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Arkansas MedicareAdvantage Plans

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Medicare Advantage Plans in Carroll County, Arkansas

Below are Medicare Advantage plans available to residents of Carroll county, Arkansas. 10 carriers offer 28 plans throughout the county of Carroll. Residents may choose plans from carriers such as UnitedHealthcare, Humana Health Plan Inc. and Coventry Health Care. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Carroll county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Carroll

Carrier Plan Title Plan Type
UnitedHealthcare AARP MedicareComplete Plus (HMO-POS) (H0401-002) HMO with POS Option

    Premium and Other Important Information

    • Package: 1 - Dental Platinum Rider:
    • Package: 2 - Fitness Rider:
    • $33 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
    • $13 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
    • $3 950 out-of-pocket limit for Medicare-covered services.
    • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

    Doctor Office Visits

    • $5 copay for each primary care doctor visit for Medicare-covered benefits.
    • $30 copay for each in-area network urgent care Medicare-covered visit
    • $35 copay for each specialist visit for Medicare-covered benefits.
    Humana Health Plan Inc. Humana Gold Plus H2012-001 (HMO) (H2012-001) HMO

      Premium and Other Important Information

      • Package: 1 - MyOption Dental High PPO:
      • Package: 2 - MyOption Dental Low PPO:
      • Package: 3 - MyOption Vision:
      • Package: 4 - MyOption Plus:
      • $21 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
      • $13 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
      • $15 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
      • $24 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
      • $1 500 plan coverage limit every year for these benefits.
      • $1 000 plan coverage limit every year for these benefits.
      • $290 plan coverage limit every year for these benefits.
      • $3 400 out-of-pocket limit for Medicare-covered services.
      • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

      Doctor Office Visits

      • Authorization rules may apply.
      • $5 copay for each primary care doctor visit for Medicare-covered benefits.
      • $35 copay for each in-area network urgent care Medicare-covered visit
      • $35 copay for each specialist visit for Medicare-covered benefits.
      Coventry Health Care Advantra Premier Plus (PPO) (H2611-008) Local Preferred Provider Organization

        Premium and Other Important Information

        • $4 800 out-of-pocket limit. All plan services included.
        • $10 000 out-of-pocket limit. All plan services included.
        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
        • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

        Doctor Office Visits

        • $10 copay for each primary care doctor visit for Medicare-covered benefits.
        • $40 copay for each in-area network urgent care Medicare-covered visit
        • $40 copay for each specialist visit for Medicare-covered benefits.
        • 30% of the cost for each primary care doctor visit
        • 30% of the cost for each specialist visit
        COVENTRY HEALTH CARE Advantra Total Care (HMO) (H2672-010) HMO

          Premium and Other Important Information

          • $2 900 out-of-pocket limit. All plan services included.
          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

          Doctor Office Visits

          • $5 copay for each primary care doctor visit for Medicare-covered benefits.
          • $10 copay for each in-area network urgent care Medicare-covered visit
          • $40 copay for each specialist visit for Medicare-covered benefits.
          ARKANSAS BLUE CROSS AND BLUE SHIELD AR Blue Cross - Medi-Pak Advantage MA (PFFS) (H4213-001) Private Fee for Service

            Premium and Other Important Information

            • $500 annual deductible. Contact the plan for services that apply.
            • $750 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
            • $4 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
            • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
            • This plan does not allow providers to balance bill (charging more than your cost share amount).

            Doctor Office Visits

            • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
            • $10 copay for each primary care doctor visit for Medicare-covered benefits.
            • $30 copay for each specialist visit for Medicare-covered benefits.
            • 30% of the cost for each primary care doctor visit
            • 30% of the cost for each specialist visit
            ARKANSAS BLUE CROSS AND BLUE SHIELD AR Blue Cross - Medi-Pak Advantage MA-PD Option 1 (PFFS) (H4213-004) Private Fee for Service

              Premium and Other Important Information

              • $500 annual deductible. Contact the plan for services that apply.
              • $750 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
              • $5 750 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
              • This plan does not allow providers to balance bill (charging more than your cost share amount).

