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طرح‌های مزایای مدیکر در ⁨El Paso County⁩، ⁨TX⁩ برای سال ⁨2027⁩

⁨89⁩ طرح مزایای مدیکر از ⁨12⁩ شرکت برای سال ⁨2027⁩ در ⁨El Paso County⁩ موجود است. طرح‌هایی با حق بیمه ماهانه $0 (بدون احتساب طرح‌های نیازهای ویژه): ⁨34⁩. کمترین سقف پرداخت از جیب در شبکه: ⁨$2,950⁩.

ثبت‌نام آزاد برای ⁨2027⁩ از ۱۵ اکتبر تا ۷ دسامبر ⁨2026⁩ انجام می‌شود؛ پوشش از ۱ ژانویه ⁨2027⁩ آغاز می‌گردد.

طرح‌های دارای پوشش دارویی (⁨34⁩)

طرح	نوع	حق بیمه ماهانه	کسور دارویی	سقف پرداخت از جیب (در شبکه)	رتبه ستاره‌ای سال گذشته
Alignment Health ONE + Walgreens 001 (HMO-POS) Alignment Health Plan	HMO-POS	$0	$0	$2,950	4.5
Humana Gold Plus H0028-035 (HMO) Humana	HMO	$0	$700	$3,350	3.5
Humana Gold Plus H4461-061 (HMO) Humana	HMO	$0	$700	$3,350	4
DEVOTED CORE 007 TX (HMO) Devoted Health	HMO	$0	$650	$3,450	5
Wellcare Simple (HMO) Wellcare	HMO	$0	$700	$3,900	4
AARP Medicare Advantage from UHC TX-0013 (HMO-POS) UnitedHealthcare	HMO-POS	$0	$595	$4,200	4.5
AARP Medicare Advantage Essentials from UHC EP-1 (PPO) UnitedHealthcare	PPO	$0	$685	$4,450	4
Aetna Medicare Signature Extra (HMO) Aetna Medicare	HMO	$0	$400	$4,450	4.5
HealthSpring Preferred (HMO) HealthSpring	HMO	$0	$500	$4,450	4.5
HumanaChoice H7617-063 (PPO) Humana	PPO	$0	$520	$4,500	4.5
El Paso Health Total (HMO) El Paso Health Medicare Advantage	HMO	$0	$425	$5,600	—
DEVOTED GIVEBACK EXTRAS 113 TX (HMO) Devoted Health	HMO	$0	$700	$5,700	5
AARP Medicare Advantage Extras from UHC EP-3 (PPO) UnitedHealthcare	PPO	$0	$700	$5,900	4
Alignment Health Smart 003 (HMO-POS) Alignment Health Plan	HMO-POS	$0	$700	$6,450	4.5
Alignment Health Smart 010 (HMO-POS) Alignment Health Plan	HMO-POS	$0	$700	$6,450	4.5
HealthSpring True Choice (PPO) HealthSpring	PPO	$0	$700	$6,800	3
HealthSpring Preferred Extra Savings (HMO) HealthSpring	HMO	$0	$300	$6,900	4.5
Humana Essentials Plus Giveback (PPO) Humana	PPO	$0	$0	$7,100	4.5
HumanaChoice Giveback H5216-350 (PPO) Humana	PPO	$0	$0	$7,100	3.5
Aetna Medicare Signature (HMO) Aetna Medicare	HMO	$0	$300	$7,150	4
HealthSpring Preferred Savings (HMO) HealthSpring	HMO	$0	$300	$7,150	4.5
HumanaChoice Giveback H5216-433 (PPO) Humana	PPO	$0	$700	$7,950	3.5
DEVOTED GIVEBACK 008 TX (HMO) Devoted Health	HMO	$0	$461	$8,650	5
AARP Medicare Advantage Giveback from UHC EP-2 (PPO) UnitedHealthcare	PPO	$0	$240	$9,850	4
El Paso Health Giveback (HMO) El Paso Health Medicare Advantage	HMO	$0	$700	$9,850	—
Wellpoint Medicare Advantage 2 (HMO-POS) Wellpoint	HMO-POS	$0	$105	$9,850	3.5
HumanaChoice H5216-043 (PPO) Humana	PPO	$20	$700	$7,700	3.5
HumanaChoice H7617-059 (PPO) Humana	PPO	$23	$700	$7,700	4.5
Humana Gold Plus H4461-053 (HMO) Humana	HMO	$24	$700	$3,400	4
HumanaChoice R4182-004 (Regional PPO) Humana	Regional PPO	$46	$700	$8,200	3.5
Aetna Medicare Enhanced (PPO) Aetna Medicare	PPO	$55	$700	$7,150	3.5
AARP Medicare Advantage from UHC EP-4 (PPO) UnitedHealthcare	PPO	$66	$440	$4,200	4
HumanaChoice R4182-003 (Regional PPO) Humana	Regional PPO	$100	$700	$8,200	3.5
AARP Medicare Advantage from UHC TX-61 (Regional PPO) UnitedHealthcare	Regional PPO	$138	$685	$9,850	3.5

