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Pennsylvania MedicareAdvantage Plans

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Medicare Advantage Plans in Beaver County, Pennsylvania

Below are Medicare Advantage plans available to residents of Beaver county, Pennsylvania. 11 carriers offer 31 plans throughout the county of Beaver. Residents may choose plans from carriers such as UPMC Health Plan, Highmark Inc. and UnitedHealthcare. 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 Beaver county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Beaver

Carrier Plan Title Plan Type
UPMC Health Plan UPMC for Life (HMO) (H3907-002) HMO

    Premium and Other Important Information

    • $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

    • $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.
    UPMC Health Plan UPMC for Life HMO Rx Enhanced (HMO) (H3907-006) HMO

      Premium and Other Important Information

      • $3 200 out-of-pocket limit for Medicare-covered services.
      • $196.5 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.
      • $20 copay for each in-area network urgent care Medicare-covered visit
      • $20 copay for each specialist visit for Medicare-covered benefits.
      UPMC Health Plan UPMC for Life HMO Rx (HMO) (H3907-029) HMO

        Premium and Other Important Information

        • $3 400 out-of-pocket limit for Medicare-covered services.
        • $69.5 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.
        UPMC Health Plan UPMC for Life Specialty Plan (HMO SNP) (H3907-034) 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.
          • $3 400 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.*
          Highmark Inc. FreedomBlue PPO Classic (PPO) (H3916-001) Local Preferred Provider Organization

            Premium and Other Important Information

            • $3 400 out-of-pocket limit for Medicare-covered services.
            • $500 annual deductible. Contact the plan for services that apply.
            • $5 100 out-of-pocket limit for Medicare-covered services.
            • $205 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.
            • $50 copay for each in-area network urgent care Medicare-covered visit
            • $25 copay for each specialist visit for Medicare-covered benefits.
            • 20% of the cost for each primary care doctor visit
            • 20% of the cost for each specialist visit
            Highmark Inc. FreedomBlue PPO HD Rx (PPO) (H3916-019) Local Preferred Provider Organization

              Premium and Other Important Information

              • Highmark Inc. will reduce your monthly Medicare Part B premium by up to $ 3.00.
              • $3 000 out-of-pocket limit for Medicare-covered services.
              • $1 250 annual deductible. Contact the plan for services that apply.
              • $4 500 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
              • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

              Doctor Office Visits

              • $10 copay for each primary care doctor visit for Medicare-covered benefits.
              • $50 copay for each in-area network urgent care Medicare-covered visit
              • $25 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
              Highmark Inc. FreedomBlue PPO Select (PPO) (H3916-022) Local Preferred Provider Organization

                Premium and Other Important Information

                • $3 400 out-of-pocket limit for Medicare-covered services.
                • $500 annual deductible. Contact the plan for services that apply.
                • $5 100 out-of-pocket limit for Medicare-covered services.
                • $76 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.
                • $50 copay for each in-area network urgent care Medicare-covered visit
                • $30 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
                UnitedHealthcare UnitedHealthcare MedicareComplete (HMO) (H3920-001) HMO

                  Premium and Other Important Information

                  • Package: 1 - Dental Platinum Rider:
                  • $33 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
                  • $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.
                  • $30 copay for each in-area network urgent care Medicare-covered visit
                  • $45 copay for each specialist visit for Medicare-covered benefits.
                  UnitedHealthcare UnitedHealthcare Dual Complete (HMO SNP) (H3920-009) 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.*
                    Keystone Health Plan West Inc. SecurityBlue Standard (HMO) (H3957-003) HMO

                      Premium and Other Important Information

                      • $3 400 out-of-pocket limit for Medicare-covered services.
                      • $156 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                      Doctor Office Visits

                      • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                      • $50 copay for each in-area network urgent care Medicare-covered visit
                      • $25 copay for each specialist visit for Medicare-covered benefits.
                      Keystone Health Plan West Inc. SecurityBlue Deluxe (HMO) (H3957-020) HMO

                        Premium and Other Important Information

                        • $3 400 out-of-pocket limit for Medicare-covered services.
                        • $228 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.
                        • $50 copay for each in-area network urgent care Medicare-covered visit
                        • $25 copay for each specialist visit for Medicare-covered benefits.
                        Keystone Health Plan West Inc. SecurityBlue Value (HMO) (H3957-024) HMO

                          Premium and Other Important Information

                          • $3 400 out-of-pocket limit for Medicare-covered services.
                          • $30.00 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.
                          • $50 copay for each in-area network urgent care Medicare-covered visit
                          • $30 copay for each specialist visit for Medicare-covered benefits.
                          Keystone Health Plan West Inc. SecurityBlue Care (HMO SNP) (H3957-030) 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 for Medicare-covered services.*
                            • $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.*
                            Keystone Health Plan West Inc. SecurityBlue ValueRx (HMO) (H3957-031) HMO

                              Premium and Other Important Information

                              • $3 400 out-of-pocket limit for Medicare-covered services.
                              • $38 monthly plan premium in addition to your monthly Medicare Part B premium.
                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                              Doctor Office Visits

                              • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                              • $50 copay for each in-area network urgent care Medicare-covered visit
                              • $40 copay for each specialist visit for Medicare-covered benefits.
                              Keystone Health Plan West Inc. SecurityBlue HD (HMO) (H3957-036) HMO

                                Premium and Other Important Information

                                • Keystone Health Plan West Inc. will reduce your monthly Medicare Part B premium by up to $ 3.00.
                                • $1 250 annual deductible. Contact the plan for services that apply.
                                • $3 000 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

                                Doctor Office Visits

                                • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $50 copay for each in-area network urgent care Medicare-covered visit
                                • $25 copay for each specialist visit for Medicare-covered benefits.
                                HealthAmerica Advantra Gold (HMO) (H3959-002) HMO

