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Medicare Advantage Plans in Toledo, Ohio

Below are Medicare Advantage plans available to residents of Toledo, Ohio. 10 carriers offer 21 plans throughout the city of Toledo. Residents may chose plans from carriers such as WellCare, Advantage by Buckeye Community Health Plan 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 Toledo that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the city of Toledo

Carrier	Plan Title	Plan Type
WellCare	WellCare Value (HMO) (H0117-005)	HMO
Premium and Other Important Information $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 $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.
WellCare	WellCare Access (HMO SNP) (H0117-007)	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.*
Advantage by Buckeye Community Health Plan	Advantage by Buckeye Community Health Plan (HMO SNP) (H0908-001)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services 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. $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 Authorization rules may apply. 0% or 0% to 20% of the cost for each primary care doctor visit for Medicare-covered benefits.* 0% or 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.*
Humana Insurance Company	HumanaChoice H3619-013 (PPO) (H3619-013)	Local Preferred Provider Organization
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: $25 monthly premium in addition to your $59 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 $59 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 $59 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 $59 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 $59 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. $6 000 out-of-pocket limit for Medicare-covered services. $1 500 annual deductible. Contact the plan for services that apply. $7 500 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 $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
Aetna Medicare	Aetna Medicare Value Plan (HMO) (H3623-001)	HMO
Premium and Other Important Information Package: 1 - Advantage Dental: $16 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 $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $0 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $40 copay for each specialist visit for Medicare-covered benefits.
Aetna Medicare	Aetna Medicare Premier Plan (HMO) (H3623-003)	HMO
Premium and Other Important Information Package: 1 - Advantage Dental: $16 monthly premium in addition to your $54 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental $3 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $54 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each in-area network urgent care Medicare-covered visit $35 copay for each specialist visit for Medicare-covered benefits.
Paramount Elite	Paramount Elite - Enhanced Medical and Drug (HMO) (H3653-004)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $92 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. $35 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
Paramount Elite	Paramount Elite - Standard Medical and Drug (HMO) (H3653-015)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit. All plan services included. $15 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 $30 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $45 copay for each specialist visit for Medicare-covered benefits.
Paramount Elite	Paramount Elite - Enhanced Medical Only (HMO) (H3653-018)	HMO
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $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 $15 copay for each primary care doctor visit for Medicare-covered benefits. $35 copay for each in-area network urgent care Medicare-covered visit $25 copay for each specialist visit for Medicare-covered benefits.
Anthem Blue Cross and Blue Shield	Anthem Senior Advantage Basic (HMO) (H3655-013)	HMO
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 $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental $31 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear $44 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services Acupuncture Preventive Dental Compreh $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 $25 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.
Anthem Blue Cross and Blue Shield	Anthem Senior Advantage Plus (HMO) (H3655-030)	HMO
Premium and Other Important Information $3 000 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. $20 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits.
UnitedHealthcare	UnitedHealthcare Nursing Home Plan (HMO-POS SNP) (H3659-058)	HMO with POS Option
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services. $29.4 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Doctor Office Visits $0 copay for each primary care doctor visit for Medicare-covered benefits. 20% 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.
Universal Health Care Insurance Company Inc.	Universal Hassle-Free (PPO) (H5096-001)	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 $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Universal Health Care Insurance Company Inc.	Universal Hassle-Free MA Only (PPO) (H5096-002)	Local Preferred Provider Organization
Premium and Other Important Information Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 10.00. $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 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 specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Aetna Medicare	Aetna Medicare Standard Plan (PPO) (H5521-020)	Local Preferred Provider Organization
Premium and Other Important Information $5 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $1 000 annual deductible. Contact the plan for services that apply. $7 500 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit. $54 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co 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 $45 copay for each specialist visit for Medicare-covered benefits. 25% of the cost for each primary care doctor visit 25% of the cost for each specialist visit
Anthem Blue Cross and Blue Shield	Anthem Medicare Preferred Standard (PPO) (H5529-001)	Local Preferred Provider Organization
Premium and Other Important Information $4 500 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 $20 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 copay for each primary care doctor visit $45 copay for each specialist visit
Anthem Blue Cross and Blue Shield	Anthem Medicare Preferred Select (PPO) (H5529-004)	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. $20 copay for each in-area network urgent care Medicare-covered visit $20 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $25 copay for each specialist visit
CareSource	CareSource Advantage (HMO SNP) (H6178-001)	HMO
Premium and Other Important Information * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services 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. All plan services included.* $0 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% 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.*
Universal Health Care Insurance Company Inc.	Any Any Any Gold (PFFS) (H8098-001)	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. $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
Universal Health Care Insurance Company Inc.	Any Any Any Gold MA Only (PFFS) (H8098-003)	Private Fee for Service
Premium and Other Important Information Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 15.00. $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. $15 copay for each primary care doctor visit for Medicare-covered benefits. $40 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $40 copay for each specialist visit
WindsorSterling	WindsorSterling Gold Plus Plan (PPO) (H9988-014)	Local Preferred Provider Organization
Premium and Other Important Information $4 000 out-of-pocket limit. All plan services included. $55 monthly plan premium in addition to your monthly Medicare Part B premium. Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept Doctor Office Visits $10 copay for each primary care doctor visit for Medicare-covered benefits. $30 copay for each specialist visit for Medicare-covered benefits. $25 copay for each primary care doctor visit $40 copay for each specialist visit