طرح‌های بدون پوشش دارویی (⁨8⁩)

طرح	نوع	حق بیمه ماهانه	سقف پرداخت از جیب (در شبکه)	رتبه ستاره‌ای سال گذشته
Wellcare Patriot Simple (HMO) Wellcare	HMO	$0	$3,400	3.5
HealthSpring Courage (HMO) HealthSpring	HMO	$0	$4,300	4.5
Aetna Medicare Eagle (PPO) Aetna Medicare	PPO	$0	$4,900	3.5
HumanaChoice R4182-001 (Regional PPO) Humana	Regional PPO	$0	$6,000	3.5
AARP Medicare Advantage Patriot No Rx TX-MA01 (HMO-POS) UnitedHealthcare	HMO-POS	$0	$7,150	4.5
Humana USAA Honor Giveback (PPO) Humana	PPO	$0	$7,900	3.5
Humana USAA Honor Giveback (PPO) Humana	PPO	$0	$7,900	4.5
Humana Gold Choice H8145-126 (PFFS) Humana	PFFS	$0	$9,850	3.5

طرح‌های نیازهای ویژه (⁨47⁩)

طرح‌های نیازهای ویژه فقط برای افرادی است که مدیکید نیز دارند (D-SNP)، شرایط مزمن خاص (C-SNP) دارند یا در مراکزی مانند خانه سالمندان زندگی می‌کنند (I-SNP).