              Doctor Office Visits

              • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
              • $15 copay for each primary care doctor visit for Medicare-covered benefits.
              • $35 copay for each specialist visit for Medicare-covered benefits.
              • 30% of the cost for each primary care doctor visit
              • 30% of the cost for each specialist visit
              ARKANSAS BLUE CROSS AND BLUE SHIELD AR Blue Cross - Medi-Pak Advantage MA-PD Option 2 (PFFS) (H4213-007) Private Fee for Service

                Premium and Other Important Information

                • $500 annual deductible. Contact the plan for services that apply.
                • $750 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
                • $4 750 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                • $37.6 monthly plan premium in addition to your monthly Medicare Part B premium.
                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                • This plan does not allow providers to balance bill (charging more than your cost share amount).

                Doctor Office Visits

                • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                • $35 copay for each specialist visit for Medicare-covered benefits.
                • 30% of the cost for each primary care doctor visit
                • 30% of the cost for each specialist visit
                Windsor Medicare Extra Windsor Medicare Extra Gold Plan (HMO) (H5698-020) HMO

                  Premium and Other Important Information

                  • $3 400 out-of-pocket limit for Medicare-covered services.
                  • $35 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                  Doctor Office Visits

                  • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $15 copay for each in-area network urgent care Medicare-covered visit
                  • $25 copay for each specialist visit for Medicare-covered benefits.
                  Windsor Medicare Extra Windsor Medicare Extra Silver Plan (HMO) (H5698-035) HMO

                    Premium and Other Important Information

                    • Windsor Medicare Extra will reduce your monthly Medicare Part B premium by up to $ 30.00.
                    • $3 400 out-of-pocket limit for Medicare-covered services.
                    • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                    Doctor Office Visits

                    • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                    • $20 copay for each in-area network urgent care Medicare-covered visit
                    • $30 copay for each specialist visit for Medicare-covered benefits.
                    Windsor Medicare Extra Windsor Medicare Extra Emerald Plan (HMO) (H5698-063) HMO

                      Premium and Other Important Information

                      • $6 700 out-of-pocket limit for Medicare-covered services.
                      • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                      Doctor Office Visits

                      • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                      • $20 copay for each in-area network urgent care Medicare-covered visit
                      • $30 copay for each specialist visit for Medicare-covered benefits.
                      Windsor Medicare Extra Windsor Medicare Extra Diamond Plan (HMO) (H5698-069) HMO

                        Premium and Other Important Information

                        • $3 400 out-of-pocket limit for Medicare-covered services.
                        • $160 monthly plan premium in addition to your monthly Medicare Part B premium.
                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                        Doctor Office Visits

                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                        • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                        • $15 copay for each specialist visit for Medicare-covered benefits.
                        Windsor Medicare Extra Windsor Medicare Extra Comp Plus Plan (HMO SNP) (H5698-128) HMO

                          Premium and Other Important Information

                          • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                          • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                          • $3 400 out-of-pocket limit. All plan services included.*
                          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                          Doctor Office Visits

                          • 0% or 20% of the cost for each primary care doctor visit for Medicare-covered benefits.*
                          • 0% or 20% of the cost for each in-area network urgent care Medicare-covered visit*
                          • 0% or 20% of the cost for each specialist visit for Medicare-covered benefits.*
                          Windsor Medicare Extra Windsor Medicare Extra Fusion Plan (HMO SNP) (H5698-129) HMO

                            Premium and Other Important Information

                            • $4 500 out-of-pocket limit for Medicare-covered services.
                            • $60 monthly plan premium in addition to your monthly Medicare Part B premium.
                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                            Doctor Office Visits

                            • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $10 copay for each in-area network urgent care Medicare-covered visit
                            • $25 copay for each specialist visit for Medicare-covered benefits.
                            Windsor Medicare Extra Windsor Medicare Extra Diabetes Plan (HMO SNP) (H5698-154) HMO

                              Premium and Other Important Information

                              • $3 400 out-of-pocket limit. All plan services included.
                              • $100 monthly plan premium in addition to your monthly Medicare Part B premium.
                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                              Doctor Office Visits

                              • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                              • $0 copay for each in-area network urgent care Medicare-covered visit
                              • $0 to $20 copay for each specialist visit for Medicare-covered benefits.
                              Arkansas Community Care/ Texarkana Community Care Arkansas Community Care - Plus (HMO) (H5700-002) HMO