                                  Premium and Other Important Information

                                  • $4 300 out-of-pocket limit for Medicare-covered services.
                                  • $72 monthly plan premium in addition to your monthly Medicare Part B premium.
                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                  Doctor Office Visits

                                  • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                  • $50 copay for each in-area network urgent care Medicare-covered visit
                                  • $35 copay for each specialist visit for Medicare-covered benefits.
                                  HealthAmerica Advantra Silver (HMO) (H3959-011) 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

                                    • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                    • $50 copay for each in-area network urgent care Medicare-covered visit
                                    • $35 copay for each specialist visit for Medicare-covered benefits.
                                    UPMC for You Advantage UPMC for You Advantage (HMO SNP) (H4279-001) 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
                                      • $0 annual deductible.*
                                      • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                      • $3 400 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.*
                                      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
                                          HealthAmerica Advantra Silver (PPO) (H5522-005) Local Preferred Provider Organization

                                            Premium and Other Important Information

                                            • $5 900 out-of-pocket limit for Medicare-covered services.
                                            • $1 500 annual deductible. Contact the plan for services that apply.
                                            • $10 000 out-of-pocket limit for Medicare-covered services.
                                            • $23 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.
                                            • $40 copay for each in-area network urgent care Medicare-covered visit
                                            • $35 copay for each specialist visit for Medicare-covered benefits.
                                            • 20% of the cost for each primary care doctor visit
                                            • 20% of the cost for each specialist visit
                                            HealthAmerica Advantra Elite (PPO) (H5522-009) Local Preferred Provider Organization

                                              Premium and Other Important Information

                                              • $2 000 annual deductible. Contact the plan for services that apply.
                                              • $6 550 out-of-pocket limit for Medicare-covered services.
                                              • $150 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
                                              • $10 000 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

                                              • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                              • $50 copay for each in-area network urgent care Medicare-covered visit
                                              • $40 copay for each specialist visit for Medicare-covered benefits.
                                              • 30% of the cost for each primary care doctor visit
                                              • 30% of the cost for each specialist visit
                                              UPMC Health Plan UPMC for Life PPO High Deductible with Rx (PPO) (H5533-003) Local Preferred Provider Organization

                                                Premium and Other Important Information

                                                • $3 400 out-of-pocket limit for Medicare-covered services.
                                                • $1 250 annual deductible. Contact the plan for services that apply.
                                                • $5 100 out-of-pocket limit for Medicare-covered services.
                                                • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                Doctor Office Visits

                                                • $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
                                                • $50 copay for each specialist visit
                                                UPMC Health Plan UPMC for Life PPO Rx (PPO) (H5533-004) Local Preferred Provider Organization

                                                  Premium and Other Important Information

                                                  • $3 400 out-of-pocket limit for Medicare-covered services.
                                                  • $500 annual deductible. Contact the plan for services that apply.
                                                  • $5 100 out-of-pocket limit for Medicare-covered services.
                                                  • $81.5 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                  • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                                  Doctor Office Visits

                                                  • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                                  • $30 copay for each in-area network urgent care Medicare-covered visit
                                                  • $30 copay for each specialist visit for Medicare-covered benefits.
                                                  • $30 copay for each primary care doctor visit
                                                  • $50 copay for each specialist visit
                                                  Gateway Health Plan Medicare Assured Gateway Health Plan Medicare Assured (HMO SNP) (H5932-001) 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
                                                    • $0 annual deductible.*
                                                    • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
                                                    • $3 400 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.*
                                                    LIFE-Beaver County LIFE Beaver-Dual (PACE) (H7660-001) National PACE
                                                      LIFE-Beaver County LIFE Beaver-Medicare only (PACE) (H7660-002) National PACE
                                                        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
                                                            Humana Insurance Company Humana Gold Choice H8145-053 (PFFS) (H8145-053) Private Fee for Service

                                                              Premium and Other Important Information

                                                              • Package: 1 - MyOption Dental Low PPO:
                                                              • Package: 2 - MyOption Vision:
                                                              • Package: 3 - MyOption Plus:
                                                              • Package: 4 - MyOption Complete:
                                                              • Package: 5 - MyOption Healthy Back:
                                                              • $20 monthly premium in addition to your $199 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 $199 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                                                              • $31 monthly premium in addition to your $199 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
                                                              • $33 monthly premium in addition to your $199 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 $199 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
                                                              • $1 000 plan coverage limit every year for these benefits.
                                                              • $290 plan coverage limit every year for these benefits.
                                                              • $500 plan coverage limit every year for these benefits.
                                                              • $6 700 out-of-pocket limit for Medicare-covered services.
                                                              • $199 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.
                                                              • $35 copay for each in-area network urgent care Medicare-covered visit
                                                              • $35 copay for each specialist visit for Medicare-covered benefits.
                                                              • $15 copay for each primary care doctor visit
                                                              • $35 copay for each specialist visit
                                                              Geisinger Gold Geisinger Gold Reserve (MSA) (H8468-001) Medical Savings Account

                                                                Premium and Other Important Information

                                                                • Balance billing means that a provider may charge and bill you more than the plan's payment amount for services There is a limit on what providers may charge for Medicare-covered services
                                                                • $3 000 annual deductible
                                                                • Note that only Medicare-covered services will count toward your annual deductible.
                                                                • Medicare will deposit $1 500 into your bank account.
                                                                • You will not have a monthly plan premium. Medicare pays the monthly plan premium for the Medicare MSA Plan.
                                                                • 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
                                                                • Balance billing counts towards your plan deductible.

                                                                Doctor Office Visits

                                                                • Once you reach the plan deductible Medicare MSA plans cover Original Medicare benefits. Co-pay for Medicare MSAs is $0 once deductible is met.

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