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Indiana MedicareAdvantage Plans

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Medicare Advantage Plans in Johnson County, Indiana

Below are Medicare Advantage plans available to residents of Johnson county, Indiana. 8 carriers offer 26 plans throughout the county of Johnson. Residents may choose plans from carriers such as UnitedHealthcare, Humana Insurance Company and Anthem Blue Cross and Blue Shield. 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 Johnson county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Johnson

Carrier Plan Title Plan Type
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**
    UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO SNP) (H1509-006) Local Preferred Provider Organization

      Premium and Other Important Information

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

      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
      • 20% of the cost for each in-area network urgent care Medicare-covered visit
      • 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.
      • 30% of the cost for each primary care doctor visit
      • 30% of the cost for each specialist visit
      UnitedHealthcare AARP MedicareComplete Choice (PPO) (H1509-007) Local Preferred Provider Organization

        Premium and Other Important Information

        • Package: 1 - Dental Platinum Rider:
        • $33 monthly premium in addition to your $38 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
        • $4 900 out-of-pocket limit for Medicare-covered services.
        • $9 400 out-of-pocket limit for Medicare-covered services.
        • $38 monthly plan premium in addition to your monthly Medicare Part B premium.
        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
        • 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
        • $35 copay for each specialist visit for Medicare-covered benefits.
        • $25 copay for each primary care doctor visit
        • $45 copay for each specialist visit
        Humana Insurance Company HumanaChoice H1510-001 (PPO) (H1510-001) 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 $49 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 $49 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 $49 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.
          • $49 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
          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 H2012-009 (HMO) (H2012-009) 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.
                • $3 900 out-of-pocket limit for Medicare-covered services.
                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                Doctor Office Visits

                • Authorization rules may apply.
                • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                • $35 copay for each in-area network urgent care Medicare-covered visit
                • $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
                              Today's Options of Indiana Today's Options Classic (HMO) (H5656-014) HMO

                                Premium and Other Important Information

                                • $6 700 out-of-pocket limit for Medicare-covered services.
                                • $22 monthly plan premium in addition to your monthly Medicare Part B premium.
                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                Doctor Office Visits

                                • Authorization rules may apply.
                                • $30 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $35 copay for each in-area network urgent care Medicare-covered visit
                                • $50 copay for each specialist visit for Medicare-covered benefits.
                                Today's Options of Indiana Today's Options Premier (HMO) (H5656-015) HMO

                                  Premium and Other Important Information

                                  • $3 250 out-of-pocket limit for Medicare-covered services.
                                  • $60 monthly plan premium in addition to your monthly Medicare Part B premium.
                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                  Doctor Office Visits

                                  • Authorization rules may apply.
                                  • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                  • $35 copay for each in-area network urgent care Medicare-covered visit
                                  • $40 copay for each specialist visit for Medicare-covered benefits.
                                  Universal American Corp. Today's Options Premier 400 (PFFS) (H6169-013) Private Fee for Service

                                    Premium and Other Important Information

                                    • $6 700 out-of-pocket limit for Medicare-covered services.
                                    • $50.00 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) (H6169-024) Private Fee for Service

                                      Premium and Other Important Information

                                      • $3 250 out-of-pocket limit for Medicare-covered services.
                                      • $147 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 450C (PFFS) (H6169-033) Private Fee for Service

                                        Premium and Other Important Information

                                        • $6 700 out-of-pocket limit for Medicare-covered services.
                                        • $87 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
                                        Universal American Corp. Today's Options Premier 200 (PFFS) (H6169-051) Private Fee for Service

                                          Premium and Other Important Information

                                          • $3 250 out-of-pocket limit for Medicare-covered services.
                                          • $80.00 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
                                          Indiana University Health Plans - Medicare IU Health Plans Medicare Select (HMO) (H7220-002) HMO

                                            Premium and Other Important Information

                                            • Indiana University Health Plans - Medicare will reduce your monthly Medicare Part B premium by up to $ 20.00.
                                            • $4 500 out-of-pocket limit for Medicare-covered services.
                                            • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                            Doctor Office Visits

                                            • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                            • $50 copay for each in-area network urgent care Medicare-covered visit
                                            • $40 copay for each specialist visit for Medicare-covered benefits.
                                            Indiana University Health Plans - Medicare IU Health Plans Medicare Select Plus (HMO) (H7220-003) HMO

                                              Premium and Other Important Information

                                              • $5 000 out-of-pocket limit for Medicare-covered services.
                                              • $63.9 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

                                              • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                              • $50 copay for each in-area network urgent care Medicare-covered visit
                                              • $50 copay for each specialist visit for Medicare-covered benefits.
                                              Indiana University Health Plans - Medicare IU Health Plans Medicare Choice (HMO-POS) (H7220-004) HMO with POS Option

                                                Premium and Other Important Information

                                                • $4 500 out-of-pocket limit for Medicare-covered services.
                                                • $122.7 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                Doctor Office Visits

                                                • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                • $50 copay for each in-area network urgent care Medicare-covered visit
                                                • $35 copay for each specialist visit for Medicare-covered benefits.
                                                Humana Insurance Company Humana Gold Choice H8145-012 (PFFS) (H8145-012) 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 $169 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 $169 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 $169 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 $169 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 $169 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.
                                                  • $169 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
                                                  ADVANTAGE Health Solutions Inc. ADVANTAGE Network (HMO) (H8822-004) HMO

                                                    Premium and Other Important Information

                                                    • $3 400 out-of-pocket limit for Medicare-covered services.
                                                    • $19 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                    Doctor Office Visits

                                                    • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                                    • $50 copay for each in-area network urgent care Medicare-covered visit
                                                    • $25 copay for each specialist visit for Medicare-covered benefits.
                                                    ADVANTAGE Health Solutions Inc. ADVANTAGE Special Needs Plan (HMO SNP) (H8822-005) HMO

                                                      Premium and Other Important Information

                                                      • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                                      • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                                                      • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                      • $6700 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.
                                                      • $3300 out-of-pocket limit for Medicare-covered services.**
                                                      • $10000 out-of-pocket limit for Medicare-covered services.*
                                                      • $35.9 monthly plan premium in addition to your monthly Medicare Part B premium.*
                                                      • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                      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.*

                                                      Indiana Plan Data by County

                                                      Indiana Plan Data by City

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