals and in-network care. PPO plans offer more flexibility. SNP (Special Needs Plans) serve specific populations. MAPD plans include drug coverage.

Plan TypeCountPercentageDescription
PPO1344.8%No referrals; in and out-of-network
HMO-POS620.7%HMO with some out-of-network options
HMO-POS D-SNP517.2%Medicare Advantage plan
HMO I-SNP26.9%Medicare Advantage plan
HMO13.4%Requires referrals; in-network only
HMO-POS C-SNP13.4%Medicare Advantage plan
HMO D-SNP13.4%Medicare Advantage plan

Choosing the Right Medicare Advantage Plan

The best Part C plan depends on your doctors, medications, and budget. Key factors to evaluate:

  • Provider network: Verify your doctors and hospitals near 67481, KS are in-network before enrolling
  • Total cost: A $0 premium may have higher copays—calculate your annual cost
  • Star Ratings: 4+ stars indicate above-average quality and member satisfaction

Read our full guide on choosing Medicare Advantage → · Print our enrollment checklist →
Medicare Glossary: HMO, PPO, MOOP & more →

Medicare Advantage Insurers in 67481, KS

7 insurance companies offer Medicare Advantage plans in 67481, KS. Below, we group plans by insurer so you can compare options from each company. More insurers generally means more competition and better benefits for consumers.

Kansas Health Advantage
Avg Star Rating
4.5 ★
2 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Kansas Health Advantage Choice (HMO I-SNP)
$0.00/mo
$9,250
4.5 ★
HMO I-SNP
Kansas Health Advantage (HMO I-SNP)
$0.00/mo
$9,250
4.5 ★
HMO I-SNP
Humana
Avg Star Rating
3.9 ★
5 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Humanachoice Giveback H5216-409 (PPO)
$0.00/mo
$5,500
3.5 ★
PPO
Humana Value Choice H5216-318 (PPO)
$0.00/mo
$4,000
3.5 ★
PPO
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$4,700
3.5 ★
PPO
Humana Usaa Honor Giveback (PPO)
$0.00/mo
$4,700
4.5 ★
PPO
Humanachoice Giveback H7617-015 (PPO)
$0.00/mo
$5,500
4.5 ★
PPO
Unitedhealthcare
Avg Star Rating
3.7 ★
9 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Uhc Dual Complete Ks-Q1 (HMO-POS D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO-POS D-SNP
Aarp Medicare Advantage From Uhc Ks-0001 (HMO-POS)
$0.00/mo
$4,100
4.0 ★
HMO-POS
Aarp Medicare Advantage From Uhc Ks-0002 (HMO-POS)
$0.00/mo
$3,500
4.0 ★
HMO-POS
Uhc Complete Care Ks-4 (HMO-POS C-SNP)
$0.00/mo
$3,900
4.0 ★
HMO-POS C-SNP
Aarp Medicare Advantage Patriot No Rx Ks-Ma2 (HMO-POS)
$0.00/mo
$6,700
4.0 ★
HMO-POS
Uhc Dual Complete Ks-S001 (HMO-POS D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO-POS D-SNP
Aarp Medicare Advantage From Uhc Ks-0003 (PPO)
$0.00/mo
$4,900
3.5 ★
PPO
Uhc Dual Complete Ks-S002 (HMO-POS D-SNP)
$0.00/mo
$9,250
3.5 ★
HMO-POS D-SNP
Aarp Medicare Advantage Patriot No Rx Ks-Ma01 (PPO)
$0.00/mo
$6,700
3.5 ★
PPO
Aetna Medicare
Avg Star Rating
3.5 ★
4 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Aetna Medicare Signature (PPO)
$0.00/mo
$6,750
3.5 ★
PPO
Aetna Medicare Eagle (HMO-POS)
$0.00/mo
$5,500
3.5 ★
HMO-POS
Aetna Medicare Signature Extra (HMO-POS)
$0.00/mo
$4,150
3.5 ★
HMO-POS
Aetna Medicare Value Plus (HMO)
$0.00/mo
$4,900
3.5 ★
HMO
Blue Cross And Blue Shield Of Kansas
Avg Star Rating
3.0 ★
3 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Blue Medicare Advantage Comprehensive (PPO)
$0.00/mo
$5,000
3.0 ★
PPO
Blue Medicare Advantage Choice (PPO)
$0.00/mo
$3,700
3.0 ★
PPO
Blue Medicare Advantage Freedom (PPO)
$0.00/mo
$5,400
3.0 ★
PPO
Wellcare
Avg Star Rating
2.5 ★
5 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Wellcare Simple (HMO-POS)
$0.00/mo
$5,000
2.5 ★
HMO-POS
Wellcare Dual Access Sync (HMO-POS D-SNP)
$0.00/mo
$9,250
2.5 ★
HMO-POS D-SNP
Wellcare Simple Open (PPO)
$0.00/mo
$4,500
2.5 ★
PPO
Wellcare Patriot Giveback Open (PPO)
$0.00/mo
$5,400
2.5 ★
PPO
Wellcare Dual Liberty Sync (HMO-POS D-SNP)
$0.00/mo
$9,250
2.5 ★
HMO-POS D-SNP
Healthy Blue
Avg Star Rating
N/A
1 plans
From $0.00/mo
Plan
Premium
MOOP
Stars
Type
Healthy Blue Full Dual Advantage (HMO D-SNP)
$0.00/mo
$9,250
N/A
HMO D-SNP

Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.

Part D: Prescription Drug Plans (PDP)

Part D covers prescription drugs through standalone plans for those on Original Medicare, or as part of a Medicare Advantage bundle. Among the 12 standalone Part D plans in 67481, KS, some offer $0 annual deductibles while others charge up to the 2026 maximum of $590. 4 plans are at or below the regional premium benchmark, making them eligible for Low Income Subsidy auto-enrollment. The 2026 $2,000 out-of-pocket cap means drug costs are now more predictable regardless of which plan you choose, but formulary coverage still varies significantly—always verify your medications are covered before enrolling.

Part D Formulary Notice: Each Part D plan has its own formulary (list of covered drugs). The same medication may be on different tiers—or not covered at all—depending on the plan. Always check that your specific medications are covered before enrolling.
2026 Out-of-Pocket Cap: Thanks to the Inflation Reduction Act, your total out-of-pocket drug costs are capped at $2,000 per year in 2026. Once you reach this limit, you pay nothing more for covered Part D drugs for the rest of the year. This eliminates the old "donut hole" coverage gap that previously caused higher costs.
Low Income Subsidy (LIS / Extra Help): If you have limited income and resources, you may qualify for Extra Help paying Part D costs. Visit SSA.gov or call 1-800-MEDICARE.

Top Part D Drug Plans in 67481, KS

We organize Part D plans by CMS Star Ratings, premiums, and deductibles so you can find the best fit for your prescription needs. Part D premiums in 67481, KS range from $0 to $147/month. Remember: all Part D plans now cap your annual out-of-pocket drug costs at $2,000 thanks to the Inflation Reduction Act.

Highest CMS Star Ratings (Part D)

Part D Star Ratings measure drug pricing, customer service, member complaints, and pharmacy access.

Plan NameInsurerStar RatingPremiumDeductible
Blue Medicarerx Essentials (PDP)Blue Cross And Blue Shield Of Kansas3.5 ★$0.00/mo$615Enroll
Wellcare Value Script (PDP)Wellcare3.5 ★$9.60/mo$615Enroll
Wellcare Classic (PDP)Wellcare3.5 ★$14.70/mo$615Enroll
Blue Medicarerx Value (PDP)Blue Cross And Blue Shield Of Kansas3.5 ★$0.70/mo$615Enroll
Blue Medicarerx Plus (PDP)Blue Cross And Blue Shield Of Kansas3.5 ★$67.40/mo$0Enroll

Lowest Monthly Premium

Lower premiums help with monthly cash flow, but check drug tier costs and the deductible.

Plan NameInsurerMonthly PremiumDrug DeductibleStar Rating
Blue Medicarerx Essentials (PDP)Blue Cross And Blue Shield Of Kansas$0.00/mo$6153.5 ★
Blue Medicarerx Value (PDP)Blue Cross And Blue Shield Of Kansas$0.70/mo$6153.5 ★
Healthspring Assurance Rx (PDP)Healthspring$6.70/mo$6152.5 ★
Wellcare Value Script (PDP)Wellcare$9.60/mo$6153.5 ★
Wellcare Classic (PDP)Wellcare$14.70/mo$6153.5 ★

Lowest Annual Drug Deductible

The deductible is what you pay out-of-pocket before the plan starts covering drug costs. The 2026 maximum Part D deductible is $590. Many plans offer $0 deductible options.

