Medicare Advantage Plans in Wilson County, Tennessee
Below are Medicare Advantage plans available to residents of Wilson county, Tennessee.
4 carriers offer 10 plans throughout the county of Wilson.
Residents may choose plans from
carriers such as UnitedHealthcare Community Plan, HealthSpring and Cariten Health Plan Inc.. 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 Wilson county that is right for you complete the form at the top of the page.
Medicare Advantage Health Plans in the county of Wilson
| 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.*
|
| 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.
|
| Cariten Health Plan Inc. |
Humana Gold Plus H4461-018 (HMO-POS) (H4461-018) |
HMO with POS Option |
Premium and Other Important Information - Package: 1 - MyOption Dental High PPO:
- Package: 2 - MyOption Dental Low PPO:
- $24 monthly premium in addition to your $29 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 $29 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
- $1 500 plan coverage limit every year for these benefits.
- $1 000 plan coverage limit every year for these benefits.
- $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.
- $29 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.
- $35 copay for each in-area network urgent care Medicare-covered visit
- $5 to $35 copay for each specialist visit for Medicare-covered benefits.
|
| Cariten Health Plan Inc. |
Humana Gold Plus SNP-DE H4461-022 (HMO SNP) (H4461-022) |
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.*
|
| BlueCross BlueShield of Tennessee |
BlueAdvantage Diamond (PPO) (H7917-009) |
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.
- $153 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) (H7917-013) |
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.
- $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- $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 Garnet (PPO) (H7917-032) |
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- $30 copay for each primary care doctor visit for Medicare-covered benefits.
- $45 copay for each in-area network urgent care Medicare-covered visit
- $45 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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Tennessee Plan Data by City