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Medicare Advantage Plans in Lexington County, South Carolina

Below are Medicare Advantage plans available to residents of Lexington county, South Carolina. 7 carriers offer 19 plans throughout the county of Lexington. Residents may choose plans from carriers such as WindsorSterling, America's 1st Choice Health Plans and Palmetto SeniorCare. 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 Lexington county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Lexington

Carrier	Plan Title	Plan Type
WindsorSterling	WindsorSterling Silver Connect Plan (PFFS) (H3410-002)	Private Fee for Service
Premium and Other Important Information $4 000 out-of-pocket limit. All plan services included. $30.00 monthly plan premium in addition to your monthly Medicare Part B premium. $25.00 monthly plan premium in addition to your monthly Medicare Part B premium. $49.00 monthly plan premium in addition to your monthly Medicare Part B premium. $35.00 monthly plan premium in addition to your monthly Medicare Part B premium. $29.00 monthly plan premium in addition to your monthly Medicare Part B premium. $40.00 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. $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $25 copay for each primary care doctor visit $40 copay for each specialist visit
WindsorSterling	WindsorSterling Gold Connect Plan (PFFS) (H3410-003)	Private Fee for Service
Premium and Other Important Information $4 000 out-of-pocket limit. All plan services included. $59 monthly plan premium in addition to your monthly Medicare Part B premium. $55 monthly plan premium in addition to your monthly Medicare Part B premium. $79 monthly plan premium in addition to your monthly Medicare Part B premium. $60 monthly plan premium in addition to your monthly Medicare Part B premium. $65 monthly plan premium in addition to your monthly Medicare Part B premium. $70 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. $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $30 copay for each specialist visit for Medicare-covered benefits. $25 copay for each primary care doctor visit $40 copay for each specialist visit
America's 1st Choice Health Plans	Patriot (PFFS) (H3421-001)	Private Fee for Service
Premium and Other Important Information America's 1st Choice Health Plans will reduce your monthly Medicare Part B premium by up to $ 20.00. $5 000 annual deductible. Contact the plan for services that apply. $500 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply. $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 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. $15 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
America's 1st Choice Health Plans	Patriot Plus (PFFS) (H3421-002)	Private Fee for Service
Premium and Other Important Information $5 000 annual deductible. Contact the plan for services that apply. $500 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply. $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 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. $15 copay for each in-area network urgent care Medicare-covered visit $45 copay for each specialist visit for Medicare-covered benefits. $15 copay for each primary care doctor visit $45 copay for each specialist visit
Palmetto SeniorCare	Palmetto Health - Palmetto SeniorCare (PACE) (H4203-001)	National PACE
Palmetto SeniorCare	Palmetto Health - Palmetto SeniorCare (PACE) (H4203-002)	National PACE
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
America's 1st Choice Health Plans Inc.	Ambassador (PPO) (H4738-001)	Local Preferred Provider Organization
Premium and Other Important Information America's 1st Choice Health Plans Inc. will reduce your monthly Medicare Part B premium by up to $ 20.00. $3 400 out-of-pocket limit for Medicare-covered services. $5 000 annual deductible. Contact the plan for services that apply. $5 100 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 $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 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
America's 1st Choice Health Plans Inc.	Ambassador Plus (PPO) (H4738-002)	Local Preferred Provider Organization
Premium and Other Important Information $3 400 out-of-pocket limit for Medicare-covered services. $5 000 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 $10 copay for each primary care doctor visit for Medicare-covered benefits. $10 copay for each in-area network urgent care Medicare-covered visit $40 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
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
Care Improvement Plus	Care Improvement Plus Medicare Advantage (PPO) (H6528-007)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 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 $35 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. $35 copay for each primary care doctor visit $50 copay for each specialist visit
Care Improvement Plus	Care Improvement Plus Silver Rx (PPO SNP) (H6528-018)	Local Preferred Provider Organization
Premium and Other Important Information $6 700 out-of-pocket limit for Medicare-covered services. In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply. $36.2 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% 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
Care Improvement Plus	Care Improvement Plus Gold Rx (PPO SNP) (H6528-019)	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 $30 copay for each primary care doctor visit for Medicare-covered benefits. $30 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 $50 copay for each specialist visit
Care Improvement Plus	Care Improvement Plus Dual Advantage (PPO SNP) (H6528-020)	Local Preferred Provider Organization
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 annual deductible.** $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* 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 $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.* 20% of the cost for each primary care doctor visit** 20% of the cost for each specialist visit**

South Carolina Plan Data by County

• Abbeville, SC Medicare Advantage Plans
• Aiken, SC Medicare Advantage Plans
• Allendale, SC Medicare Advantage Plans
• Anderson, SC Medicare Advantage Plans
• Bamberg, SC Medicare Advantage Plans
• Barnwell, SC Medicare Advantage Plans
• Beaufort, SC Medicare Advantage Plans
• Berkeley, SC Medicare Advantage Plans
• Calhoun, SC Medicare Advantage Plans
• Charleston, SC Medicare Advantage Plans
• Cherokee, SC Medicare Advantage Plans
• Chester, SC Medicare Advantage Plans
• Chesterfield, SC Medicare Advantage Plans
• Clarendon, SC Medicare Advantage Plans
• Colleton, SC Medicare Advantage Plans
• Darlington, SC Medicare Advantage Plans
• Dillon, SC Medicare Advantage Plans
• Dorchester, SC Medicare Advantage Plans
• Edgefield, SC Medicare Advantage Plans
• Fairfield, SC Medicare Advantage Plans
• Florence, SC Medicare Advantage Plans
• Georgetown, SC Medicare Advantage Plans
• Greenville, SC Medicare Advantage Plans

• Greenwood, SC Medicare Advantage Plans
• Hampton, SC Medicare Advantage Plans
• Horry, SC Medicare Advantage Plans
• Jasper, SC Medicare Advantage Plans
• Kershaw, SC Medicare Advantage Plans
• Lancaster, SC Medicare Advantage Plans
• Laurens, SC Medicare Advantage Plans
• Lee, SC Medicare Advantage Plans
• Lexington, SC Medicare Advantage Plans
• Marion, SC Medicare Advantage Plans
• Marlboro, SC Medicare Advantage Plans
• Mccormick, SC Medicare Advantage Plans
• Newberry, SC Medicare Advantage Plans
• Oconee, SC Medicare Advantage Plans
• Orangeburg, SC Medicare Advantage Plans
• Pickens, SC Medicare Advantage Plans
• Richland, SC Medicare Advantage Plans
• Saluda, SC Medicare Advantage Plans
• Spartanburg, SC Medicare Advantage Plans
• Sumter, SC Medicare Advantage Plans
• Union, SC Medicare Advantage Plans
• Williamsburg, SC Medicare Advantage Plans
• York, SC Medicare Advantage Plans

South Carolina Plan Data by City

• Columbia, SC Medicare Advantage Plans