Plan NameInsurerDrug DeductibleMonthly PremiumStar Rating
Blue Medicarerx Plus (PDP)Blue Cross And Blue Shield Of Kansas$0$67.40/mo3.5 ★
Humana Premier Rx Plan (PDP)Humana$0$116.30/mo3.0 ★
Aarp Medicare Rx Preferred From Uhc (PDP)Unitedhealthcare$130$147.00/mo2.0 ★
Humana Value Rx Plan (PDP)Humana$601$55.60/mo3.0 ★
Blue Medicarerx Essentials (PDP)Blue Cross And Blue Shield Of Kansas$615$0.00/mo3.5 ★
Understanding drug tiers: Part D plans organize medications into 5 cost tiers — Tier 1 (Preferred Generic) is cheapest; Tier 5 (Specialty) is most expensive. Two plans with the same premium can have very different costs for your drugs depending on tier placement. Learn more about drug tiers →

Choosing the Right Part D Drug Plan

The right Part D plan depends on your specific medications. Key factors to evaluate:

  • Formulary: Verify your drugs are covered before enrolling
  • Preferred pharmacies: Lower copays at certain locations—check your pharmacy is in-network
  • Total annual cost: Premium + deductible + copays for your drugs

Read our full guide on choosing Part D →
What is a formulary? See our Medicare Glossary →

Part D Drug Plan Insurers in 67481, KS

6 insurance companies offer standalone Part D drug plans in 67481, KS. Below, we group plans by insurer.

Blue Cross And Blue Shield Of Kansas
Avg Star Rating
3.5 ★
3 plans
From $0.00/mo
Plan
Premium
Deductible
Stars
Type
Blue Medicarerx Essentials (PDP)
$0.00/mo
$615
3.5 ★
PDP
Blue Medicarerx Value (PDP)
$0.70/mo
$615
3.5 ★
PDP
Blue Medicarerx Plus (PDP)
$67.40/mo
$0
3.5 ★
PDP
Wellcare
Avg Star Rating
3.5 ★
2 plans
From $9.60/mo
Plan
Premium
Deductible
Stars
Type
Wellcare Value Script (PDP)
$9.60/mo
$615
3.5 ★
PDP
Wellcare Classic (PDP)
$14.70/mo
$615
3.5 ★
PDP
Humana
Avg Star Rating
3.0 ★
3 plans
From $15.50/mo
Plan
Premium
Deductible
Stars
Type
Humana Basic Rx Plan (PDP)
$15.50/mo
$615
3.0 ★
PDP
Humana Value Rx Plan (PDP)
$55.60/mo
$601
3.0 ★
PDP
Humana Premier Rx Plan (PDP)
$116.30/mo
$0
3.0 ★
PDP
Aetna Medicare
Avg Star Rating
3.0 ★
1 plans
From $88.30/mo
Plan
Premium
Deductible
Stars
Type
Silverscript Choice (PDP)
$88.30/mo
$615
3.0 ★
PDP
Healthspring
Avg Star Rating
2.5 ★
1 plans
From $6.70/mo
Plan
Premium
Deductible
Stars
Type
Healthspring Assurance Rx (PDP)
$6.70/mo
$615
2.5 ★
PDP
Unitedhealthcare
Avg Star Rating
2.0 ★
2 plans
From $105.40/mo
Plan
Premium
Deductible
Stars
Type
Aarp Medicare Rx Saver From Uhc (PDP)
$105.40/mo
$615
2.0 ★
PDP
Aarp Medicare Rx Preferred From Uhc (PDP)
$147.00/mo
$130
2.0 ★
PDP

Plan availability, premiums, and benefits shown are based on CMS data and may change. Always verify current details with the insurer and at Medicare.gov before enrolling.

Ready to Enroll in 67481, KS?

Compare plans side-by-side at Medicare.gov or speak with a licensed Medicare specialist.

