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Ohio MedicareAdvantage Plans

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Medicare Advantage Plans in Clermont County, Ohio

Below are Medicare Advantage plans available to residents of Clermont county, Ohio. 10 carriers offer 23 plans throughout the county of Clermont. Residents may choose plans from carriers such as WellCare, Molina Healthcare of Ohio and Advantage by Buckeye Community Health Plan. 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 Clermont county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Clermont

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.*
      Molina Healthcare of Ohio Molina Medicare Options (HMO) (H0490-001) HMO

        Premium and Other Important Information

        • $3 400 out-of-pocket limit for Medicare-covered services.
        • $18 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.
        Molina Healthcare of Ohio Molina Medicare Options Plus (HMO SNP) (H0490-004) 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

          • 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.*
          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.*
            TriHealth SeniorLink TriHealth SeniorLink (PACE) (H3614-001) National PACE
              TriHealth SeniorLink TriHealth SeniorLink (PACE) (H3614-002) National PACE
                Humana Insurance Company HumanaChoice H3619-001 (PPO) (H3619-001) 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 $42 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 $42 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 $42 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
                  • $290 plan coverage limit every year for these benefits.
                  • $500 plan coverage limit every year for these benefits.
                  • $4 700 out-of-pocket limit for Medicare-covered services.
                  • $1 000 annual deductible. Contact the plan for services that apply.
                  • $7 000 out-of-pocket limit for Medicare-covered services.
                  • $42 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 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 AARP MedicareComplete Plus (HMO-POS) (H3659-001) HMO with POS Option

                        Premium and Other Important Information

                        • Package: 1 - Deluxe Rider:
                        • Package: 2 - Fitness Rider:
                        • $38 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
                        • $13 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
                        • $5 500 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.
                        • $30 copay for each in-area network urgent care Medicare-covered visit
                        • $45 copay for each specialist visit for Medicare-covered benefits.
                        UnitedHealthcare AARP MedicareComplete Plan 2 (HMO) (H3659-031) HMO

                          Premium and Other Important Information

                          • Package: 1 - Deluxe Rider:
                          • $38 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
                          • $4 300 out-of-pocket limit for Medicare-covered services.
                          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                          Doctor Office Visits

                          • $20 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.
                          UnitedHealthcare AARP MedicareComplete Essential (HMO) (H3659-054) HMO

                            Premium and Other Important Information

                            • Package: 1 - Deluxe Rider:
                            • Package: 2 - Fitness Rider:
                            • $38 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
                            • $13 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
                            • $3 650 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.
                            • $30 copay for each in-area network urgent care Medicare-covered visit
                            • $35 copay for each specialist visit for Medicare-covered benefits.
                            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
                                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
                                        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.*
                                          Humana Insurance Company Humana Gold Choice H8145-032 (PFFS) (H8145-032) Private Fee for Service

                                            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 $89 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 $89 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 $89 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.
                                            • $1 000 annual deductible. Contact the plan for services that apply.
                                            • $6 700 out-of-pocket limit for Medicare-covered services.
                                            • $89 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
                                            Humana Health Plan of Ohio Inc. Humana Gold Plus H8953-001 (HMO) (H8953-001) 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.
                                              • $3 750 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.
                                              • $40 copay for each in-area network urgent care Medicare-covered visit
                                              • $40 copay for each specialist visit for Medicare-covered benefits.
                                              Humana Health Plan of Ohio Inc. Humana Gold Plus SNP-DE H8953-007 (HMO SNP) (H8953-007) 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 or $162 annual deductible.* Contact the plan for services that apply.
                                                • Package: 1 - MyOption Healthy Back:
                                                • $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.
                                                • ** 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.*
                                                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.*

                                                Doctor Office Visits

                                                • Authorization rules may apply.
                                                • 0% 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.*

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