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Georgia MedicareAdvantage Plans

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Medicare Advantage Plans in Cobb County, Georgia

Below are Medicare Advantage plans available to residents of Cobb county, Georgia. 10 carriers offer 25 plans throughout the county of Cobb. Residents may choose plans from carriers such as UnitedHealthcare, Aetna Medicare and WellCare. 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 Cobb county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Cobb

Carrier Plan Title Plan Type
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO SNP) (H1108-001) 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.
    • $31.2 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 UnitedHealthcare Dual Complete (PPO SNP) (H1108-002) 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
      • 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.*
      • In 2012 the annual Part B deductible amount is $0 or $140 .** Contact the plan for services that apply.
      • $10 000 out-of-pocket limit for Medicare-covered services.*
      • $19.1 monthly plan premium in addition to your monthly Medicare Part B 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% 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.*
      • 30% of the cost for each primary care doctor visit**
      • 30% of the cost for each specialist visit**
      Aetna Medicare Aetna Medicare Value Plan (HMO) (H1109-001) HMO

        Premium and Other Important Information

        • Package: 1 - Advantage Dental:
        • $16 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 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.
        • $50 copay for each in-area network urgent care Medicare-covered visit
        • $40 copay for each specialist visit for Medicare-covered benefits.
        Aetna Medicare Aetna Medicare Premier Plan (HMO) (H1109-003) HMO

          Premium and Other Important Information

          • Package: 1 - Advantage Dental:
          • $16 monthly premium in addition to your $98 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 for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
          • $98 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.
          • $50 copay for each in-area network urgent care Medicare-covered visit
          • $35 copay for each specialist visit for Medicare-covered benefits.
          UnitedHealthcare AARP MedicareComplete (HMO) (H1111-006) HMO

            Premium and Other Important Information

            • $3 900 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.
            WellCare WellCare Access (HMO SNP) (H1112-006) 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

              • $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.*
              WellCare WellCare Value (HMO-POS) (H1112-027) HMO with POS Option

                Premium and Other Important Information

                • $4 000 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

                • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                • $35 copay for each in-area network urgent care Medicare-covered visit
                • $25 copay for each specialist visit for Medicare-covered benefits.
                Kaiser Permanente Senior Advantage Kaiser Permanente Senior Advantage Enhanced (HMO) (H1170-002) HMO

                  Premium and Other Important Information

                  • Package: 1 - Advantage Plus:
                  • $20 monthly premium in addition to your $61 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Eye Wear Hearing Aids
                  • $3 400 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.
                  • $61 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.
                  • $30 copay for each in-area network urgent care Medicare-covered visit
                  • $30 copay for each specialist visit for Medicare-covered benefits.
                  Kaiser Permanente Senior Advantage Senior Advantage Medicare Medicaid Plan (HMO SNP) (H1170-008) 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.
                    • $2 700 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.*
                    • $29.2 monthly plan premium in addition to your monthly Medicare Part B premium.*

                    Doctor Office Visits

                    • Authorization rules may apply.
                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
                    • $0 or $3 copay for each in-area network urgent care Medicare-covered visit*
                    • $0 or $3 copay for each specialist visit for Medicare-covered benefits.*
                    Kaiser Permanente Senior Advantage Kaiser Permanente Senior Advantage Basic (HMO) (H1170-009) HMO

                      Premium and Other Important Information

                      • Package: 1 - Advantage Plus:
                      • $20 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Eye Wear Hearing Aids
                      • $3 400 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

                      • Authorization rules may apply.
                      • $30 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.
                      UnitedHealthcare AARP MedicareComplete Plus (HMO-POS) (H2182-001) 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
                        • $4 250 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

                        • $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.
                        Humana Insurance Company HumanaChoice H5214-003 (PPO) (H5214-003) Local Preferred Provider Organization

                          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:
                          • $23 monthly premium in addition to your $42 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                          • $14 monthly premium in addition to your $42 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 $42 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                          • $25 monthly premium in addition to your $42 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.
                          • $4 900 out-of-pocket limit for Medicare-covered services.
                          • $1 000 annual deductible. Contact the plan for services that apply.
                          • $7 300 out-of-pocket limit for Medicare-covered services.
                          • $42 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.
                          • $40 copay for each in-area network urgent care Medicare-covered visit
                          • $15 to $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 Silver (HMO-POS) (H5302-003) HMO with POS Option

                            Premium and Other Important Information

                            • $4 375 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

                            • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $25 copay for each in-area network urgent care Medicare-covered visit
                            • $40 copay for each specialist visit for Medicare-covered benefits.
                            Coventry Health Care Advantra Silver Plus (HMO-POS) (H5302-006) HMO with POS Option

                              Premium and Other Important Information

                              • $4 200 out-of-pocket limit. All plan services included.
                              • $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

                              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
                              • $35 copay for each specialist visit for Medicare-covered benefits.
                              Coventry Health Care Silver Advantage (HMO) (H5302-007) HMO

