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Iowa MedicareAdvantage Plans

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Medicare Advantage Plans in Jackson County, Iowa

Below are Medicare Advantage plans available to residents of Jackson county, Iowa. 8 carriers offer 38 plans throughout the county of Jackson. Residents may choose plans from carriers such as Medical Associates Health Plan Inc., Blue Plus and Medica Insurance Company. 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 Jackson county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Jackson

Carrier Plan Title Plan Type
Medical Associates Health Plan Inc. Medical Associates SmartPlan (Cost) (H1651-001) Cost Plan

    Premium and Other Important Information

    • $97.00 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

    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
    • $0 copay for each specialist doctor visit for Medicare-covered benefits.
    Medical Associates Health Plan Inc. Medical Associates Basic Plan (Cost) (H1651-002) Cost Plan

      Premium and Other Important Information

      • $94.00 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

      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
      • $0 copay for each specialist doctor visit for Medicare-covered benefits.
      Medical Associates Health Plan Inc. Medical Associates Community Plan (Cost) (H1651-004) Cost Plan

        Premium and Other Important Information

        • $125.00 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

        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
        • $0 copay for each specialist doctor visit for Medicare-covered benefits.
        Medical Associates Health Plan Inc. Medical Associates Freedom Plan (Cost) (H1651-008) Cost Plan

          Premium and Other Important Information

          • Package: 1 - Out of Network Benefit:
          • $15 monthly premium in addition to your $125 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Additional Pap Test and Pelvic Exam
          • $125.00 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

          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
          • $0 copay for each specialist doctor visit for Medicare-covered benefits.
          Blue Plus SecureBlue (HMO SNP) (H2425-001) 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.
            • In this plan you will have no cost sharing responsibility for Medicare-covered services.
            • $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.*
            Medica Insurance Company Medica Prime Solution Basic with Part D Option 2 (Cost) (H2450-001) Cost Plan

              Premium and Other Important Information

              • Package: 1 - Medica Senior Dental:
              • $42.50 monthly premium in addition to your $122.60 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
              • $1 000 plan coverage limit every year for these benefits.
              • $3 000 out-of-pocket limit. All plan services included.
              • $122.6 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

              • $0 copay for each primary care doctor visit for Medicare-covered benefits.
              • $0 to $20 copay for each in-area network urgent care Medicare-covered visit
              • $20 copay for each specialist visit for Medicare-covered benefits.
              Medica Insurance Company Medica Prime Solution Enhanced w/Part D Option 2 (Cost) (H2450-002) Cost Plan

                Premium and Other Important Information

                • Package: 1 - Medica Senior Dental:
                • Package: 2 - Wisconsin Rider:
                • $42.50 monthly premium in addition to your $172.60 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                • $38 monthly premium in addition to your $172.60 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Skilled Nursing Facility (SNF) Home Health Services End-Stage Ren
                • $1 000 plan coverage limit every year for these benefits.
                • $30 000 plan coverage limit every year for these benefits.
                • $3 000 out-of-pocket limit. All plan services included.
                • $172.6 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

                • $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.
                Medica Insurance Company Medica Prime Solution Basic with Part D Option 3 (Cost) (H2450-005) Cost Plan

                  Premium and Other Important Information

                  • Package: 1 - Medica Senior Dental:
                  • $42.50 monthly premium in addition to your $181.20 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                  • $1 000 plan coverage limit every year for these benefits.
                  • $3 000 out-of-pocket limit. All plan services included.
                  • $181.2 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

                  Doctor Office Visits

                  • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $0 to $20 copay for each in-area network urgent care Medicare-covered visit
                  • $20 copay for each specialist visit for Medicare-covered benefits.
                  Medica Insurance Company Medica Prime Solution Enhanced w/Part D Option 3 (Cost) (H2450-006) Cost Plan

                    Premium and Other Important Information

                    • Package: 1 - Medica Senior Dental:
                    • Package: 2 - Wisconsin Rider:
                    • $42.50 monthly premium in addition to your $231.20 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                    • $38 monthly premium in addition to your $231.20 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Skilled Nursing Facility (SNF) Home Health Services End-Stage Ren
                    • $1 000 plan coverage limit every year for these benefits.
                    • $30 000 plan coverage limit every year for these benefits.
                    • $3 000 out-of-pocket limit. All plan services included.
                    • $231.2 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

                    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.
                    Medica Insurance Company Medica Prime Solution Thrift with Part D Option 1 (Cost) (H2450-007) Cost Plan

                      Premium and Other Important Information

                      • $6 700 out-of-pocket limit for Medicare-covered services.
                      • $55.5 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 in-area network urgent care Medicare-covered visit
                      • 20% of the cost for each specialist visit for Medicare-covered benefits.
                      Medica Insurance Company Medica Prime Solution Basic with Part D Option 1 (Cost) (H2450-016) Cost Plan

