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Arizona MedicareAdvantage Plans

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Medicare Advantage Plans in Maricopa County, Arizona

Below are Medicare Advantage plans available to residents of Maricopa county, Arizona. 17 carriers offer 39 plans throughout the county of Maricopa. Residents may choose plans from carriers such as Banner MediSun, UnitedHealthcare and Humana Health Plan Inc.. 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 Maricopa county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Maricopa

Carrier Plan Title Plan Type
Banner MediSun MediSunONE Plus (HMO) (H0302-001) HMO

    Premium and Other Important Information

    • $6 700 out-of-pocket limit for Medicare-covered services.
    • $14 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 to $25 copay for each in-area network urgent care Medicare-covered visit
    • $30 copay for each specialist visit for Medicare-covered benefits.
    Banner MediSun MediSunONE Classic (HMO) (H0302-006) 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

      • $25 copay for each primary care doctor visit for Medicare-covered benefits.
      • $25 copay for each in-area network urgent care Medicare-covered visit
      • $50 copay for each specialist visit for Medicare-covered benefits.
      Banner MediSun MediSunONE Premier (HMO) (H0302-007) HMO

        Premium and Other Important Information

        • Package: 1 - Dental Plan:
        • $21 monthly premium in addition to your $45 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
        • $1 500 plan coverage limit every year for these benefits.
        • $6 700 out-of-pocket limit for Medicare-covered services.
        • $45 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.
        • $5 to $15 copay for each in-area network urgent care Medicare-covered visit
        • $15 copay for each specialist visit for Medicare-covered benefits.
        UnitedHealthcare AARP MedicareComplete (HMO) (H0303-015) HMO

          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
          • $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

          • $5 copay for each primary care doctor visit for Medicare-covered benefits.
          • $30 copay for each in-area network urgent care Medicare-covered visit
          • $40 copay for each specialist visit for Medicare-covered benefits.
          UnitedHealthcare UnitedHealthcare Dual Complete LP (HMO SNP) (H0303-034) 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
            • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
            • ** 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.*
            • $24.7 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.*
            Humana Health Plan Inc. Humana Reader's Digest Healthy Living Plan (HMO-POS) (H0307-008) HMO with POS Option

              Premium and Other Important Information

              • Package: 1 - MyOption Dental High:
              • Package: 2 - MyOption Platinum Dental:
              • $24 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
              • $27 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
              • $1 500 plan coverage limit every year for these benefits.
              • $2 000 plan coverage limit every year for these benefits.
              • $5 000 out-of-pocket limit for Medicare-covered services.
              • $149 annual deductible. Contact the plan for services that apply.
              • $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

              Doctor Office Visits

              • Authorization rules may apply.
              • $15 copay for each primary care doctor visit for Medicare-covered benefits.
              • $25 to $35 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 Reader's Digest Healthy Living Plan (HMO) (H0307-011) HMO

                Premium and Other Important Information

                • $5 000 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.
                • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                • $30 copay for each in-area network urgent care Medicare-covered visit
                • $30 copay for each specialist visit for Medicare-covered benefits.
                Humana Insurance Company Humana Reader's Digest Healthy Living Plan (PPO) (H0317-001) Local Preferred Provider Organization

                  Premium and Other Important Information

                  • $3 400 out-of-pocket limit for Medicare-covered services.
                  • $128 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

                  • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $15 copay for each in-area network urgent care Medicare-covered visit
                  • $15 copay 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 Reader's Digest Healthy Living Plan (PPO) (H0317-002) Local Preferred Provider Organization

                    Premium and Other Important Information

                    • Package: 1 - MyOption Enhanced Dental PPO:
                    • Package: 2 - MyOption Vision:
                    • Package: 3 - MyOption Healthy Back:
                    • $22 monthly premium in addition to your $79 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 $79 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                    • $16 monthly premium in addition to your $79 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
                    • $290 plan coverage limit every year for these benefits.
                    • $500 plan coverage limit every year for these benefits.
                    • $6 700 out-of-pocket limit for Medicare-covered services.
                    • $162 annual deductible. Contact the plan for services that apply.
                    • $10 000 out-of-pocket limit for Medicare-covered services.
                    • $79 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
                    Aetna Medicare Aetna Medicare Select Plan (HMO) (H0318-002) HMO