طرح	نوع	حق بیمه ماهانه	کسور دارویی	سقف پرداخت از جیب (در شبکه)	رتبه ستاره‌ای سال گذشته
Alignment Health Heart & Diabetes 002 (HMO-POS C-SNP) Alignment Health Plan	HMO-POS C-SNP	$0	$0	$3,190	4.5
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana	HMO C-SNP	$0	$700	$3,450	3.5
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana	HMO C-SNP	$0	$700	$3,450	4
Wellcare Superior HealthPlan Dual Reserve (HMO D-SNP) Wellcare	HMO D-SNP	$0	$700	$3,450	4
DEVOTED C-SNP 027 TX (HMO C-SNP) Devoted Health	HMO C-SNP	$0	$700	$3,750	5
UHC Complete Care TX-17 (HMO-POS C-SNP) UnitedHealthcare	HMO-POS C-SNP	$0	$440	$4,200	4.5
DEVOTED C-SNP ENHANCED 028 TX (HMO C-SNP) Devoted Health	HMO C-SNP	$0	$465	$4,250	5
UHC Dual Advantage TX-V2 (HMO-POS D-SNP) UnitedHealthcare	HMO-POS D-SNP	$0	$75	$5,900	4.5
DEVOTED C-SNP GIVEBACK EXTRAS 086 TX (HMO C-SNP) Devoted Health	HMO C-SNP	$0	$700	$8,650	5
Aetna Medicare Chronic Care Total (HMO C-SNP) Aetna Medicare	HMO C-SNP	$0	$700	$9,850	4
Aetna Medicare Full Dual Care (HMO D-SNP) Aetna Medicare	HMO D-SNP	$0	$700	$9,850	3.5
Aetna Medicare Full Dual Extra Care (HMO D-SNP) Aetna Medicare	HMO D-SNP	$0	$700	$9,850	4
Aetna Medicare QMB Only Care (HMO D-SNP) Aetna Medicare	HMO D-SNP	$0	$700	$9,850	3.5
Aetna Medicare QMB Only Extra Care (HMO D-SNP) Aetna Medicare	HMO D-SNP	$0	$700	$9,850	4
DEVOTED C-SNP PLUS 029 TX (HMO C-SNP) Devoted Health	HMO C-SNP	$0	$650	$9,850	5
DEVOTED DUAL 017 TX (HMO D-SNP) Devoted Health	HMO D-SNP	$0	$700	$9,850	5
DEVOTED DUAL FULL 038 TX (HMO D-SNP) Devoted Health	HMO D-SNP	$0	$700	$9,850	5
HealthSpring TotalCare (HMO D-SNP) HealthSpring	HMO D-SNP	$0	$300	$9,850	4.5
HealthSpring TotalCare Plus (HMO D-SNP) HealthSpring	HMO D-SNP	$0	$700	$9,850	4.5
Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana	HMO C-SNP	$0	$50	$9,850	4
Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP) Humana	HMO D-SNP	$0	$700	$9,850	3.5
Humana Gold Plus SNP-DE H4461-069 (HMO D-SNP) Humana	HMO D-SNP	$0	$700	$9,850	4
Humana Gold Plus SNP-DE H4461-070 (HMO D-SNP) Humana	HMO D-SNP	$0	$700	$9,850	4
Humana Together in Health (PPO I-SNP) Humana	PPO I-SNP	$0	$250	$9,850	4.5
Humana Together in Health (PPO I-SNP) Humana	PPO I-SNP	$0	$700	$9,850	3.5
ProCare Advantage (HMO-POS I-SNP) ProCare Advantage	HMO-POS I-SNP	$0	$700	$9,850	—
UHC Complete Care Support TX-2A (HMO-POS C-SNP) UnitedHealthcare	HMO-POS C-SNP	$0	$255	$9,850	4.5
UHC Dual Complete TX-Q2 (HMO-POS D-SNP) UnitedHealthcare	HMO-POS D-SNP	$0	$75	$9,850	4.5
UHC Dual Complete TX-Q5 (PPO D-SNP) UnitedHealthcare	PPO D-SNP	$0	$75	$9,850	4
UHC Dual Complete TX-S001 (Regional PPO D-SNP) UnitedHealthcare	Regional PPO D-SNP	$0	$400	$9,850	3.5
UHC Dual Complete TX-S4 (HMO-POS D-SNP) UnitedHealthcare	HMO-POS D-SNP	$0	$75	$9,850	4.5
Wellcare Superior HealthPlan Dual Access (HMO D-SNP) Wellcare	HMO D-SNP	$0	$700	$9,850	4
Wellcare Superior HealthPlan Dual Liberty (HMO D-SNP) Wellcare	HMO D-SNP	$0	$700	$9,850	4
Wellcare Superior HealthPlan Dual Reserve Value (HMO D-SNP) Wellcare	HMO D-SNP	$0	$700	$9,850	—
Wellpoint Dual Advantage (HMO D-SNP) Wellpoint	HMO D-SNP	$0	$105	$9,850	3.5
Wellpoint Dual Advantage Plus (HMO D-SNP) Wellpoint	HMO D-SNP	$0	$105	$9,850	3.5
Wellpoint Full Dual Advantage (HMO D-SNP) Wellpoint	HMO D-SNP	$0	$105	$9,850	3.5
Wellpoint Kidney Care (HMO-POS C-SNP) Wellpoint	HMO-POS C-SNP	$0	$350	$9,850	3.5
Alignment Health Duals+ 007 (HMO-POS D-SNP) Alignment Health Plan	HMO-POS D-SNP	$6.3	$700	$2,900	4.5
El Paso Health Medicare Advantage Dual (HMO D-SNP) El Paso Health Medicare Advantage	HMO D-SNP	$6.3	$700	$9,550	—
El Paso Health Medicare Align (HMO D-SNP) El Paso Health Medicare Advantage	HMO D-SNP	$6.3	$700	$9,550	—
Alignment Health Duals+ 009 (HMO-POS D-SNP) Alignment Health Plan	HMO-POS D-SNP	$6.3	$700	$9,850	4.5
Alignment Health Heart & Diabetes Plus 004 (HMO-POS C-SNP) Alignment Health Plan	HMO-POS C-SNP	$6.3	$700	$9,850	4.5
Molina Medicare Complete Care Plus (HMO D-SNP) Molina Healthcare of Texas, Inc.	HMO D-SNP	$6.3	$700	$9,850	—
Provider Partners Texas Advantage Plan (HMO I-SNP) Provider Partners Health Plans	HMO I-SNP	$6.3	$700	$9,850	5
Wellpoint Chronic Care Advantage (HMO C-SNP) Wellpoint	HMO C-SNP	$6.3	$700	$9,850	3.5
UHC Complete Care TX-29 (Regional PPO C-SNP) UnitedHealthcare	Regional PPO C-SNP	$100	$685	$9,850	3.5

طرح‌های دارویی مستقل بخش D در ⁨Texas⁩ →

رتبه‌های ستاره‌ای برای سال ⁨2027⁩ توسط CMS در اکتبر منتشر می‌شود؛ ستاره‌های نمایش داده شده، رتبه کلی قرارداد در ⁨2026⁩ است. ما هیچ ارتباطی با دولت ایالات متحده یا برنامه فدرال مدیکر نداریم و مورد تأیید آن‌ها نیستیم و طرح نمی‌فروشیم. ما مزایای کامل طرح را فهرست نمی‌کنیم؛ قبل از ثبت نام، هزینه‌ها و پوشش را با طرح، Medicare.gov یا شماره 1-800-MEDICARE (TTY 1-877-486-2048) بررسی کنید. منبع: چشم‌انداز مزایای مدیکر و بخش D توسط CMS، ⁨2027⁩ (انتشار ⁨2026-10⁩).