                        Premium and Other Important Information

                        • Package: 1 - Medica Senior Dental:
                        • $42.50 monthly premium in addition to your $105.50 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                        • $1 000 plan coverage limit every year for these benefits.
                        • $3 000 out-of-pocket limit. All plan services included.
                        • $105.5 monthly plan premium in addition to your monthly Medicare Part B premium.
                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                        Doctor Office Visits

                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                        • $0 to $20 copay for each in-area network urgent care Medicare-covered visit
                        • $20 copay for each specialist visit for Medicare-covered benefits.
                        Medica Insurance Company Medica Prime Solution Enhanced w/Part D Option 1 (Cost) (H2450-017) Cost Plan

                          Premium and Other Important Information

                          • Package: 1 - Medica Senior Dental:
                          • Package: 2 - Wisconsin Rider:
                          • $42.50 monthly premium in addition to your $155.50 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                          • $38 monthly premium in addition to your $155.50 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Skilled Nursing Facility (SNF) Home Health Services End-Stage Ren
                          • $1 000 plan coverage limit every year for these benefits.
                          • $30 000 plan coverage limit every year for these benefits.
                          • $3 000 out-of-pocket limit. All plan services included.
                          • $155.5 monthly plan premium in addition to your monthly Medicare Part B premium.
                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                          Doctor Office Visits

                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                          • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                          • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                          Medica Insurance Company Medica Prime Solution Value with Part D Option 1 (Cost) (H2450-022) Cost Plan

                            Premium and Other Important Information

                            • Package: 1 - Medica Senior Dental:
                            • $42.50 monthly premium in addition to your $85.50 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                            • $1 000 plan coverage limit every year for these benefits.
                            • $3 350 out-of-pocket limit. All plan services included.
                            • $85.5 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 $30 copay for each in-area network urgent care Medicare-covered visit
                            • $30 copay for each specialist visit for Medicare-covered benefits.
                            Medica Insurance Company Medica Prime Solution Value with Part D Option 2 (Cost) (H2450-023) Cost Plan

                              Premium and Other Important Information

                              • Package: 1 - Medica Senior Dental:
                              • $42.50 monthly premium in addition to your $102.60 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                              • $1 000 plan coverage limit every year for these benefits.
                              • $3 350 out-of-pocket limit. All plan services included.
                              • $102.6 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

                              • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                              • $10 to $30 copay for each in-area network urgent care Medicare-covered visit
                              • $30 copay for each specialist visit for Medicare-covered benefits.
                              Medica Insurance Company Medica Prime Solution Value with Part D Option 3 (Cost) (H2450-028) Cost Plan

                                Premium and Other Important Information

                                • Package: 1 - Medica Senior Dental:
                                • $42.50 monthly premium in addition to your $161.20 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                • $1 000 plan coverage limit every year for these benefits.
                                • $3 350 out-of-pocket limit. All plan services included.
                                • $161.2 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

                                Doctor Office Visits

                                • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $10 to $30 copay for each in-area network urgent care Medicare-covered visit
                                • $30 copay for each specialist visit for Medicare-covered benefits.
                                UCare UCare's Minnesota Senior Health Options (HMO SNP) (H2456-002) 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.
                                  • $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.*
                                  UCare UCare for Seniors Value (HMO-POS) (H2459-001) HMO with POS Option

                                    Premium and Other Important Information

                                    • $3 400 out-of-pocket limit for Medicare-covered services.
                                    • $43.00 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

                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                    • $25 copay for each in-area network urgent care Medicare-covered visit
                                    • $30 copay for each specialist visit for Medicare-covered benefits.
                                    UCare UCare for Seniors Classic (HMO-POS) (H2459-002) HMO with POS Option

                                      Premium and Other Important Information

                                      • Package: 1 - Comprehensive Dental:
                                      • $21 monthly premium in addition to your $137 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Comprehensive Dental
                                      • $1 000 plan coverage limit every year for these benefits.
                                      • $3 400 out-of-pocket limit for Medicare-covered services.
                                      • $137 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
                                      • $15 copay for each specialist visit for Medicare-covered benefits.
                                      UCare UCare for Seniors Value Plus (HMO-POS) (H2459-013) HMO with POS Option

                                        Premium and Other Important Information

                                        • $3 400 out-of-pocket limit for Medicare-covered services.
                                        • $84 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.
                                        • $25 copay for each in-area network urgent care Medicare-covered visit
                                        • $30 copay for each specialist visit for Medicare-covered benefits.
                                        UCare UCare for Seniors Standard D (HMO-POS) (H2459-018) HMO with POS Option