                      Premium and Other Important Information

                      • Package: 1 - Preventive Dental:
                      • Package: 2 - Advantage Dental:
                      • $7 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental
                      • $12 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
                      • $4 900 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

                      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
                      • $45 copay for each specialist visit for Medicare-covered benefits.
                      UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO SNP) (H0319-001) Local Preferred Provider Organization

                        Premium and Other Important Information

                        • $5 000 out-of-pocket limit for Medicare-covered services.
                        • $10 000 out-of-pocket limit for Medicare-covered services.
                        • $26.8 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

                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                        • 20% of the cost for each in-area network urgent care Medicare-covered visit
                        • 0% to 20% of the cost 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
                        UnitedHealthcare Community Plan UnitedHealthcare Dual Complete (HMO SNP) (H0321-002) 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
                          • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                          • ** 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.*
                          • $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.*
                          Health Net of Arizona Inc. Health Net Ruby 1 (HMO) (H0351-014) HMO

                            Premium and Other Important Information

                            • Package: 1 - Optional Suppl Benefits - Gold Benefit Package # 1:
                            • Package: 2 - Optional Suppl Benefits - Gold Benefit Package # 2:
                            • $49 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compre
                            • $25 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
                            • $5 300 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

                            Doctor Office Visits

                            • $5 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.
                            Health Net of Arizona Inc. Health Net Amber (HMO SNP) (H0351-029) 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 or $1 200 annual deductible.* Contact the plan for services that apply.
                              • ** 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.*
                              • $26.8 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.*
                              Health Net of Arizona Inc. Health Net Green (HMO) (H0351-030) HMO

                                Premium and Other Important Information

                                • Package: 1 - Optional Suppl Benefits - Gold Benefit Package # 1:
                                • Package: 2 - Optional Suppl Benefits - Gold Benefit Package # 2:
                                • $49 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compreh
                                • $25 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
                                • $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

                                Doctor Office Visits

                                • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $20 copay for each in-area network urgent care Medicare-covered visit
                                • $35 copay for each specialist visit for Medicare-covered benefits.
                                Health Net of Arizona Inc. Health Net Ruby 4 (HMO) (H0351-036) HMO

                                  Premium and Other Important Information

                                  • Package: 1 - Optional Suppl Benefits - Gold Benefit Package # 1:
                                  • Package: 2 - Optional Suppl Benefits - Gold Benefit Package # 2:
                                  • $49 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compreh
                                  • $25 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
                                  • $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

                                  • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                  • $20 copay for each in-area network urgent care Medicare-covered visit
                                  • $45 copay for each specialist visit for Medicare-covered benefits.
                                  Health Net of Arizona Inc. Health Net Jade (HMO SNP) (H0351-038) HMO

                                    Premium and Other Important Information

                                    • Package: 1 - Optional Suppl Benefits - Gold Benefit Package # 1:
                                    • Package: 2 - Optional Suppl Benefits - Gold Benefit Package # 2:
                                    • $49 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compreh
                                    • $25 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
                                    • $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

                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                    • $20 copay for each in-area network urgent care Medicare-covered visit
                                    • $20 copay for each specialist visit for Medicare-covered benefits.
                                    Cigna HealthCare of Arizona Cigna Medicare Select Plus Rx-Standard (HMO) (H0354-001) HMO

                                      Premium and Other Important Information

                                      • Package: 1 - CIGNA Dental:
                                      • $17 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
                                      • $6 700 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

