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תוכניות Medicare Advantage ב-Macomb County, MI לשנת 2027
79 תוכניות Medicare Advantage מ-14 חברות זמינות ב-Macomb County לשנת 2027. תוכניות עם פרמיה חודשית של $0 (לא כולל תוכניות לצרכים מיוחדים): 37. מגבלת תשלום מכיס נמוכה ביותר ברשת: $4,000.
תקופת ההרשמה הפתוחה לשנת 2027 מתקיימת בין 15 באוקטובר ל-7 בדצמבר, 2026; הכיסוי מתחיל ב-1 בינואר, 2027.
תוכניות עם כיסוי תרופות (52)
| תוכנית | סוג | פרמיה חודשית | השתתפות עצמית בתרופות | מגבלת תשלום מכיס (בתוך הרשת) | דירוג כוכבים בשנה שעברה |
|---|---|---|---|---|---|
| Humana Gold Plus H8908-004 (HMO-POS) Humana | HMO-POS | $0 | $700 | $4,400 | 3 |
| Aetna Medicare Signature Extra (PPO) Aetna Medicare | PPO | $0 | $500 | $4,900 | 4.5 |
| Henry Ford Select (HMO) Health Alliance Plan by Henry Ford Health | HMO | $0 | $200 | $4,950 | 4 |
| Aetna Medicare Signature (PPO) Aetna Medicare | PPO | $0 | $400 | $5,200 | 4.5 |
| Humana Full Access (PPO) Humana | PPO | $0 | $600 | $5,200 | 4.5 |
| Humana Full Access (PPO) Humana | PPO | $0 | $600 | $5,200 | 3.5 |
| HAP Medicare Connect (HMO) Health Alliance Plan by Henry Ford Health | HMO | $0 | $200 | $5,600 | 4 |
| HAP Medicare Superior (HMO) Health Alliance Plan by Henry Ford Health | HMO | $0 | $200 | $5,800 | 4 |
| Aetna Medicare Value Care (PPO) Aetna Medicare | PPO | $0 | $400 | $5,900 | 4.5 |
| HAP Medicare Explore (PPO) Health Alliance Plan by Henry Ford Health | PPO | $0 | $400 | $6,050 | 4 |
| HAP Medicare Prime (PPO) Health Alliance Plan by Henry Ford Health | PPO | $0 | $400 | $6,400 | 4 |
| Zing Open Choice MI (PPO) Zing Health | PPO | $0 | $450 | $6,450 | 3 |
| Trinity Health Plan of Michigan No Premium (HMO) Trinity Health Plan of Michigan | HMO | $0 | $350 | $6,500 | 4.5 |
| McLaren Medicare Inspire (HMO) McLaren Medicare | HMO | $0 | $615 | $6,600 | 3 |
| Aetna Medicare Signature (HMO-POS) Aetna Medicare | HMO-POS | $0 | $500 | $6,750 | 3 |
| McLaren Medicare Inspire Giveback (HMO) McLaren Medicare | HMO | $0 | $615 | $6,750 | 3 |
| Zing Elite Select MI (HMO) Zing Health | HMO | $0 | $350 | $6,750 | 2.5 |
| Zing Select Care MI (HMO) Zing Health | HMO | $0 | $500 | $6,750 | 2.5 |
| PriorityMedicare Key (HMO-POS) Priority Health Medicare | HMO-POS | $0 | $300 | $6,950 | 4.5 |
| Medicare Plus Blue Secure (PPO) Blue Cross Blue Shield of Michigan | PPO | $0 | $435 | $7,000 | 4.5 |
| PriorityMedicare Edge (PPO) Priority Health Medicare | PPO | $0 | $300 | $7,100 | 4 |
| Wellcare Assist (HMO-POS) Wellcare | HMO-POS | $0 | $700 | $7,100 | 3 |
| Wellcare Simple (HMO-POS) Wellcare | HMO-POS | $0 | $700 | $7,100 | 3 |
| PriorityMedicare Thrive (PPO) Priority Health Medicare | PPO | $0 | $400 | $7,150 | 4 |
| Medicare Plus Blue Giveback (PPO) Blue Cross Blue Shield of Michigan | PPO | $0 | $600 | $9,250 | 4.5 |
| Humana Full Access Giveback (PPO) Humana | PPO | $0 | $150 | $9,850 | 4.5 |
| Humana Full Access Giveback (PPO) Humana | PPO | $0 | $150 | $9,850 | 3.5 |
| PriorityMedicare Smart Savings (HMO-POS) Priority Health Medicare | HMO-POS | $0 | $700 | $9,850 | 4.5 |
| Trinity Health Plan of Michigan Cash Back (HMO) Trinity Health Plan of Michigan | HMO | $0 | $375 | $9,850 | 4.5 |
