Advantage Plans

ADVANTAGE PLANS

Copayment Summaries

Medical with Prescription Drug

New and Renewing Plans in 2025 

Advantage 0/20/250A HMO Prime

• with Rx Classic
• with Rx Plus
• with Rx Base

Advantage 0/15/250 HMO Prime

• with Rx Classic
• with Rx Plus
• with Rx Base

Advantage 0/25/500A HMO Prime

• with Rx Classic 
• with Rx Plus
• with Rx Base

Advantage 0/20/500 HMO Prime

• with Rx Classic 
• with Rx Plus
• with Rx Base

Advantage 0/20/30% HMO Prime

• with Rx Classic 
• with Rx Plus
• with Rx Base

Advantage 0/40/30% HMO Prime

• with Rx Classic 
• with Rx Plus
• with Rx Base

ADVANTAGE PLANS

Copayment Summaries

Renewing Plans in 2024

• Advantage 0/20/250A HMO Prime
• Advantage 0/15/250 HMO Prime
• Advantage 0/25/500A HMO Prime
• Advantage 0/20/500 HMO Prime
• Advantage 0/20/30% HMO Prime
• Advantage 0/40/30% HMO Prime

RIDERS

Copayment/Benefit Summaries

• Prescription Drug Plans (Renewing plans in 2024)
• Family & Diversity Support
• Infertility
• Hearing Aid Plans
• Healthy Lifestyle Program