                                      • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                      • $20 to $35 copay for each in-area network urgent care Medicare-covered visit
                                      • $30 to $45 copay for each specialist visit for Medicare-covered benefits.
                                      Cigna HealthCare of Arizona Cigna Medicare Select Plus Rx-Dual (HMO SNP) (H0354-012) 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
                                        • Package: 1 - CIGNA Dental:
                                        • $17 monthly premium in addition to your $22.30 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                        • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                        • $6 700 out-of-pocket limit. All plan services included.*
                                        • $22.3 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                        Doctor Office Visits

                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                                        • $0 or $0 to $35 copay for each in-area network urgent care Medicare-covered visit*
                                        • $0 or $0 to $35 copay for each specialist visit for Medicare-covered benefits.*
                                        Cigna HealthCare of Arizona Cigna Medicare Select Plus Rx-Premium (HMO) (H0354-018) HMO

                                          Premium and Other Important Information

                                          • Package: 1 - CIGNA Dental:
                                          • $17 monthly premium in addition to your $25 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. All plan services included.
                                          • $25 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.
                                          • $20 to $35 copay for each in-area network urgent care Medicare-covered visit
                                          • $20 to $35 copay for each specialist visit for Medicare-covered benefits.
                                          CareMore Health Plan of Arizona Inc. CareMore Value Plus (HMO) (H2593-007) HMO

                                            Premium and Other Important Information

                                            • Package: 1 - Optional Dental:
                                            • $15.10 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
                                            • $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.
                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                            • $20 copay for each in-area network urgent care Medicare-covered visit
                                            • $0 to $25 copay for each specialist visit for Medicare-covered benefits.
                                            CareMore Health Plan of Arizona Inc. CareMore Touch (HMO SNP) (H2593-009) HMO

                                              Premium and Other Important Information

                                              • Package: 1 - Optional Dental:
                                              • $15.10 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
                                              • $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.
                                              • $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.
                                              CareMore Health Plan of Arizona Inc. CareMore Diabetes (HMO SNP) (H2593-011) HMO

                                                Premium and Other Important Information

                                                • Package: 1 - Optional Dental:
                                                • $15.10 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
                                                • $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.
                                                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                • $20 copay for each in-area network urgent care Medicare-covered visit
                                                • $0 to $25 copay for each specialist visit for Medicare-covered benefits.
                                                CareMore Health Plan of Arizona Inc. CareMore Heart (HMO SNP) (H2593-014) HMO

                                                  Premium and Other Important Information

                                                  • Package: 1 - Optional Dental:
                                                  • $15.10 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
                                                  • $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.
                                                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                  • $20 copay for each in-area network urgent care Medicare-covered visit
                                                  • $0 to $25 copay for each specialist visit for Medicare-covered benefits.
                                                  CareMore Health Plan of Arizona Inc. CareMore Breathe (HMO SNP) (H2593-015) HMO

                                                    Premium and Other Important Information

                                                    • Package: 1 - Optional Dental:
                                                    • $15.10 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
                                                    • $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.
                                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                    • $20 copay for each in-area network urgent care Medicare-covered visit
                                                    • $0 to $25 copay for each specialist visit for Medicare-covered benefits.
                                                    CareMore Health Plan of Arizona Inc. StartSmart with CareMore (HMO) (H2593-016) HMO

                                                      Premium and Other Important Information

                                                      • CareMore Health Plan of Arizona Inc. will reduce your monthly Medicare Part B premium by up to $ 40.00.
                                                      • Package: 1 - Optional Dental:
                                                      • $15.10 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
                                                      • $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.
                                                      • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                                      • $20 copay for each in-area network urgent care Medicare-covered visit
                                                      • $0 to $35 copay for each specialist visit for Medicare-covered benefits.
                                                      ONECare by Care1st Health Plan Arizona Inc. ONECare by Care1st Health Plan Arizona Inc. (HMO SNP) (H5430-001) 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
                                                        • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                                                        • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                        • $3 000 out-of-pocket limit for Medicare-covered services.*
                                                        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                        Doctor Office Visits