Compare Plans at Medicare.gov Call 1-800-MEDICARE

📋 Print our Medicare Enrollment Checklist — gather your info before you compare.

📅 Enrollment Dates & Deadlines · 🩺 Questions to Ask Your Doctor

Medicare.gov is the official U.S. government site for Medicare. Available 24/7.

Pharmacy Access in 67481, KS

Part D plans have preferred pharmacy networks where you'll pay lower copays. Here's a look at pharmacy options in and around 67481, KS.

Total Pharmacies

3
within 25.0 miles

Chain Pharmacies

0
CVS, Walgreens, etc.

Independent Pharmacies

3
locally owned
PharmacyAddress & PhoneDistanceType
WEIMER DRUG CO., INC.204 W LINCOLN AVE LINCOLN, KS 674551920📞 785-552-464913.6 miIndependent
SEITZ PHARMACY LLC206 N DOUGLAS AVE ELLSWORTH, KS 674393216📞 785-547-321221.2 miIndependent
F & M DRUGS L L C209 N DOUGLAS AVE ELLSWORTH, KS 674393215📞 785-547-313121.2 miIndependent
DON DAWSON PHARMACY INC725 N MAIN ST RUSSELL, KS 676651902📞 785-548-211926.0 miIndependent
MIDWEST FAMILY HEALTH OF RUSSELL LLC208 S FOSSIL ST RUSSELL, KS 676653021📞 785-548-211926.0 miIndependent
MAINSTREET DRUG PA103 W MAIN ST OSBORNE, KS 674732402📞 785-534-213633.8 miIndependent
S & S DRUGS, INC.110 S MILL ST BELOIT, KS 674203237📞 785-573-228534.8 miIndependent
GRAY DRUG & FOUNTAIN INC100 S MILL ST BELOIT, KS 674203237📞 785-553-120034.8 miIndependent
CORNER DRUG & GIFT, INC823 MORGAN AVE DOWNS, KS 674371623📞 785-545-661435.2 miIndependent
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS400 W 8TH ST BELOIT, KS 674201605📞 785-573-948035.3 miIndependent

Pharmacy data from CMS. Network participation varies by plan—always verify with your specific Part D plan.

Local Healthcare Access in 67481, KS

Before choosing a plan, consider the healthcare infrastructure in 67481, KS. Medicare Advantage plans restrict you to in-network hospitals, so understanding local hospital quality helps you pick the right plan — not just the cheapest one.

Note: The facilities below do not indicate which providers are in-network for any specific plan. Always verify network status with your plan before enrolling.

Hospitals Nearby

2
within 25.0 miles

Top-Rated Hospitals near 67481, KS

If hospital access matters to your plan choice, check quality ratings before you enroll. These are the highest CMS-rated hospitals near 67481, KS — click a hospital name to see its full profile and verify it's in your plan's network.

HospitalCMS RatingDistanceBeds
Ellsworth County Medical Center4 ★20.6 mi18
Salina Regional Health Center3 ★44.1 mi396
Lincoln County HospitalNot Rated13.8 mi14
Russell Regional HospitalNot Rated26.2 mi25
Osborne County Memorial HospitalNot Rated31.0 mi16
Mitchell County Hospital Health SystemsNot Rated34.9 mi35
Ottawa County Health CenterNot Rated38.2 mi25
Clara Barton HospitalNot Rated39.2 mi25
Salina Surgical HospitalNot Rated44.1 mi16
Hospital District #1 Of Rice CountyNot Rated47.0 mi25

View all 2 hospitals near 67481, KS to check quality before you enroll →

Hospital data from CMS Hospital Compare and Provider of Services file. Distance calculated from center of 67481, KS.

Questions to ask your doctor about Medicare coverage →

Telehealth in 67481, KS: Is Your Internet Ready?

Many Medicare Advantage and some Part D plans now include telehealth benefits, making routine check-ins and prescription refills easier from home. But telehealth requires reliable internet—here's a look at connectivity in 67481, KS. For official guidance on virtual visits, see Telehealth.HHS.gov from the U.S. Department of Health & Human Services.

