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Ohio MedicareAdvantage Plans

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Medicare Advantage Plans in Fairfield County, Ohio

Below are Medicare Advantage plans available to residents of Fairfield county, Ohio. 4 carriers offer 13 plans throughout the county of Fairfield. Residents may choose plans from carriers such as MediGold, Humana Insurance Company and Anthem Blue Cross and Blue Shield. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Fairfield county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Fairfield

Carrier Plan Title Plan Type
MediGold MediGold Network Choice (PPO) (H1846-001) Local Preferred Provider Organization

    Premium and Other Important Information

    • $3 400 out-of-pocket limit. All plan services included.
    • $5 100 out-of-pocket limit. All plan services included.
    • $149 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
    Humana Insurance Company HumanaChoice H3619-012 (PPO) (H3619-012) 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 $54 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 $54 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 $54 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
      • $290 plan coverage limit every year for these benefits.
      • $500 plan coverage limit every year for these benefits.
      • $5 000 out-of-pocket limit for Medicare-covered services.
      • $1 000 annual deductible. Contact the plan for services that apply.
      • $7 500 out-of-pocket limit for Medicare-covered services.
      • $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
      • $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.
          Anthem Blue Cross and Blue Shield Anthem Senior Advantage Value (HMO) (H3655-031) 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

            • $0 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.
            MediGold MediGold Classic Preferred (HMO) (H3668-005) HMO

              Premium and Other Important Information

              • $3 400 out-of-pocket limit. All plan services included.
              • $97 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.
              • $25 copay for each in-area network urgent care Medicare-covered visit
              • $25 copay for each specialist visit for Medicare-covered benefits.
              MediGold MediGold Essential Care (HMO) (H3668-011) HMO

                Premium and Other Important Information

                • $3 400 out-of-pocket limit. All plan services included.
                • $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
                • $45 copay for each specialist visit for Medicare-covered benefits.
                MediGold MediGold Medical Only (HMO) (H3668-013) HMO

                  Premium and Other Important Information

                  • $3 400 out-of-pocket limit. All plan services included.
                  • $43.00 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

                  • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $25 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 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.*
                        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 Insurance Company Humana Gold Choice H8145-135 (PFFS) (H8145-135) 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 $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                            • $23 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                            • $16 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
                            • $290 plan coverage limit every year for these benefits.
                            • $500 plan coverage limit every year for these benefits.
                            • $6 700 out-of-pocket limit for Medicare-covered services.
                            • $39.00 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% of the cost for each primary care doctor visit for Medicare-covered benefits.
                            • 20% of the cost for each in-area network urgent care Medicare-covered visit
                            • 20% of the cost for each specialist visit for Medicare-covered benefits.
                            • 20% of the cost for each primary care doctor visit
                            • 20% of the cost for each specialist visit

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