                                                        • Authorization rules may apply.
                                                        • 0% or 0% to 20% of the cost for each primary care doctor visit for Medicare-covered benefits.*
                                                        • 0% or 0% to 20% of the cost for each in-area network urgent care Medicare-covered visit*
                                                        • 0% or 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.*
                                                        Mercy Care Advantage Mercy Care Advantage (HMO SNP) (H5580-001) 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.
                                                          • $6 700 out-of-pocket limit for Medicare-covered services.*
                                                          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                          Doctor Office Visits

                                                          • Authorization rules may apply.
                                                          • 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.*
                                                          Health Choice Generations HMO SNP Health Choice Generations (HMO SNP) (H5587-001) 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
                                                            • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                                                            • ** 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.*
                                                            • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                            Doctor Office Visits

                                                            • Authorization rules may apply.
                                                            • 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.*
                                                            Health Choice Generations HMO SNP Health Choice Generations (HMO SNP) (H5587-002) 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
                                                              • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                                                              • ** 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.*
                                                              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                              Doctor Office Visits

                                                              • Authorization rules may apply.
                                                              • 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.*
                                                              Advantage by Bridgeway Health Solutions HMO SNP Advantage by Bridgeway Health Solutions (HMO SNP) (H5590-002) 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. All plan services included. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. Contact plan for details regarding cost sharing
                                                                • $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.*
                                                                Abrazo Advantage Health Plan Abrazo Advantage (HMO) (H5985-001) HMO

                                                                  Premium and Other Important Information

                                                                  • $6 700 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

                                                                  • Authorization rules may apply.
                                                                  • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                  • $35 copay for each in-area network urgent care Medicare-covered visit
                                                                  • $40 copay for each specialist visit for Medicare-covered benefits.
                                                                  Abrazo Advantage Health Plan Abrazo Advantage Plus (HMO SNP) (H5985-002) 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
                                                                    • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                                                                    • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                                    • $6 700 out-of-pocket limit. All plan services included.*
                                                                    • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                                    Doctor Office Visits

                                                                    • Authorization rules may apply.
                                                                    • 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.*
                                                                    University Care Advantage Maricopa Care Advantage (HMO SNP) (H7352-003) 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
                                                                      • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                                                                      • ** 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.*
                                                                      • $25.5 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                                      Doctor Office Visits

                                                                      • Authorization rules may apply.
                                                                      • 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.*
                                                                      Universal Health Care Insurance Company Inc. Any Any Any Gold (PFFS) (H8098-001) Private Fee for Service

                                                                        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
                                                                        • 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 specialist visit for Medicare-covered benefits.
                                                                        • $15 copay for each primary care doctor visit
                                                                        • $40 copay for each specialist visit
                                                                        Universal Health Care Insurance Company Inc. Any Any Any Gold MA Only (PFFS) (H8098-003) Private Fee for Service

                                                                          Premium and Other Important Information

                                                                          • Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 15.00.
                                                                          • $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.
                                                                          • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                          • $40 copay for each specialist visit for Medicare-covered benefits.
                                                                          • $15 copay for each primary care doctor visit
                                                                          • $40 copay for each specialist visit
                                                                          Humana Insurance Company Humana Gold Choice H8145-103 (PFFS) (H8145-103) Private Fee for Service

                                                                            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:
                                                                            • $24 monthly premium in addition to your $174 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 $174 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 $174 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                                                                            • $26 monthly premium in addition to your $174 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.
                                                                            • $6 700 out-of-pocket limit for Medicare-covered services.
                                                                            • $174 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.
                                                                            • $20 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.
                                                                            • 25% of the cost for each primary care doctor visit
                                                                            • 25% of the cost for each specialist visit
                                                                            SCAN Health Plan Arizona SCAN Connections (HMO SNP) (H9385-001) 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.
                                                                              • $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*

                                                                              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.*
                                                                              SCAN Health Plan Arizona SCAN Classic (HMO) (H9385-002) HMO

                                                                                Premium and Other Important Information

                                                                                • Package: 1 - Vision Buy-Up:
                                                                                • $5 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Wear
                                                                                • $130 plan coverage limit every two years for these benefits.
                                                                                • $5 000 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.
                                                                                • $10 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.

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