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Medicare Advantage Plans in Winneshiek County, Iowa

Below are Medicare Advantage plans available to residents of Winneshiek county, Iowa. 3 carriers offer 8 plans throughout the county of Winneshiek. Residents may choose plans from Coventry Health Care, Gundersen Lutheran Health Plan Inc. or Humana 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 Winneshiek county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Winneshiek

Carrier	Plan Title	Plan Type
Coventry Health Care	Advantra Platinum (PPO) (H1608-001)	Local Preferred Provider Organization
Premium and Other Important Information $3 300 out-of-pocket limit. All plan services included. $5 100 out-of-pocket limit. All plan services included. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits. 20% of the cost for each primary care doctor visit 20% of the cost for each specialist visit
Coventry Health Care	Advantra Silver (HMO) (H1609-001)	HMO
Premium and Other Important Information $3 300 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. $40 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Gundersen Lutheran Health Plan Inc.	Gundersen Lutheran Senior Pref. Elite (w/RX) (HMO) (H5262-001)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $139.6 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 copay for each primary care doctor visit for Medicare-covered benefits. $20 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits.
Gundersen Lutheran Health Plan Inc.	Gundersen Lutheran Senior Pref. Value (w/RX) (HMO) (H5262-003)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $22.6 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 $35 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.
Gundersen Lutheran Health Plan Inc.	Gundersen Lutheran Sr. Pref. Value (no RX) (HMO) (H5262-004)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $0.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $35 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.
Gundersen Lutheran Health Plan Inc.	Gundersen Lutheran Sr. Pref. Elite (no RX) (HMO) (H5262-005)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $100.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i Doctor Office Visits $20 copay for each primary care doctor visit for Medicare-covered benefits. $20 copay for each in-area network urgent care Medicare-covered visit $20 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

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• Scott, IA Medicare Advantage Plans
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Iowa Plan Data by City

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