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Kentucky MedicareAdvantage Plans

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Medicare Advantage Plans in Montgomery County, Kentucky

Below are Medicare Advantage plans available to residents of Montgomery county, Kentucky. 9 carriers offer 27 plans throughout the county of Montgomery. Residents may choose plans from carriers such as UnitedHealthcare Community Plan, Humana Insurance Company and HealthSpring. 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 Montgomery county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Montgomery

Carrier Plan Title Plan Type
UnitedHealthcare Community Plan UnitedHealthcare Dual Complete (HMO SNP) (H0251-002) 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.*
    Humana Insurance Company HumanaChoice H1806-002 (PPO) (H1806-002) 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
      • $21 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.
      • $6 000 out-of-pocket limit for Medicare-covered services.
      • $1 000 annual deductible. Contact the plan for services that apply.
      • $9 000 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 Humana Gold Choice H2944-127 (PFFS) (H2944-127) 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:
        • $22 monthly premium in addition to your $109 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
        • $14 monthly premium in addition to your $109 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 $109 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
        • $25 monthly premium in addition to your $109 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
        • $1 500 plan coverage limit every year for these benefits.
        • $1 000 plan coverage limit every year for these benefits.
        • $290 plan coverage limit every year for these benefits.
        • Unless otherwise noted out-of-network services not covered.
        • $6 700 out-of-pocket limit for Medicare-covered services.
        • $109 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.
        • $20 copay for each primary care doctor visit for Medicare-covered benefits.
        • $40 copay for each specialist visit for Medicare-covered benefits.
        HealthSpring HealthyAdvantage Preferred (HMO) (H4454-002) HMO

          Premium and Other Important Information

          • $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

          • Authorization rules may apply.
          • $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.
          HealthSpring HealthyAdvantage (HMO) (H4454-012) HMO

            Premium and Other Important Information

            • HealthSpring will reduce your monthly Medicare Part B premium by up to $ 75.00.
            • $3 400 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

            • Authorization rules may apply.
            • $15 copay for each primary care doctor visit for Medicare-covered benefits.
            • $30 copay for each in-area network urgent care Medicare-covered visit
            • $30 copay for each specialist visit for Medicare-covered benefits.
            HealthSpring TotalCare (HMO SNP) (H4454-020) HMO

              Premium and Other Important Information

              • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
              • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
              • $6 700 out-of-pocket limit for Medicare-covered services.*
              • $27.7 monthly plan premium in addition to your monthly Medicare Part B premium.*

              Doctor Office Visits

              • Authorization rules may apply.
              • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
              • $0 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.*
              HealthSpring HealthyAdvantage Premier (HMO-POS) (H4454-030) HMO with POS Option

                Premium and Other Important Information

                • $3 400 out-of-pocket limit for Medicare-covered services.
                • $26 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.
                WindsorSterling WindsorSterling Gold Access Plan (PFFS) (H5006-017) Private Fee for Service

                  Premium and Other Important Information

                  • $4 000 out-of-pocket limit. All plan services included.
                  • $60 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • $75 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • $70 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • $55 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • $59 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • $80 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • $62 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • $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
                  • 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.
                  • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $30 copay for each specialist visit for Medicare-covered benefits.
                  WindsorSterling WindsorSterling Silver Access Plan (PFFS) (H5006-018) Private Fee for Service

                    Premium and Other Important Information

                    • $4 000 out-of-pocket limit. All plan services included.
                    • $30.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $45.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $40.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $25.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $50.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $49.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $32.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $29.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $55.00 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.
                    • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                    • $30 copay for each specialist visit for Medicare-covered benefits.
                    Universal American Corp. Today's Options Premier 400 (PFFS) (H5421-046) 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.
                      • $50 copay for each specialist visit for Medicare-covered benefits.
                      Universal American Corp. Today's Options Premier Plus 450B (PFFS) (H5421-070) Private Fee for Service

                        Premium and Other Important Information

                        • $6 700 out-of-pocket limit for Medicare-covered services.
                        • $41 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.
                        • $50 copay for each specialist visit for Medicare-covered benefits.
                        Universal American Corp. Today's Options Premier 200 (PFFS) (H5421-206) Private Fee for Service

                          Premium and Other Important Information

                          • $3 250 out-of-pocket limit for Medicare-covered services.
                          • $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
                          • 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.
                          • $30 copay for each specialist visit for Medicare-covered benefits.
                          Universal American Corp. Today's Options Premier Plus 250A (PFFS) (H5421-212) Private Fee for Service

                            Premium and Other Important Information

                            • $3 250 out-of-pocket limit for Medicare-covered services.
                            • $98 monthly plan premium in addition to your monthly Medicare Part B premium.
                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                            • 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.
                            • $30 copay for each specialist visit for Medicare-covered benefits.
                            UnitedHealthcare UnitedHealthcare MedicareDirect Essential (PFFS) (H5435-001) Private Fee for Service

                              Premium and Other Important Information

                              • $6 200 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.
                              • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                              • $45 copay for each specialist visit for Medicare-covered benefits.
                              UnitedHealthcare UnitedHealthcare MedicareDirect Rx (PFFS) (H5435-024) Private Fee for Service