| Wellcare Giveback (HMO-POS) Wellcare | HMO-POS | $0 | $700 | $9,850 | 3 |
| HAP Member Assist (PPO) Health Alliance Plan by Henry Ford Health | PPO | $6.3 | $500 | $5,600 | 4 |
| PriorityMedicare Align (HMO-POS) Priority Health Medicare | HMO-POS | $6.3 | $700 | $6,800 | 4.5 |
| McLaren Medicare Inspire Plus (HMO) McLaren Medicare | HMO | $20 | $500 | $5,900 | 3 |
| Medicare Plus Blue Essential (PPO) Blue Cross Blue Shield of Michigan | PPO | $40 | $400 | $7,150 | 4.5 |
| Humana Full Access (PPO) Humana | PPO | $41 | $450 | $4,800 | 3.5 |
| Medicare Plus Blue + Meijer (PPO) Blue Cross Blue Shield of Michigan | PPO | $45 | $400 | $6,750 | 4.5 |
| BCN Advantage Prime Value (HMO-POS) Blue Care Network | HMO-POS | $48 | $600 | $6,000 | 4.5 |
| BCN Advantage ConnectedCare (HMO) Blue Care Network | HMO | $50 | $100 | $4,800 | 4.5 |
| PriorityMedicare Thrive Plus (PPO) Priority Health Medicare | PPO | $67 | $225 | $6,600 | 4 |
| Trinity Health Plan of Michigan Plus (HMO) Trinity Health Plan of Michigan | HMO | $69 | $250 | $5,900 | 4.5 |
| PriorityMedicare Value (HMO-POS) Priority Health Medicare | HMO-POS | $74 | $225 | $6,000 | 4.5 |
| Humana Full Access R0110-014 (Regional PPO) Humana | Regional PPO | $89 | $700 | $7,050 | 3.5 |
| HAP Senior Plus Henry Ford Tiered Access (HMO) Health Alliance Plan by Henry Ford Health | HMO | $95 | $0 | $4,750 | 4 |
| PriorityMedicare (HMO-POS) Priority Health Medicare | HMO-POS | $97 | $0 | $5,100 | 4.5 |
| HAP Senior Plus (HMO-POS) Health Alliance Plan by Henry Ford Health | HMO-POS | $105 | $0 | $4,650 | 4 |
| Medicare Plus Blue Vitality (PPO) Blue Cross Blue Shield of Michigan | PPO | $111 | $250 | $5,000 | 4.5 |
| PriorityMedicare Merit (PPO) Priority Health Medicare | PPO | $141 | $0 | $5,000 | 4 |
| Medicare Plus Blue Signature (PPO) Blue Cross Blue Shield of Michigan | PPO | $158 | $200 | $4,300 | 4.5 |
| BCN Advantage Classic (HMO-POS) Blue Care Network | HMO-POS | $158 | $200 | $4,800 | 4.5 |
| HAP Senior Plus (PPO) Health Alliance Plan by Henry Ford Health | PPO | $165 | $0 | $4,450 | 4 |
| BCN Advantage Prestige (HMO-POS) Blue Care Network | HMO-POS | $282 | $100 | $4,400 | 4.5 |
| Medicare Plus Blue Assure (PPO) Blue Cross Blue Shield of Michigan | PPO | $305.6 | $100 | $4,000 | 4.5 |
תוכניות ללא כיסוי תרופות (7)
| תוכנית | סוג | פרמיה חודשית | מגבלת תשלום מכיס (בתוך הרשת) | דירוג כוכבים בשנה שעברה |
|---|---|---|---|---|
| BCN Advantage Elements (HMO-POS) Blue Care Network | HMO-POS | $0 | $4,500 | 4.5 |
| HAP Medicare MedicalAccess (HMO) Health Alliance Plan by Henry Ford Health | HMO | $0 | $4,500 | 4 |
| Aetna Medicare Eagle (PPO) Aetna Medicare | PPO | $0 | $5,200 | 4.5 |
| Trinity Health Plan of Michigan Glory No RX (HMO) Trinity Health Plan of Michigan | HMO | $0 | $6,500 | 4.5 |
| Humana USAA Honor Giveback (PPO) Humana | PPO | $0 | $6,550 | 4.5 |
| Humana USAA Honor Giveback (PPO) Humana | PPO | $0 | $6,550 | 3.5 |
| HumanaChoice R0110-013 (Regional PPO) Humana | Regional PPO | $0 | $6,550 | 3.5 |
תוכניות לצרכים מיוחדים (20)
תוכניות לצרכים מיוחדים מיועדות רק לאנשים שיש להם גם Medicaid (D-SNP), מצבים כרוניים מסוימים (C-SNP) או המתגוררים במוסד כגון בית אבות (I-SNP).
