» Compare Plans

Text Resize

-A A +A

Compare Plans

Subtitle: 

Our commitment is to provide you with the best health coverage possible. Compare your plan options side-by-side to find the one that fits your lifestyle and your budget. 

Block: 

Have Questions? Call Now:

1-844-267-1361
(TTY: 711)

Your ZIP Code spans multiple counties.

Available counties

Cancel

Find a plan today

To get started enter your zip code:

Enter Zip Code

CarePartners Plans Compare

CareAdvantage Preferred $0.00 per month Enroll in this Plan CareAdvantage Prime $29.00 per month Enroll in this Plan CareAdvantage Premier $89.00 per month Enroll in this Plan

Plan Essentials
Plan Essentials Description
Deductible $0 $0 $0
Maximum Out of Pocket $5,900 $4,900 $3,700

Drugs and Drug Deductibles
Drugs Description
Drug Deductible $200 (Tiers 3-5) $150 (Tiers 3-5) $0
Tier 1
Preferred Generic Drugs $3 for 30 day retail supply; $6 for 90 day mail order supply $3 for 30 day retail supply; $6 for 90 day mail order supply $3 for 30 day retail supply; $6 for 90 day mail order supply
During Coverage Gap Stage 37% of the cost of the generic drugs 37% of the cost of the generic drug 37% of the cost of the generic drugs
During Catastrophic Coverage Stage The greater of 5% of the cost of the drug or $3.40 The greater of 5% of the cost of the drug or $3.40 The greater of 5% of the cost of the drug or $3.40
Tier 2
Non-Preferred Generic Drugs $12 for 30 day retail supply; $24 for 90 day mail order supply $12 for 30 day retail supply; $24 for 90 day mail order supply $12 for 30 day retail supply; $24 for 90 day mail order supply
During Coverage Gap Stage 37% of the cost of the generic drugs 37% of the cost of the generic drug 37% of the cost of the generic drugs
During Catastrophic Coverage Stage The greater of 5% of the cost of the drug or $3.40 The greater of 5% of the cost of the drug or $3.40 The greater of 5% of the cost of the drug or $3.40
Tier 3
Preferred Brand Name Drugs $45 for 30 day retail supply; $90 for 90 day mail order supply $45 for 30 day retail supply; $90 for 90 day mail order supply $45 for 30 day retail supply; $90 for 90 day mail order supply
During Coverage Gap Stage 25% of the cost of the brand name drugs 25% of the cost of the brand name drugs 25% of the cost of the brand name drugs
During Catastrophic Coverage Stage The greater of 5% of the cost of the drug or $8.50 The greater of 5% of the cost of the drug or $8.50 The greater of 5% of the cost of the drug or $8.50
Tier 4
Non-Preferred Drugs (includes Brand Name and Generic) $95 for 30 day retail supply; $190 for 90 day mail order supply $95 for 30 day retail supply; $190 for 90 day mail order supply $95 for 30 day retail supply; $190 for 90 day mail order supply
During Coverage Gap Stage 25% of the cost of the brand name drugs; 37% of the cost of the generic drugs 25% of the cost of the brand name drugs; 37% of the cost of the brand name drugs 25% of the cost of the brand name drugs; 37% of the cost of the generic drugs
During Catastrophic Coverage Stage The greater of $3.40 generic, $8.50 brand or 5% of cost The greater of $3.40 generic, $8.50 brand name or 5% of cost The greater of $3.40 generic, $8.50 brand name or 5% of the cost
Tier 5
Specialty Drugs 29% of cost 30% of cost 33% of cost
During Coverage Gap Stage 25% of the cost of the brand name drugs; 37% of the cost of the generic drugs 25% of the cost of the brand name drugs; 37% of the cost of the brand name drugs 25% of the cost of the brand name drugs; 37% of the cost of the generic drugs
During Catastrophic Coverage Stage The greater of $3.40 generic, $8.50 brand or 5% of cost The greater of $3.40 generic, $8.50 brand name or 5% of cost The greater of $3.40 generic, $8.50 brand name or 5% of the cost

Routine Doctor Visits & Checkups
Routine Visits Description
Doctor Co-Pay $0 per visit $0 per visit $0 per visit
Cardiovascular Screening $0 per annual visit $0 per annual visit $0 per annual visit
Cancer Screening (Colorectal, Prostate, Breast) $0 per annual visit $0 per annual visit $0 per annual visit
Routine Vision Exam $45 per annual visit $40 per annual visit $30 per annual visit
Eyewear Benefit $150 annual allowance $150 annual allowance $150 annual allowance
Routine Hearing Exam $45 per annual visit $40 per annual visit $30 per annual visit

Specialty Visits, Surgery & Exams
Specialty Visits Description
Specialist Co-Pay $45 $40 $30
Physical/Occupational/Speech Therapy $40 $40 $30
Lab Services $5 $5 $5
X-rays $30 $20 $15
Diagnostic Procedures $20 $15 $10
Diagnostic Radiology Services $250 $250 $150
Outpatient Services $300 $275 $250

Unforseen Care, Emergency Services & Hospital Stays
Unforeseen Care Description
Urgent Care $45 per visit $40 per visit $30 per visit
Ambulance Rides and Services $325 per day $250 per day $200 per day
Emergency Room Visits $90 per visit $90 per visit $90 per visit
Inpatient Hospital Coverage $425 per day for days 1-4; $0 per day for day 5 and beyond $375 per day for days 1-4; $0 per day for day 5 and beyond $250 per day for days 1-5; $0 per day for day 6 and beyond

Benefits
Weight Management Programs $150 Reimbursement, Your are reimbursed up to $150 toward for fees related to weight management programs like WeightWatchers, Jenny Craig, and hospital based programs. $150 Reimbursement, Your are reimbursed up to $150 toward for fees related to weight management programs like WeightWatchers, Jenny Craig, and hospital based programs. $150 Reimbursement, Your are reimbursed up to $150 toward for fees related to weight management programs like WeightWatchers, Jenny Craig, and hospital based programs.
SilverSneakers Membership You receive SilverSneakers for FREE giving you access to 15,000+ gyms, trained instructors, classes and health and nutrition tips with exercise videos. You receive SilverSneakers for FREE giving you access to 15,000+ gyms, trained instructors, classes and health and nutrition tips with exercise videos. You receive SilverSneakers for FREE giving you access to 15,000+ gyms, trained instructors, classes and health and nutrition tips with exercise videos.
Preventive Dental Allowance You are reimbursed up to $250 toward preventive dental services such as cleanings and X-Rays. You are reimbursed up to $250 toward preventive dental services such as cleanings and X-Rays. You are reimbursed up to $250 toward preventive dental services such as cleanings and X-Rays.
Hearing Aid Benefit You are covered for up to 2 hearing aids per year, 1 aid per ear. Different copays apply., $250 Standard Level, $425 Superior Level, $650 Advanced Level, $850 Advanced Plus Level You are covered for up to 2 hearing aids per year, 1 aid per ear. Different copays apply., $250 Standard Level, $475 Superior Level, $650 Advanced Level, $850 Advanced Level You are covered for up to 2 hearing aids per year, 1 aid per ear. Different copays apply., $250 Standard Level, $475 Superior Level, $650 Advanced Level, $850 Advanced Plus Level
Enroll in this Plan Enroll in this Plan Enroll in this Plan

Have Questions?

Call Toll Free, 7 Days a Week, 8 a.m.–8 p.m. (TTY: 711)

1-844-267-1361

Attend an Informational Meeting

Frequently Asked Questions