Medicare Advantage Plans in Fairfield County, South Carolina
Below are Medicare Advantage plans available to residents of Fairfield county, South Carolina.
2 carriers offer 9 plans throughout the county of Fairfield.
Residents may choose plans from
Blue Cross Blue Shield of South Carolina or Windsor Medicare Extra. 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 |
| Blue Cross Blue Shield of South Carolina |
Medicare Blue (PPO) (H4209-001) |
Local Preferred Provider Organization |
Premium and Other Important Information - $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
- $2 200 annual deductible. Contact the plan for services that apply.
- $10 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
- $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- $25 copay for each primary care doctor visit for Medicare-covered benefits.
- $25 to $40 copay for each in-area network urgent care Medicare-covered visit
- $40 copay for each specialist visit for Medicare-covered benefits.
- $35 copay for each primary care doctor visit
- 30% of the cost for each specialist visit
|
| Blue Cross Blue Shield of South Carolina |
Medicare Blue Plus (PPO) (H4209-004) |
Local Preferred Provider Organization |
Premium and Other Important Information - $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
- $1 250 annual deductible. Contact the plan for services that apply.
- $5 100 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
- $91 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept
Doctor Office Visits- $15 copay for each primary care doctor visit for Medicare-covered benefits.
- $15 to $25 copay for each in-area network urgent care Medicare-covered visit
- $25 copay for each specialist visit for Medicare-covered benefits.
- $35 copay for each primary care doctor visit
- 20% of the cost for each specialist visit
|
| Blue Cross Blue Shield of South Carolina |
Medicare Blue Saver (PPO) (H4209-007) |
Local Preferred Provider Organization |
Premium and Other Important Information - $6 700 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
- $1 250 annual deductible. Contact the plan for services that apply.
- $10 000 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
- $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.
- $15 to $25 copay for each in-area network urgent care Medicare-covered visit
- $25 copay for each specialist visit for Medicare-covered benefits.
- $35 copay for each primary care doctor visit
- 30% of the cost for each specialist visit
|
| Windsor Medicare Extra |
Windsor Medicare Extra Silver Plan (HMO) (H5698-035) |
HMO |
Premium and Other Important Information - Windsor Medicare Extra will reduce your monthly Medicare Part B premium by up to $ 30.00.
- $3 400 out-of-pocket limit for Medicare-covered services.
- $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
Doctor Office Visits- $20 copay for each primary care doctor visit for Medicare-covered benefits.
- $20 copay for each in-area network urgent care Medicare-covered visit
- $30 copay for each specialist visit for Medicare-covered benefits.
|
| Windsor Medicare Extra |
Windsor Medicare Extra Gold Plan (HMO) (H5698-157) |
HMO |
Premium and Other Important Information - $3 400 out-of-pocket limit for Medicare-covered services.
- $35 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
Doctor Office Visits- $15 copay for each primary care doctor visit for Medicare-covered benefits.
- $15 copay for each in-area network urgent care Medicare-covered visit
- $25 copay for each specialist visit for Medicare-covered benefits.
|
| Windsor Medicare Extra |
Windsor Medicare Extra Comp Plus Plan (HMO SNP) (H5698-158) |
HMO |
Premium and Other Important Information - * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
- ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
- $3 400 out-of-pocket limit. All plan services included.*
- $0 monthly plan premium in addition to your monthly Medicare Part B premium.*
Doctor Office Visits- 0% or 20% of the cost for each primary care doctor visit for Medicare-covered benefits.*
- 0% or 20% of the cost for each in-area network urgent care Medicare-covered visit*
- 0% or 20% of the cost for each specialist visit for Medicare-covered benefits.*
|
| Windsor Medicare Extra |
Windsor Medicare Extra Emerald Plan (HMO) (H5698-159) |
HMO |
Premium and Other Important Information - $6 700 out-of-pocket limit for Medicare-covered services.
- $0 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
Doctor Office Visits- $20 copay for each primary care doctor visit for Medicare-covered benefits.
- $20 copay for each in-area network urgent care Medicare-covered visit
- $30 copay for each specialist visit for Medicare-covered benefits.
|
| Windsor Medicare Extra |
Windsor Medicare Extra Diamond Plan (HMO) (H5698-160) |
HMO |
Premium and Other Important Information - $3 400 out-of-pocket limit for Medicare-covered services.
- $160 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
Doctor Office Visits- $0 copay for each primary care doctor visit for Medicare-covered benefits.
- $0 copay for the cost of each in-area network urgent care Medicare-covered visit.
- $15 copay for each specialist visit for Medicare-covered benefits.
|
| Windsor Medicare Extra |
Windsor Medicare Extra Diabetes Plan (HMO SNP) (H5698-163) |
HMO |
Premium and Other Important Information - $3 400 out-of-pocket limit. All plan services included.
- $100 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
Doctor Office Visits- $0 copay for each primary care doctor visit for Medicare-covered benefits.
- $0 copay for each in-area network urgent care Medicare-covered visit
- $0 to $20 copay for each specialist visit for Medicare-covered benefits.
|
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South Carolina Plan Data by City
