Medicare plans under CMS sanction
CMS publishes, in the same file it publishes premiums in, which plans are under an active sanction. A sanction restricts a plan from marketing to or enrolling new members. There are 6 today, and this fact is almost never shown anywhere a member would see it.
| Plan | Insurer | Type | Premium | Counties |
|---|---|---|---|---|
| American Health Advantage of Texas (HMO I-SNP) | American Health Advantage of Texas | HMO I-SNP | $4.80 | 50 |
| Aspirus Health Plan Essential Rx (PPO) | Aspirus Health Plan | PPO | $0 | 21 |
| Aspirus Health Plan Elite (PPO) | Aspirus Health Plan | PPO | $0 | 21 |
| eternalHealth Forever (HMO) | eternalHealth | HMO | $0 | 6 |
| eternalHealth Freedom (PPO) | eternalHealth | PPO | $0 | 6 |
| eternalHealth Give Back (PPO) | eternalHealth | PPO | $0 | 6 |
A sanction is not a statement about the care a current member receives, and plans do come out of sanction. It is published by CMS and reproduced here without interpretation.
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Premiums, deductibles, maximum out-of-pocket amounts, star ratings and sanctions are reproduced from the Centers for Medicare & Medicaid Services landscape file. Enrolment counts are from the CMS monthly enrolment file; CMS suppresses any count of ten or fewer, which is why many plans show “fewer than 11” rather than a number. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: see Medicare.gov or call 1-800-MEDICARE.