Medicare Advantage Plans in Lee County, South Carolina
Below are Medicare Advantage plans available to residents of Lee county, South Carolina.
3 carriers offer 6 plans throughout the county of Lee.
Residents may choose plans from
Blue Cross Blue Shield of South Carolina, Humana Insurance Company or WindsorSterling. 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 Lee county that is right for you complete the form at the top of the page.
Medicare Advantage Health Plans in the county of Lee
| Carrier |
Plan Title |
Plan Type |
| Blue Cross Blue Shield of South Carolina |
Medicare Blue (PPO) (H4209-003) |
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.
- $34 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) (H4209-006) |
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.
- $114 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) (H4209-008) |
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.
- $45.00 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
|
| Humana Insurance Company |
Humana Gold Choice H8145-069 (PFFS) (H8145-069) |
Private Fee for Service |
Premium and Other Important Information - Package: 1 - MyOption Vision:
- $15 monthly premium in addition to your $58 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
- $290 plan coverage limit every year for these benefits.
- $5 000 out-of-pocket limit for Medicare-covered services.
- $58 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
- $15 to $35 copay for each specialist visit for Medicare-covered benefits.
- $15 to $35 copay for each primary care doctor visit
- $15 to $35 copay for each specialist visit
|
| Humana Insurance Company |
Humana Gold Choice H8145-115 (PFFS) (H8145-115) |
Private Fee for Service |
Premium and Other Important Information - Package: 1 - MyOption Vision:
- $15 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
- $290 plan coverage limit every year for these benefits.
- $162 annual deductible. Contact the plan for services that apply.
- $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.
- 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
|
| WindsorSterling |
WindsorSterling Gold Plus Plan (PPO) (H9988-015) |
Local Preferred Provider Organization |
Premium and Other Important Information - $4 000 out-of-pocket limit. All plan services included.
- $60 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept
Doctor Office Visits- $10 copay for each primary care doctor visit for Medicare-covered benefits.
- $30 copay for each specialist visit for Medicare-covered benefits.
- $25 copay for each primary care doctor visit
- $40 copay for each specialist visit
|
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South Carolina Plan Data by City