Ohio Plan Data by County

• Adams, OH Medicare Advantage Plans
• Allen, OH Medicare Advantage Plans
• Ashland, OH Medicare Advantage Plans
• Ashtabula, OH Medicare Advantage Plans
• Athens, OH Medicare Advantage Plans
• Auglaize, OH Medicare Advantage Plans
• Belmont, OH Medicare Advantage Plans
• Boone, OH Medicare Advantage Plans
• Brown, OH Medicare Advantage Plans
• Butler, OH Medicare Advantage Plans
• Carroll, OH Medicare Advantage Plans
• Champaign, OH Medicare Advantage Plans
• Clark, OH Medicare Advantage Plans
• Clermont, OH Medicare Advantage Plans
• Clinton, OH Medicare Advantage Plans
• Columbiana, OH Medicare Advantage Plans
• Coshocton, OH Medicare Advantage Plans
• Crawford, OH Medicare Advantage Plans
• Cuyahoga, OH Medicare Advantage Plans
• Darke, OH Medicare Advantage Plans
• Dearborn, OH Medicare Advantage Plans
• Defiance, OH Medicare Advantage Plans
• Delaware, OH Medicare Advantage Plans
• Erie, OH Medicare Advantage Plans
• Fairfield, OH Medicare Advantage Plans
• Fayette, OH Medicare Advantage Plans
• Franklin, OH Medicare Advantage Plans
• Fulton, OH Medicare Advantage Plans
• Gallia, OH Medicare Advantage Plans
• Geauga, OH Medicare Advantage Plans
• Greene, OH Medicare Advantage Plans
• Guernsey, OH Medicare Advantage Plans
• Hamilton, OH Medicare Advantage Plans
• Hancock, OH Medicare Advantage Plans
• Hardin, OH Medicare Advantage Plans
• Harrison, OH Medicare Advantage Plans
• Henry, OH Medicare Advantage Plans
• Highland, OH Medicare Advantage Plans
• Hocking, OH Medicare Advantage Plans
• Holmes, OH Medicare Advantage Plans
• Huron, OH Medicare Advantage Plans
• Jackson, OH Medicare Advantage Plans
• Jefferson, OH Medicare Advantage Plans
• Kenton, OH Medicare Advantage Plans
• Knox, OH Medicare Advantage Plans
• Lake, OH Medicare Advantage Plans

• Lawrence, OH Medicare Advantage Plans
• Licking, OH Medicare Advantage Plans
• Logan, OH Medicare Advantage Plans
• Lorain, OH Medicare Advantage Plans
• Lucas, OH Medicare Advantage Plans
• Madison, OH Medicare Advantage Plans
• Mahoning, OH Medicare Advantage Plans
• Marion, OH Medicare Advantage Plans
• Medina, OH Medicare Advantage Plans
• Meigs, OH Medicare Advantage Plans
• Mercer, OH Medicare Advantage Plans
• Miami, OH Medicare Advantage Plans
• Monroe, OH Medicare Advantage Plans
• Montgomery, OH Medicare Advantage Plans
• Morgan, OH Medicare Advantage Plans
• Morrow, OH Medicare Advantage Plans
• Muskingum, OH Medicare Advantage Plans
• Noble, OH Medicare Advantage Plans
• Ottawa, OH Medicare Advantage Plans
• Paulding, OH Medicare Advantage Plans
• Perry, OH Medicare Advantage Plans
• Pickaway, OH Medicare Advantage Plans
• Pike, OH Medicare Advantage Plans
• Portage, OH Medicare Advantage Plans
• Preble, OH Medicare Advantage Plans
• Putnam, OH Medicare Advantage Plans
• Richland, OH Medicare Advantage Plans
• Ross, OH Medicare Advantage Plans
• Sandusky, OH Medicare Advantage Plans
• Scioto, OH Medicare Advantage Plans
• Seneca, OH Medicare Advantage Plans
• Shelby, OH Medicare Advantage Plans
• Stark, OH Medicare Advantage Plans
• Summit, OH Medicare Advantage Plans
• Trumbull, OH Medicare Advantage Plans
• Tuscarawas, OH Medicare Advantage Plans
• Union, OH Medicare Advantage Plans
• Van Wert, OH Medicare Advantage Plans
• Vinton, OH Medicare Advantage Plans
• Warren, OH Medicare Advantage Plans
• Washington, OH Medicare Advantage Plans
• Wayne, OH Medicare Advantage Plans
• Williams, OH Medicare Advantage Plans
• Wood, OH Medicare Advantage Plans
• Wyandot, OH Medicare Advantage Plans

Ohio Plan Data by City

• Akron, OH Medicare Advantage Plans
• Cincinnati, OH Medicare Advantage Plans
• Cleveland, OH Medicare Advantage Plans

• Columbus, OH Medicare Advantage Plans
• Dayton, OH Medicare Advantage Plans
• Toledo, OH Medicare Advantage Plans