Internet Coverage in 67481, KS

Fiber Available
99.5%
of households
Cable/DSL Available
99.5%
of households
Top Provider
Wilson Communications
99.5% coverage
No Broadband
2.1%
of households

Internet coverage data from ISP Reports. View full internet report for 67481, KS.

Medicare-Relevant Demographics in 67481, KS

Understanding 67481, KS's demographics helps contextualize why insurers offer the plans they do. Areas with more seniors and higher incomes tend to attract more insurer competition, while areas with higher Medicaid enrollment may have more Dual-Eligible Special Needs Plans (D-SNP) available.

Total Population
734
Population 65+
204
27.8% of total
Median Age
48
9.9 years older than the national average
Median Income
$47,825
36.4% below the National Average
On Medicare
153
20.9% of residents
On Medicaid
68
9.3% of residents
Uninsured
48
6.5% of residents
Social Security Recipients
304
41.5% of population

Demographic data from U.S. Census Bureau American Community Survey (2023). View full 67481, KS demographics (BestNeighborhood.org).

Local Medicare FAQ: 67481, KS

Common decision points based on 67481, KS's specific plan market and local healthcare landscape.

How does 67481, KS's Medicare Advantage market compare?

67481, KS has 29 Medicare Advantage plans from 7 insurers. This is below the national average of approximately 57 plans. In areas with fewer competing plans, it's especially important to compare the available options carefully. The local mix includes 16 HMO and 13 PPO plans. Plan availability updates annually during the Medicare Annual Enrollment Period (October 15 – December 7).

Should I choose an HMO or PPO Medicare Advantage plan in 67481, KS?

With limited hospital access nearby, a PPO plan (13 available) could be worth the extra cost for out-of-network coverage, especially if you need to travel for specialized care. In 67481, KS, HMO plans dominate the market, which often means more competitive HMO pricing. Always verify your doctors are in-network before enrolling in any plan.

What's the real cost of $0 premium plans in 67481, KS?

29 plans (100% of available options) in 67481, KS charge $0 beyond the standard Part B premium. This high percentage reflects strong insurer competition in the area. However, $0 premium doesn't mean $0 cost. These plans may have higher copays, coinsurance, or out-of-pocket maximums. In 67481, KS, maximum out-of-pocket limits range from $3,500 to an average of $6,155. We recommend calculating your total expected annual cost (premium + copays + drug costs) rather than choosing based on premium alone.

How does the 2026 $2,000 drug cap affect 67481, KS beneficiaries?

The Inflation Reduction Act capped annual out-of-pocket drug spending at $2,000 starting in 2025, eliminating the old "donut hole" coverage gap. This applies to all 12 standalone Part D plans in 67481, KS.

What this means locally:

  • Cost predictability — No matter which of the 12 Part D plans you choose, your drug costs are capped at $2,000/year
  • $0 deductible options — Some local plans offer $0 deductibles, meaning coverage starts immediately
  • Low-income options — 4 plans meet the regional benchmark for Extra Help/LIS eligibility

While the out-of-pocket cap standardizes maximum costs, formulary coverage still varies significantly between plans. A drug that costs $5/month on one plan's formulary might cost $50 on another. Always check that your specific medications are covered and compare tier placement before enrolling.

See all Medicare FAQs in our complete guide → · Enrollment checklist →
Medicare Glossary · Enrollment Dates & Deadlines · Doctor Questions

About the Data & Editorial Team

Wes Ward

Wes Ward

Founder & Data Lead

Wes Ward is the founder of InsuranceDataNow.org and reviews all content for data accuracy and methodology compliance.

With 25+ years in data analytics — including work with highly regulated genomic data at Ancestry.com — Wes brings enterprise-level rigor to consumer data tools. He is also a co-founder of BestNeighborhood.org, CrimeGrade.org, and ISPReports.org.

Role: Reviews and approves all content for data accuracy, source verification, and methodology compliance.

View full profile →LinkedIn

Transparency & Disclosures

InsuranceDataNow is an advertising-supported publisher based in South Jordan, Utah. We are not affiliated with or endorsed by Medicare or the U.S. government.

TPMO Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (24 hours a day/7 days a week) to get information on all of your options.

Sources

All data is sourced from official government databases and trusted third-party providers. Data is updated regularly—see page header for last refresh dates.

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