| תוכנית | סוג | פרמיה חודשית | השתתפות עצמית בתרופות | מגבלת תשלום מכיס (בתוך הרשת) | דירוג כוכבים בשנה שעברה |
|---|---|---|---|---|---|
| Premier Care (HMO-POS I-SNP) Align Senior Care | HMO-POS I-SNP | $0 | $700 | $6,000 | 2.5 |
| Zing Open Choice Diabetes & Heart MI (PPO C-SNP) Zing Health | PPO C-SNP | $0 | $400 | $6,450 | 3 |
| Zing Elite Balance IN-MI (HMO C-SNP) Zing Health | HMO C-SNP | $0 | $500 | $6,750 | 2.5 |
| Zing Elite Diabetes & Heart MI (HMO C-SNP) Zing Health | HMO C-SNP | $0 | $400 | $6,750 | 2.5 |
| Zing Select Diabetes & Heart MI (HMO C-SNP) Zing Health | HMO C-SNP | $0 | $500 | $6,750 | 2.5 |
| Zing Select Dialysis MI (HMO C-SNP) Zing Health | HMO C-SNP | $0 | $350 | $6,900 | 2.5 |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) Humana | PPO C-SNP | $0 | $400 | $6,950 | 3.5 |
| Aetna Medicare Chronic Care (HMO C-SNP) Aetna Medicare | HMO C-SNP | $0 | $700 | $7,150 | 3 |
| Aetna Medicare HIDE (HMO D-SNP) Aetna Medicare HIDE | HMO D-SNP | $0 | $700 | $9,850 | — |
| AmeriHealth Caritas VIP Care (HMO D-SNP) AmeriHealth Caritas VIP Care | HMO D-SNP | $0 | $350 | $9,850 | — |
| Humana Dual Integrated (HMO D-SNP) Humana | HMO D-SNP | $0 | $700 | $9,850 | — |
| Molina Dual MI Coordinated Health (HMO D-SNP) Molina Healthcare of Michigan | HMO D-SNP | $0 | $190 | $9,850 | 3 |
| UHC Dual Complete MI-Y1 (HMO D-SNP) UnitedHealthcare | HMO D-SNP | $0 | $450 | $9,850 | 3.5 |
| Wellcare Meridian Dual Align (HMO D-SNP) Wellcare | HMO D-SNP | $0 | $700 | $9,850 | — |
| Zing Elite Essentials Diabetes & Heart MI (HMO C-SNP) Zing Health | HMO C-SNP | $6.3 | $700 | $5,950 | 2.5 |
| HAP CareSource MI Coordinated Health (HMO D-SNP) HAP CareSource MI Coordinated Health | HMO D-SNP | $6.3 | $700 | $9,850 | — |
| HAP Medicare Diabetes and Heart (HMO C-SNP) Health Alliance Plan by Henry Ford Health | HMO C-SNP | $6.3 | $700 | $9,850 | 4 |
| Longevity Health Plan (HMO I-SNP) Longevity Health Plan | HMO I-SNP | $6.3 | $700 | $9,850 | — |
| PriorityMedicare Dual Premier (HMO D-SNP) Priority Health Medicare | HMO D-SNP | $6.3 | $700 | $9,850 | 3.5 |
| Senior Care (HMO I-SNP) Align Senior Care | HMO I-SNP | $6.3 | $700 | $9,850 | 2.5 |
תוכניות תרופות חלק D עצמאיות ב-Michigan →
דירוגי הכוכבים לשנת 2027 מתפרסמים על ידי CMS באוקטובר; הכוכבים המוצגים הם הדירוג הכולל של החוזה לשנת 2026. אינו קשור או מומלץ על ידי ממשלת ארה"ב או תוכנית Medicare הפדרלית, ואיננו מוכרים תוכניות. איננו מפרטים את כל הטבות התוכנית; יש לאשר עלויות וכיסוי מול התוכנית, Medicare.gov או 1-800-MEDICARE (TTY 1-877-486-2048) לפני ההרשמה. מקור: תמונת המצב של Medicare Advantage וחלק D של CMS, 2027 (מהדורת 2026-10).