                                Premium and Other Important Information

                                • $6 700 out-of-pocket limit for Medicare-covered services.
                                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                Doctor Office Visits

                                • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $45 copay for each specialist visit for Medicare-covered benefits.
                                Anthem Blue Cross and Blue Shield Anthem Medicare Preferred Standard (PPO) (H5530-001) 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 $28 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental
                                  • $31 monthly premium in addition to your $28 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 $28 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compre
                                  • $4 500 out-of-pocket limit for Medicare-covered services.
                                  • $28 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.
                                  • $20 copay for each primary care doctor visit
                                  • $40 copay for each specialist visit
                                  Anthem Blue Cross and Blue Shield Anthem Medicare Preferred Select (PPO) (H5530-004) Local Preferred Provider Organization

                                    Premium and Other Important Information

                                    • $3 400 out-of-pocket limit for Medicare-covered services.
                                    • $59 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.
                                    • $15 copay for each in-area network urgent care Medicare-covered visit
                                    • $15 copay for each specialist visit for Medicare-covered benefits.
                                    • $15 copay for each primary care doctor visit
                                    • $25 copay for each specialist visit
                                    Windsor Medicare Extra Windsor Medicare Extra Silver Plan (HMO) (H5698-035) HMO

                                      Premium and Other Important Information

                                      • Windsor Medicare Extra will reduce your monthly Medicare Part B premium by up to $ 30.00.
                                      • $3 400 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

                                      • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                                      • $20 copay for each in-area network urgent care Medicare-covered visit
                                      • $30 copay for each specialist visit for Medicare-covered benefits.
                                      Windsor Medicare Extra Windsor Medicare Extra Gold Plan (HMO) (H5698-036) HMO

                                        Premium and Other Important Information

                                        • $3 400 out-of-pocket limit for Medicare-covered services.
                                        • $35 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
                                        • $25 copay for each specialist visit for Medicare-covered benefits.
                                        Windsor Medicare Extra Windsor Medicare Extra Emerald Plan (HMO) (H5698-062) HMO

                                          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

                                          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
                                          • $30 copay for each specialist visit for Medicare-covered benefits.
                                          Windsor Medicare Extra Windsor Medicare Extra Diamond Plan (HMO) (H5698-068) HMO

                                            Premium and Other Important Information

                                            • $3 400 out-of-pocket limit for Medicare-covered services.
                                            • $145 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.
                                            • $15 copay for each specialist visit for Medicare-covered benefits.
                                            Windsor Medicare Extra Windsor Medicare Extra Comp Plus Plan (HMO SNP) (H5698-140) HMO

                                              Premium and Other Important Information

                                              • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
                                              • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                              • $3 400 out-of-pocket limit. All plan services included.*
                                              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                              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.*
                                              Windsor Medicare Extra Windsor Medicare Extra Fusion Plan (HMO SNP) (H5698-141) HMO

                                                Premium and Other Important Information

                                                • $4 500 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

                                                Doctor Office Visits

                                                • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                                • $10 copay for each in-area network urgent care Medicare-covered visit
                                                • $25 copay for each specialist visit for Medicare-covered benefits.
                                                Windsor Medicare Extra Windsor Medicare Extra Diabetes Plan (HMO SNP) (H5698-156) HMO

                                                  Premium and Other Important Information

                                                  • $3 400 out-of-pocket limit. All plan services included.
                                                  • $100 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 each in-area network urgent care Medicare-covered visit
                                                  • $0 to $20 copay for each specialist visit for Medicare-covered benefits.
                                                  BlueCross BlueShield of Tennessee BlueAdvantage Diamond (PPO) (H7917-009) Local Preferred Provider Organization

                                                    Premium and Other Important Information

                                                    • $4 650 out-of-pocket limit for Medicare-covered services.
                                                    • $5 900 out-of-pocket limit for Medicare-covered services.
                                                    • $153 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.
                                                    • $35 copay for each in-area network urgent care Medicare-covered visit
                                                    • $35 copay for each specialist visit for Medicare-covered benefits.
                                                    • 30% of the cost for each primary care doctor visit
                                                    • 40% of the cost for each specialist visit
                                                    BlueCross BlueShield of Tennessee BlueAdvantage Ruby (PPO) (H7917-013) Local Preferred Provider Organization

                                                      Premium and Other Important Information

                                                      • $4 800 out-of-pocket limit for Medicare-covered services.
                                                      • $5 900 out-of-pocket limit for Medicare-covered services.
                                                      • $91 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.
                                                      • $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
                                                      • 40% of the cost for each specialist visit
                                                      BlueCross BlueShield of Tennessee BlueAdvantage Garnet (PPO) (H7917-032) Local Preferred Provider Organization

                                                        Premium and Other Important Information

                                                        • $4 950 out-of-pocket limit for Medicare-covered services.
                                                        • $6 000 out-of-pocket limit for Medicare-covered services.
                                                        • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                        • 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

                                                        • $30 copay for each primary care doctor visit for Medicare-covered benefits.
                                                        • $45 copay for each in-area network urgent care Medicare-covered visit
                                                        • $45 copay for each specialist visit for Medicare-covered benefits.
                                                        • 30% of the cost for each primary care doctor visit
                                                        • 40% of the cost for each specialist visit

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