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Medicare Advantage Plans in Fort Wayne, Indiana

Below are Medicare Advantage plans available to residents of Fort Wayne, Indiana. 7 carriers offer 23 plans throughout the city of Fort Wayne. Residents may chose plans from carriers such as Care Improvement Plus, UnitedHealthcare and 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 Fort Wayne that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the city of Fort Wayne

Carrier	Plan Title	Plan Type
Care Improvement Plus	Care Improvement Plus Silver Rx (PPO SNP) (H0084-014)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply. $35.9 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 Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits 20% of the cost for each primary care doctor visit for Medicare-covered benefits. 20% of the cost for each in-area network urgent care Medicare-covered visit 20% of the cost for each specialist visit for Medicare-covered benefits. 20% of the cost for each primary care doctor visit 20% of the cost for each specialist visit
Care Improvement Plus	Care Improvement Plus Gold Rx (PPO SNP) (H0084-015)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $25 copay for each primary care doctor visit for Medicare-covered benefits. $25 copay for each in-area network urgent care Medicare-covered visit $50 copay for each specialist visit for Medicare-covered benefits. $25 copay for each primary care doctor visit $50 copay for each specialist visit
Care Improvement Plus	Care Improvement Plus Dual Advantage (PPO SNP) (H0084-016)	Local Preferred Provider Organization
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services $0 annual deductible.* ** Please consult with your plan about cost sharing when receiving services from out-of-network providers. $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility. $0 annual deductible.** $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.** $0 monthly plan premium* Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits.* $0 copay for the cost of each in-area network urgent care Medicare-covered visit.* $0 copay for each specialist doctor visit for Medicare-covered benefits.* 20% of the cost for each primary care doctor visit** 20% of the cost for each specialist visit**
Care Improvement Plus	Care Improvement Plus Medicare Advantage (PPO) (H0084-017)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $53 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $35 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $50 copay for each specialist visit for Medicare-covered benefits. $35 copay for each primary care doctor visit $50 copay for each specialist visit
UnitedHealthcare	AARP MedicareComplete Choice (PPO) (H1509-001)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - Dental Platinum 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 $4 400 out-of-pocket limit for Medicare-covered services. $8 800 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 $20 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $50 copay for each specialist visit
UnitedHealthcare	UnitedHealthcare Dual Complete (PPO SNP) (H1509-004)	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.* $31.8 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**
Humana Insurance Company	HumanaChoice H1510-005 (PPO) (H1510-005)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - MyOption Vision: Package: 2 - MyOption Enhanced Dental PPO: Package: 3 - MyOption Healthy Back: $15 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear $23 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $16 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services $290 plan coverage limit every year for these benefits. $500 plan coverage limit every year for these benefits. $4 500 out-of-pocket limit for Medicare-covered services. $500 annual deductible. Contact the plan for services that apply. $6 750 out-of-pocket limit for Medicare-covered services. $39 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits. 30% of the cost for each primary care doctor visit 30% of the cost for each specialist visit
Humana Insurance Company	HumanaChoice H1510-009 (PPO) (H1510-009)	Local Preferred Provider Organization
Premium and Other Important Information Package: 1 - MyOption Vision: Package: 2 - MyOption Enhanced Dental PPO: Package: 3 - MyOption Healthy Back: $15 monthly premium in addition to your $119 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear $23 monthly premium in addition to your $119 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $16 monthly premium in addition to your $119 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services $290 plan coverage limit every year for these benefits. $500 plan coverage limit every year for these benefits. $5 000 out-of-pocket limit for Medicare-covered services. $1 000 annual deductible. Contact the plan for services that apply. $7 500 out-of-pocket limit for Medicare-covered services. $119 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. $0 copay for each in-area network urgent care Medicare-covered visit $0 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
Anthem Blue Cross and Blue Shield	Anthem Medicare Preferred Standard (PPO) (H1607-001)	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 $29 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental $31 monthly premium in addition to your $29 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear $44 monthly premium in addition to your $29 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compre $4 000 out-of-pocket limit for Medicare-covered services. $29 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. $30 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $40 copay for each specialist visit