                                Premium and Other Important Information

                                • $4 950 out-of-pocket limit for Medicare-covered services.
                                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                Doctor Office Visits

                                • Authorization rules may apply.
                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $35 copay for each specialist visit for Medicare-covered benefits.
                                Arkansas Community Care/ Texarkana Community Care Arkansas Community Care -Dual Plus (HMO SNP) (H5700-018) HMO

                                  Premium and Other Important Information

                                  • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                  • $0 annual deductible.*
                                  • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                  • $3 400 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
                                  • $0 monthly plan premium*

                                  Doctor Office Visits

                                  • Authorization rules may apply.
                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                  • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                  • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                  Universal American Corp. Today's Options Premier 400 (PFFS) (H6169-012) Private Fee for Service

                                    Premium and Other Important Information

                                    • $6 700 out-of-pocket limit for Medicare-covered services.
                                    • $20.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                    • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                    Doctor Office Visits

                                    • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                    • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                    • $35 copay for each in-area network urgent care Medicare-covered visit
                                    • $50 copay for each specialist visit for Medicare-covered benefits.
                                    • $30 copay for each primary care doctor visit
                                    • $60 copay for each specialist visit
                                    Universal American Corp. Today's Options Premier Plus 450B (PFFS) (H6169-032) Private Fee for Service

                                      Premium and Other Important Information

                                      • $6 700 out-of-pocket limit for Medicare-covered services.
                                      • $59 monthly plan premium in addition to your monthly Medicare Part B premium.
                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                      • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                      Doctor Office Visits

                                      • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                      • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                      • $35 copay for each in-area network urgent care Medicare-covered visit
                                      • $50 copay for each specialist visit for Medicare-covered benefits.
                                      • $30 copay for each primary care doctor visit
                                      • $60 copay for each specialist visit
                                      Universal American Corp. Today's Options Premier 200 (PFFS) (H6169-050) Private Fee for Service

                                        Premium and Other Important Information

                                        • $3 250 out-of-pocket limit for Medicare-covered services.
                                        • $50.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                        • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                        Doctor Office Visits

                                        • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                        • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                        • $35 copay for each in-area network urgent care Medicare-covered visit
                                        • $30 copay for each specialist visit for Medicare-covered benefits.
                                        • $10 copay for each primary care doctor visit
                                        • $40 copay for each specialist visit
                                        Universal American Corp. Today's Options Premier Plus 250A (PFFS) (H6169-054) Private Fee for Service

                                          Premium and Other Important Information

                                          • $3 250 out-of-pocket limit for Medicare-covered services.
                                          • $112 monthly plan premium in addition to your monthly Medicare Part B premium.
                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                          • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                          Doctor Office Visits

                                          • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                          • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                          • $35 copay for each in-area network urgent care Medicare-covered visit
                                          • $30 copay for each specialist visit for Medicare-covered benefits.
                                          • $10 copay for each primary care doctor visit
                                          • $40 copay for each specialist visit
                                          Care Improvement Plus Care Improvement Plus Medicare Advantage (PPO) (H6528-001) Local Preferred Provider Organization

                                            Premium and Other Important Information

                                            • $6 700 out-of-pocket limit for Medicare-covered services.
                                            • $38 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                            • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                            Doctor Office Visits

                                            • $30 copay for each primary care doctor visit for Medicare-covered benefits.
                                            • $30 copay for each in-area network urgent care Medicare-covered visit
                                            • $45 copay for each specialist visit for Medicare-covered benefits.
                                            • $30 copay for each primary care doctor visit
                                            • $45 copay for each specialist visit
                                            Care Improvement Plus Care Improvement Plus Silver Rx (PPO SNP) (H6528-009) Local Preferred Provider Organization

                                              Premium and Other Important Information

                                              • $6 700 out-of-pocket limit for Medicare-covered services.
                                              • In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply.
                                              • $31.6 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                              • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                              Doctor Office Visits