                                Premium and Other Important Information

                                • $6 500 out-of-pocket limit. All plan services included.
                                • $29.6 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

                                Doctor Office Visits

                                • 20% of the cost for each primary care doctor visit for Medicare-covered benefits.
                                • $25 copay for each in-area network urgent care Medicare-covered visit
                                • 20% of the cost for each specialist visit for Medicare-covered benefits.
                                Coventry Health Care Advantra Elite (HMO) (H5302-008) HMO

                                  Premium and Other Important Information

                                  • $1 500 annual deductible. Contact the plan for services that apply.
                                  • $3 300 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.
                                  • $10 copay for each in-area network urgent care Medicare-covered visit
                                  • $35 copay for each specialist visit for Medicare-covered benefits.
                                  Blue Cross Blue Shield Healthcare Plan of Georgia BlueValue Secure (HMO) (H5422-002) HMO

                                    Premium and Other Important Information

                                    • Package: 1 - Preventive Dental Package:
                                    • Package: 2 - Comprehensive Dental and Vision Package:
                                    • Package: 3 - Combination Package:
                                    • $12 monthly premium in addition to your $25 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental
                                    • $32 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 Eye Exams Eye Wear
                                    • $45 monthly premium in addition to your $25 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compre
                                    • $3 300 out-of-pocket limit for Medicare-covered services.
                                    • $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

                                    • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                    • $40 copay for each in-area network urgent care Medicare-covered visit
                                    • $25 copay for each specialist visit for Medicare-covered benefits.
                                    Blue Cross Blue Shield Healthcare Plan of Georgia BlueValue Basic (HMO) (H5422-006) HMO

                                      Premium and Other Important Information

                                      • Package: 1 - Preventive Dental Package:
                                      • Package: 2 - Comprehensive Dental and Vision Package:
                                      • Package: 3 - Combination Package:
                                      • $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
                                      • $32 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
                                      • $45 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
                                      • $4 500 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.
                                      • $40 copay for each in-area network urgent care Medicare-covered visit
                                      • $35 copay 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
                                          Blue Cross Blue Shield of Georgia Medicare Preferred Core (PPO) (H9947-001) Local Preferred Provider Organization

                                            Premium and Other Important Information

                                            • Package: 1 - Preventive Dental Package:
                                            • Package: 2 - Comprehensive Dental and Vision Package:
                                            • Package: 3 - Combination Package:
                                            • $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
                                            • $32 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
                                            • $45 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
                                            • $4 900 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

                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                            • $45 copay for each in-area network urgent care Medicare-covered visit
                                            • $30 copay for each specialist visit for Medicare-covered benefits.
                                            • $25 copay for each primary care doctor visit
                                            • $45 copay for each specialist visit
                                            Blue Cross Blue Shield of Georgia Medicare Preferred Premier (PPO) (H9947-002) Local Preferred Provider Organization

                                              Premium and Other Important Information

                                              • Package: 1 - Preventive Dental Package:
                                              • Package: 2 - Comprehensive Dental and Vision Package:
                                              • Package: 3 - Combination Package:
                                              • $12 monthly premium in addition to your $40 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental
                                              • $32 monthly premium in addition to your $40 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
                                              • $45 monthly premium in addition to your $40 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compre
                                              • $3 400 out-of-pocket limit for Medicare-covered services.
                                              • $40 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.
                                              • $45 copay for each in-area network urgent care Medicare-covered visit
                                              • $20 copay for each specialist visit for Medicare-covered benefits.
                                              • $20 copay for each primary care doctor visit
                                              • $30 copay for each specialist visit
                                              Blue Cross Blue Shield of Georgia Medicare Preferred Online (PPO) (H9947-003) Local Preferred Provider Organization

                                                Premium and Other Important Information

                                                • Package: 1 - Preventive Dental Package:
                                                • Package: 2 - Comprehensive Dental and Vision Package:
                                                • Package: 3 - Combination Package:
                                                • $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
                                                • $32 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
                                                • $45 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
                                                • $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

                                                • $0 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.
                                                • 35% of the cost for each primary care doctor visit
                                                • 35% of the cost for each specialist visit
                                                WindsorSterling WindsorSterling Gold Plus Plan (PPO) (H9988-002) Local Preferred Provider Organization

                                                  Premium and Other Important Information

                                                  • $4 000 out-of-pocket limit. All plan services included.
                                                  • $55 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.
                                                  • $30 copay for each specialist visit for Medicare-covered benefits.
                                                  • $25 copay for each primary care doctor visit
                                                  • $40 copay for each specialist visit
                                                  WindsorSterling Fresenius Health Partners (PPO SNP) (H9988-017) Local Preferred Provider Organization

                                                    Premium and Other Important Information

                                                    • $6 700 out-of-pocket limit. All plan services included.
                                                    • In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply.
                                                    • $600 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
                                                    • $30 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% of the cost for each primary care doctor visit for Medicare-covered benefits.
                                                    • 20% of the cost for each specialist visit for Medicare-covered benefits.

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