Anthem Blue Cross and Blue Shield	Anthem Medicare Preferred Select (PPO) (H1607-004)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $64 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. $20 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
Humana Health Plan Inc.	Humana Gold Plus H2012-028 (HMO) (H2012-028)	HMO
Premium and Other Important Information Package: 1 - MyOption Enhanced Dental HMO: Package: 2 - MyOption Healthy Back: $26 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 $16 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services $500 plan coverage limit every year for these benefits. $3 600 out-of-pocket limit for Medicare-covered services. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits Authorization rules may apply. $5 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Universal American Corp.	Today's Options Advantage Plus 450F (PPO) (H5378-184)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $51 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 $25 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $50 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $60 copay for each specialist visit
Universal American Corp.	Today's Options Advantage Plus 250A (PPO) (H5378-200)	Local Preferred Provider Organization
Premium and Other Important Information $3 250 out-of-pocket limit for Medicare-covered services. $122 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $5 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $10 copay for each primary care doctor visit $40 copay for each specialist visit
ADVANTAGE Health Solutions Inc.	ADVANTAGE Enhanced (PPO) (H5508-001)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $5 100 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 Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $5 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $20 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
ADVANTAGE Health Solutions Inc.	ADVANTAGE Preferred (PPO) (H5508-002)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $5 100 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. $50 copay for each in-area network urgent care Medicare-covered visit $30 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
ADVANTAGE Health Solutions Inc.	ADVANTAGE Select (PPO) (H5508-005)	Local Preferred Provider Organization
Premium and Other Important Information $3 900 out-of-pocket limit for Medicare-covered services. $5 100 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 $45 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
ADVANTAGE Health Solutions Inc.	ADVANTAGE Choice (PPO) (H5508-006)	Local Preferred Provider Organization
Premium and Other Important Information $3 600 out-of-pocket limit for Medicare-covered services. $5 100 out-of-pocket limit for Medicare-covered services. $29 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 $35 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
ADVANTAGE Health Solutions Inc.	ADVANTAGE Elite (PPO) (H5508-007)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $5 100 out-of-pocket limit for Medicare-covered services. $151 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 $15 copay for each specialist visit for Medicare-covered benefits. 20% of the cost for each primary care doctor visit 20% of the cost for each specialist visit
Universal American Corp.	Today's Options Premier 200 (PFFS) (H6169-001)	Private Fee for Service
Premium and Other Important Information $3 250 out-of-pocket limit for Medicare-covered services. $20.00 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $5 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $10 copay for each primary care doctor visit $40 copay for each specialist visit
Universal American Corp.	Today's Options Premier 400 (PFFS) (H6169-011)	Private Fee for Service
Premium and Other Important Information $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. $25 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $50 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $60 copay for each specialist visit
Universal American Corp.	Today's Options Premier Plus 250A (PFFS) (H6169-021)	Private Fee for Service
Premium and Other Important Information $3 250 out-of-pocket limit for Medicare-covered services. $72 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $5 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $10 copay for each primary care doctor visit $40 copay for each specialist visit
Universal American Corp.	Today's Options Premier Plus 450B (PFFS) (H6169-031)	Private Fee for Service
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. $27 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co This plan does not allow providers to balance bill (charging more than your cost share amount). Doctor Office Visits You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment. $25 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $50 copay for each specialist visit for Medicare-covered benefits. $30 copay for each primary care doctor visit $60 copay for each specialist visit
Humana Insurance Company	Humana Gold Choice H8145-011 (PFFS) (H8145-011)	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: Package: 5 - MyOption Healthy Back: $24 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: 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 $26 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 Exams Eye Wear $16 monthly premium in addition to your $69 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services $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. $500 plan coverage limit every year for these benefits. $6 700 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. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit

Indiana Plan Data by County

• Adams, IN Medicare Advantage Plans
• Allen, IN Medicare Advantage Plans
• Bartholomew, IN Medicare Advantage Plans
• Benton, IN Medicare Advantage Plans
• Blackford, IN Medicare Advantage Plans
• Boone, IN Medicare Advantage Plans
• Brown, IN Medicare Advantage Plans
• Butler, IN Medicare Advantage Plans
• Carroll, IN Medicare Advantage Plans
• Cass, IN Medicare Advantage Plans
• Clark, IN Medicare Advantage Plans
• Clay, IN Medicare Advantage Plans
• Clinton, IN Medicare Advantage Plans
• Crawford, IN Medicare Advantage Plans
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• De Kalb, IN Medicare Advantage Plans
• Dearborn, IN Medicare Advantage Plans
• Decatur, IN Medicare Advantage Plans
• Delaware, IN Medicare Advantage Plans
• Dubois, IN Medicare Advantage Plans
• Elkhart, IN Medicare Advantage Plans
• Fayette, IN Medicare Advantage Plans
• Floyd, IN Medicare Advantage Plans
• Fountain, IN Medicare Advantage Plans
• Franklin, IN Medicare Advantage Plans
• Fulton, IN Medicare Advantage Plans
• Gibson, IN Medicare Advantage Plans
• Grant, IN Medicare Advantage Plans
• Greene, IN Medicare Advantage Plans
• Hamilton, IN Medicare Advantage Plans
• Hancock, IN Medicare Advantage Plans
• Harrison, IN Medicare Advantage Plans
• Hendricks, IN Medicare Advantage Plans
• Henry, IN Medicare Advantage Plans
• Howard, IN Medicare Advantage Plans
• Huntington, IN Medicare Advantage Plans
• Jackson, IN Medicare Advantage Plans
• Jasper, IN Medicare Advantage Plans
• Jay, IN Medicare Advantage Plans
• Jefferson, IN Medicare Advantage Plans
• Jennings, IN Medicare Advantage Plans
• Johnson, IN Medicare Advantage Plans
• Knox, IN Medicare Advantage Plans
• Kosciusko, IN Medicare Advantage Plans
• La Porte, IN Medicare Advantage Plans
• Lagrange, IN Medicare Advantage Plans
• Lake, IN Medicare Advantage Plans

• Lawrence, IN Medicare Advantage Plans
• Madison, IN Medicare Advantage Plans
• Marion, IN Medicare Advantage Plans
• Marshall, IN Medicare Advantage Plans
• Martin, IN Medicare Advantage Plans
• Miami, IN Medicare Advantage Plans
• Monroe, IN Medicare Advantage Plans
• Montgomery, IN Medicare Advantage Plans
• Morgan, IN Medicare Advantage Plans
• Newton, IN Medicare Advantage Plans
• Noble, IN Medicare Advantage Plans
• Ohio, IN Medicare Advantage Plans
• Orange, IN Medicare Advantage Plans
• Owen, IN Medicare Advantage Plans
• Parke, IN Medicare Advantage Plans
• Perry, IN Medicare Advantage Plans
• Pike, IN Medicare Advantage Plans
• Porter, IN Medicare Advantage Plans
• Posey, IN Medicare Advantage Plans
• Pulaski, IN Medicare Advantage Plans
• Putnam, IN Medicare Advantage Plans
• Randolph, IN Medicare Advantage Plans
• Ripley, IN Medicare Advantage Plans
• Rush, IN Medicare Advantage Plans
• Scott, IN Medicare Advantage Plans
• Shelby, IN Medicare Advantage Plans
• Spencer, IN Medicare Advantage Plans
• St Joseph, IN Medicare Advantage Plans
• Starke, IN Medicare Advantage Plans
• Steuben, IN Medicare Advantage Plans
• Sullivan, IN Medicare Advantage Plans
• Switzerland, IN Medicare Advantage Plans
• Tippecanoe, IN Medicare Advantage Plans
• Tipton, IN Medicare Advantage Plans
• Union, IN Medicare Advantage Plans
• Vanderburgh, IN Medicare Advantage Plans
• Vermillion, IN Medicare Advantage Plans
• Vigo, IN Medicare Advantage Plans
• Wabash, IN Medicare Advantage Plans
• Warren, IN Medicare Advantage Plans
• Warrick, IN Medicare Advantage Plans
• Washington, IN Medicare Advantage Plans
• Wayne, IN Medicare Advantage Plans
• Wells, IN Medicare Advantage Plans
• White, IN Medicare Advantage Plans
• Whitley, IN Medicare Advantage Plans

Indiana Plan Data by City

• Evansville, IN Medicare Advantage Plans
• Fort Wayne, IN Medicare Advantage Plans

• Indianapolis, IN Medicare Advantage Plans
• South Bend, IN Medicare Advantage Plans