                                          Premium and Other Important Information

                                          • $3 400 out-of-pocket limit for Medicare-covered services.
                                          • $54 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.
                                          • $25 copay for each in-area network urgent care Medicare-covered visit
                                          • $35 copay for each specialist visit for Medicare-covered benefits.
                                          Blue Cross and Blue Shield of Minnesota Platinum Blue Core Plan (Cost) (H2461-005) Cost Plan

                                            Premium and Other Important Information

                                            • $5 000 out-of-pocket limit. All plan services included.
                                            • $35.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                            Doctor Office Visits

                                            • 20% 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.
                                            Blue Cross and Blue Shield of Minnesota Platinum Blue Choice Plan (Cost) (H2461-006) Cost Plan

                                              Premium and Other Important Information

                                              • $3 000 out-of-pocket limit. All plan services included.
                                              • $79.00 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

                                              • $15 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.
                                              Blue Cross and Blue Shield of Minnesota Platinum Blue Complete Plan (Cost) (H2461-007) Cost Plan

                                                Premium and Other Important Information

                                                • $3 000 out-of-pocket limit. All plan services included.
                                                • $119.00 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

                                                • $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.
                                                HealthPartners HealthPartners Freedom Basic (Cost) (H2462-004) Cost Plan

                                                  Premium and Other Important Information

                                                  • $45.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                                  Doctor Office Visits

                                                  • 20% 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.
                                                  HealthPartners HealthPartners Freedom Balance (Cost) (H2462-007) Cost Plan

                                                    Premium and Other Important Information

                                                    • Package: 1 - Freedom Comprehensive Dental Benefit:
                                                    • $38.37 monthly premium in addition to your $93 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Comprehensive Dental
                                                    • $1 100 plan coverage limit every year for these benefits.
                                                    • $3 000 out-of-pocket limit. All plan services included.
                                                    • $93.00 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

                                                    • $15 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.
                                                    HealthPartners HealthPartners Freedom Balance with Rx (Cost) (H2462-008) Cost Plan

                                                      Premium and Other Important Information

                                                      • Package: 1 - Freedom Comprehensive Dental Benefit:
                                                      • $38.37 monthly premium in addition to your $102.80 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Comprehensive Dental
                                                      • $1 100 plan coverage limit every year for these benefits.
                                                      • $3 000 out-of-pocket limit. All plan services included.
                                                      • $102.8 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

                                                      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
                                                      • $15 copay for each specialist visit for Medicare-covered benefits.
                                                      HealthPartners HealthPartners Freedom Ultimate (Cost) (H2462-010) Cost Plan

                                                        Premium and Other Important Information

                                                        • Package: 1 - Freedom Comprehensive Dental Benefit:
                                                        • $38.37 monthly premium in addition to your $138 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Comprehensive Dental
                                                        • $1 100 plan coverage limit every year for these benefits.
                                                        • $3 000 out-of-pocket limit. All plan services included.
                                                        • $138.00 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

                                                        • $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.
                                                        HealthPartners HealthPartners Freedom Ultimate with Rx (Cost) (H2462-011) Cost Plan

                                                          Premium and Other Important Information

                                                          • Package: 1 - Freedom Comprehensive Dental Benefit:
                                                          • $38.37 monthly premium in addition to your $162.90 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Comprehensive Dental
                                                          • $1 100 plan coverage limit every year for these benefits.
                                                          • $3 000 out-of-pocket limit. All plan services included.
                                                          • $162.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                          Doctor Office Visits

                                                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                          • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                          • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                          HealthPartners HealthPartners Freedom Ultimate with Enhanced Rx (Cost) (H2462-012) Cost Plan

                                                            Premium and Other Important Information

                                                            • Package: 1 - Freedom Comprehensive Dental Benefit:
                                                            • $38.37 monthly premium in addition to your $347 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Comprehensive Dental
                                                            • $1 100 plan coverage limit every year for these benefits.
                                                            • $3 000 out-of-pocket limit. All plan services included.
                                                            • $347 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                            Doctor Office Visits

                                                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                                            • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
                                                            • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                                            HealthPartners HealthPartners Freedom Vital (Cost) (H2462-018) Cost Plan

                                                              Premium and Other Important Information

                                                              • Package: 1 - Freedom Comprehensive Dental Benefit:
                                                              • $38.37 monthly premium in addition to your $53 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                              • $1 100 plan coverage limit every year for these benefits.
                                                              • $3 000 out-of-pocket limit. All plan services included.
                                                              • $53.00 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

                                                              • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                              • $15 to $40 copay for each in-area network urgent care Medicare-covered visit
                                                              • $40 copay for each specialist visit for Medicare-covered benefits.
                                                              HealthPartners HealthPartners Freedom Vital with Rx (Cost) (H2462-019) Cost Plan