                                              • 20% of the cost for each primary care doctor visit for Medicare-covered benefits.
                                              • 20% of the cost for each in-area network urgent care Medicare-covered visit
                                              • 20% of the cost for each specialist visit for Medicare-covered benefits.
                                              • 20% of the cost for each primary care doctor visit
                                              • 20% of the cost for each specialist visit
                                              Care Improvement Plus Care Improvement Plus Gold Rx (PPO SNP) (H6528-010) Local Preferred Provider Organization

                                                Premium and Other Important Information

                                                • $6 700 out-of-pocket limit for Medicare-covered services.
                                                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                Doctor Office Visits

                                                • $35 copay for each primary care doctor visit for Medicare-covered benefits.
                                                • $35 copay for each in-area network urgent care Medicare-covered visit
                                                • $50 copay for each specialist visit for Medicare-covered benefits.
                                                • $35 copay for each primary care doctor visit
                                                • $50 copay for each specialist visit
                                                Care Improvement Plus Care Improvement Plus Dual Advantage (PPO SNP) (H6528-011) Local Preferred Provider Organization

                                                  Premium and Other Important Information

                                                  • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                  • $0 annual deductible.*
                                                  • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                  • $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
                                                  • $0 annual deductible.**
                                                  • $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.**
                                                  • $0 monthly plan premium*
                                                  • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                  Doctor Office Visits

                                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                                  • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
                                                  • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
                                                  • 20% of the cost for each primary care doctor visit**
                                                  • 20% of the cost for each specialist visit**
                                                  Humana Insurance Company HumanaChoice H7188-003 (PPO) (H7188-003) Local Preferred Provider Organization

                                                    Premium and Other Important Information

                                                    • Package: 1 - MyOption Enhanced Dental:
                                                    • $19 monthly premium in addition to your $66 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                    • $5 000 out-of-pocket limit for Medicare-covered services.
                                                    • $5 500 out-of-pocket limit for Medicare-covered services.
                                                    • $66 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                    • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                    Doctor Office Visits

                                                    • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                                    • $35 copay for each in-area network urgent care Medicare-covered visit
                                                    • $35 copay for each specialist visit for Medicare-covered benefits.
                                                    • 30% of the cost for each primary care doctor visit
                                                    • 30% of the cost for each specialist visit
                                                    Humana Insurance Company HumanaChoice H7188-006 (PPO) (H7188-006) Local Preferred Provider Organization

                                                      Premium and Other Important Information

                                                      • $5 000 out-of-pocket limit for Medicare-covered services.
                                                      • $500 annual deductible. Contact the plan for services that apply.
                                                      • $5 500 out-of-pocket limit for Medicare-covered services.
                                                      • $39 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                      • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                      Doctor Office Visits

                                                      • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                      • $35 copay for each in-area network urgent care Medicare-covered visit
                                                      • $35 copay for each specialist visit for Medicare-covered benefits.
                                                      • 30% of the cost for each primary care doctor visit
                                                      • 30% of the cost for each specialist visit
                                                      Humana Insurance Company Humana Gold Choice H8145-120 (PFFS) (H8145-120) Private Fee for Service

                                                        Premium and Other Important Information

                                                        • Package: 1 - MyOption Fitness Well Being:
                                                        • $30 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
                                                        • $162 annual deductible. Contact the plan for services that apply.
                                                        • $6 700 out-of-pocket limit for Medicare-covered services.
                                                        • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                                        • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                        Doctor Office Visits

                                                        • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                        • 20% of the cost for each primary care doctor visit for Medicare-covered benefits.
                                                        • 20% of the cost for each in-area network urgent care Medicare-covered visit
                                                        • 20% of the cost for each specialist visit for Medicare-covered benefits.
                                                        • 20% of the cost for each primary care doctor visit
                                                        • 20% of the cost for each specialist visit
                                                        Humana Insurance Company Humana Gold Choice H8145-122 (PFFS) (H8145-122) Private Fee for Service

                                                          Premium and Other Important Information

                                                          • $5 500 out-of-pocket limit for Medicare-covered services.
                                                          • $60 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                          • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                          Doctor Office Visits

                                                          • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                          • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                          • $40 copay for each in-area network urgent care Medicare-covered visit
                                                          • $40 copay for each specialist visit for Medicare-covered benefits.
                                                          • $15 copay for each primary care doctor visit
                                                          • $40 copay for each specialist visit

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