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Tennessee MedicareAdvantage Plans

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Medicare Advantage Plans in Dekalb County, Tennessee

Below are Medicare Advantage plans available to residents of Dekalb county, Tennessee. 6 carriers offer 18 plans throughout the county of Dekalb. Residents may choose plans from carriers such as UnitedHealthcare Community Plan, UnitedHealthcare and Humana Insurance Company. 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 Dekalb county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Dekalb

Carrier Plan Title Plan Type
UnitedHealthcare Community Plan UnitedHealthcare Dual Complete (HMO SNP) (H0251-002) 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.*
    UnitedHealthcare UnitedHealthcare Nursing Home Plan (HMO-POS SNP) (H0408-002) HMO with POS Option

      Premium and Other Important Information

      • $5 000 out-of-pocket limit for Medicare-covered services.
      • $30.3 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.
      • 20% of the cost for each in-area network urgent care Medicare-covered visit
      • 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.
      UnitedHealthcare AARP MedicareComplete Plus (HMO-POS) (H4406-001) HMO with POS Option

        Premium and Other Important Information

        • Package: 1 - Deluxe Rider:
        • Package: 2 - Fitness Rider:
        • $37 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
        • $13 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
        • $3 950 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.
        • $30 copay for each in-area network urgent care Medicare-covered visit
        • $35 copay for each specialist visit for Medicare-covered benefits.
        Humana Insurance Company HumanaChoice H4408-002 (PPO) (H4408-002) Local Preferred Provider Organization

          Premium and Other Important Information

          • Package: 1 - MyOption Dental High PPO:
          • Package: 2 - MyOption Dental Low PPO:
          • Package: 3 - MyOption Vision:
          • Package: 4 - MyOption Plus:
          • $24 monthly premium in addition to your $55 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 $55 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 $55 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
          • $26 monthly premium in addition to your $55 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
          • $1 500 plan coverage limit every year for these benefits.
          • $1 000 plan coverage limit every year for these benefits.
          • $290 plan coverage limit every year for these benefits.
          • $4 900 out-of-pocket limit for Medicare-covered services.
          • $7 300 out-of-pocket limit for Medicare-covered services.
          • $55 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
          • $15 to $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
          HealthSpring HealthyAdvantage Preferred (HMO) (H4454-002) HMO

            Premium and Other Important Information

            • $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

            • Authorization rules may apply.
            • $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.
            HealthSpring HealthyAdvantage (HMO) (H4454-012) HMO

              Premium and Other Important Information

              • HealthSpring will reduce your monthly Medicare Part B premium by up to $ 75.00.
              • $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

              • Authorization rules may apply.
              • $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.
              HealthSpring TotalCare (HMO SNP) (H4454-020) 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.
                • $6 700 out-of-pocket limit for Medicare-covered services.*
                • $27.7 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 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.*
                HealthSpring HealthyAdvantage Premier (HMO-POS) (H4454-030) HMO with POS Option

                  Premium and Other Important Information

                  • $3 400 out-of-pocket limit for Medicare-covered services.
                  • $26 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

                  • Authorization rules may apply.
                  • $5 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.
                  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) (H5698-036) 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 Emerald Plan (HMO) (H5698-062) 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) (H5698-068) HMO

                          Premium and Other Important Information

                          • $3 400 out-of-pocket limit for Medicare-covered services.
                          • $145 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 Comp Plus Plan (HMO SNP) (H5698-140) 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 Fusion Plan (HMO SNP) (H5698-141) HMO

                              Premium and Other Important Information

                              • $4 500 out-of-pocket limit for Medicare-covered services.
                              • $110 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.
                              • $10 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 Diabetes Plan (HMO SNP) (H5698-156) 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.
                                BlueCross BlueShield of Tennessee BlueAdvantage Diamond (PPO) (H7917-010) Local Preferred Provider Organization

                                  Premium and Other Important Information

                                  • $4 650 out-of-pocket limit for Medicare-covered services.
                                  • $5 900 out-of-pocket limit for Medicare-covered services.
                                  • $150 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.
                                  • $35 copay for each in-area network urgent care Medicare-covered visit
                                  • $35 copay for each specialist visit for Medicare-covered benefits.
                                  • 30% of the cost for each primary care doctor visit
                                  • 40% of the cost for each specialist visit
                                  BlueCross BlueShield of Tennessee BlueAdvantage Ruby (PPO) (H7917-014) Local Preferred Provider Organization

                                    Premium and Other Important Information

                                    • $4 800 out-of-pocket limit for Medicare-covered services.
                                    • $5 900 out-of-pocket limit for Medicare-covered services.
                                    • $50 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.
                                    • $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
                                    • 40% of the cost for each specialist visit
                                    BlueCross BlueShield of Tennessee BlueAdvantage Sapphire (PPO) (H7917-030) Local Preferred Provider Organization

                                      Premium and Other Important Information

                                      • $4 950 out-of-pocket limit for Medicare-covered services.
                                      • $6 000 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

                                      • $20 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
                                      • 40% of the cost for each specialist visit

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