                                                                Premium and Other Important Information

                                                                • Package: 1 - Freedom Comprehensive Dental Benefit:
                                                                • $38.37 monthly premium in addition to your $60.20 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                                • $1 100 plan coverage limit every year for these benefits.
                                                                • $3 000 out-of-pocket limit. All plan services included.
                                                                • $60.2 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

                                                                Doctor Office Visits

                                                                • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                • $15 to $40 copay for each in-area network urgent care Medicare-covered visit
                                                                • $40 copay for each specialist visit for Medicare-covered benefits.
                                                                Select counties in Iowa AARP MedicareComplete Plan 2 (HMO) (H4456-015) HMO

                                                                  Premium and Other Important Information

                                                                  • Package: 1 - Deluxe Rider:
                                                                  • $37 monthly premium in addition to your $85 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
                                                                  • $3 500 out-of-pocket limit for Medicare-covered services.
                                                                  • $85 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                                  Doctor Office Visits

                                                                  • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                  • $25 copay for each in-area network urgent care Medicare-covered visit
                                                                  • $25 copay for each specialist visit for Medicare-covered benefits.
                                                                  Select counties in Iowa AARP MedicareComplete Plus Plan 1 (HMO-POS) (H4456-025) HMO with POS Option

                                                                    Premium and Other Important Information

                                                                    • Package: 1 - Deluxe Rider:
                                                                    • Package: 2 - Fitness Rider:
                                                                    • $37 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
                                                                    • $13 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
                                                                    • $3 400 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

                                                                    • $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 H5868-001 (PPO) (H5868-001) Local Preferred Provider Organization

                                                                      Premium and Other Important Information

                                                                      • $4 000 out-of-pocket limit for Medicare-covered services.
                                                                      • $6 000 out-of-pocket limit for Medicare-covered services.
                                                                      • $21 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 in-area network urgent care Medicare-covered visit
                                                                      • $30 copay for each specialist visit for Medicare-covered benefits.
                                                                      • $35 copay for each primary care doctor visit
                                                                      • $35 copay for each specialist visit
                                                                      Humana Insurance Company HumanaChoice H5868-004 (PPO) (H5868-004) Local Preferred Provider Organization

                                                                        Premium and Other Important Information

                                                                        • $4 000 out-of-pocket limit for Medicare-covered services.
                                                                        • $500 annual deductible. Contact the plan for services that apply.
                                                                        • $6 000 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
                                                                        • 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 in-area network urgent care Medicare-covered visit
                                                                        • $30 copay for each specialist visit for Medicare-covered benefits.
                                                                        • $35 copay for each primary care doctor visit
                                                                        • $35 copay for each specialist visit
                                                                        Humana Insurance Company HumanaChoice H6609-021 (PPO) (H6609-021) Local Preferred Provider Organization

                                                                          Premium and Other Important Information

                                                                          • Package: 1 - MyOption Vision:
                                                                          • Package: 2 - MyOption Fitness Well Being:
                                                                          • $15 monthly premium in addition to your $55 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                                                                          • $30 monthly premium in addition to your $55 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
                                                                          • $290 plan coverage limit every year for these benefits.
                                                                          • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                          • $500 annual deductible. Contact the plan for services that apply.
                                                                          • $5 100 out-of-pocket limit for Medicare-covered services.
                                                                          • $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 in-area network urgent care Medicare-covered visit
                                                                          • $30 copay for each specialist visit for Medicare-covered benefits.
                                                                          • $35 copay for each primary care doctor visit
                                                                          • $35 copay for each specialist visit
                                                                          Humana Insurance Company HumanaChoice H6609-028 (PPO) (H6609-028) Local Preferred Provider Organization

                                                                            Premium and Other Important Information

                                                                            • $3 400 out-of-pocket limit for Medicare-covered services.
                                                                            • $500 annual deductible. Contact the plan for services that apply.
                                                                            • $5 100 out-of-pocket limit for Medicare-covered services.
                                                                            • $110 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.
                                                                            • $25 copay for each in-area network urgent care Medicare-covered visit
                                                                            • $25 copay for each specialist visit for Medicare-covered benefits.
                                                                            • $35 copay for each primary care doctor visit
                                                                            • $35 copay for each specialist visit
                                                                            Humana Insurance Company Humana Gold Choice H8145-089 (PFFS) (H8145-089) 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:
                                                                              • $30 monthly premium in addition to your $69 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                                              • $19 monthly premium in addition to your $69 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 $69 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                                                                              • $30 monthly premium in addition to your $69 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental 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.
                                                                              • $5 000 out-of-pocket limit for Medicare-covered services.
                                                                              • $69 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                                              • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                                              Doctor Office Visits

                                                                              • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                                              • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                                              • $35 copay for each in-area network urgent care Medicare-covered visit
                                                                              • $35 copay for each specialist visit for Medicare-covered benefits.
                                                                              • $15 copay for each primary care doctor visit
                                                                              • $35 copay for each specialist visit

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