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Texas MedicareAdvantage Plans

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Medicare Advantage Plans in El Paso County, Texas

Below are Medicare Advantage plans available to residents of El Paso county, Texas. 11 carriers offer 28 plans throughout the county of El Paso. Residents may choose plans from carriers such as Care Improvement Plus, HUMANA HEALTH PLAN OF TEXAS INC. and Bienvivir Senior Health Services. 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 El Paso county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of El Paso

Carrier Plan Title Plan Type
Care Improvement Plus Care Improvement Plus Medicare Advantage (PPO) (H0084-001) Local Preferred Provider Organization

    Premium and Other Important Information

    • $6 700 out-of-pocket limit for Medicare-covered services.
    • $15 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) (H0084-003) 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.
      • $30 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) (H0084-004) 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

        • $25 copay for each primary care doctor visit for Medicare-covered benefits.
        • $25 copay for each in-area network urgent care Medicare-covered visit
        • $50 copay for each specialist visit for Medicare-covered benefits.
        • $25 copay for each primary care doctor visit
        • $50 copay for each specialist visit
        Care Improvement Plus Care Improvement Plus Dual Advantage (PPO SNP) (H0084-005) 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**
          HUMANA HEALTH PLAN OF TEXAS INC. Humana Gold Plus SNP-DE H4510-021 (HMO SNP) (H4510-021) 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.
            • $3 400 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

            • 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.*
            HUMANA HEALTH PLAN OF TEXAS INC. Humana Gold Plus H4510-022 (HMO) (H4510-022) HMO

              Premium and Other Important Information

              • Package: 1 - MyOption Dental High PPO:
              • Package: 2 - MyOption Dental Low PPO:
              • $22 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
              • $14 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
              • $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.
              • $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.
              • $0 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.
              Bienvivir Senior Health Services BSHS Part D Dual Eligibles (PACE) (H4518-001) National PACE
                Bienvivir Senior Health Services BSHS Part D Medicare Only (PACE) (H4518-002) National PACE
                  UnitedHealthcare AARP MedicareComplete Choice (PPO) (H4522-001) Local Preferred Provider Organization

                    Premium and Other Important Information

                    • Package: 1 - Dental Platinum Rider:
                    • $33 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
                    • $4 200 out-of-pocket limit for Medicare-covered services.
                    • $6 200 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

                    • $15 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.
                    • $25 copay for each primary care doctor visit
                    • $45 copay for each specialist visit
                    UnitedHealthcare UnitedHealthcare Dual Complete (PPO SNP) (H4522-007) 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
                      • In 2012 the annual Part B deductible amount is $0 or $140 .* Contact the plan for services that apply.
                      • ** 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.*
                      • In 2012 the annual Part B deductible amount is $0 or $140 .** Contact the plan for services that apply.
                      • $10 000 out-of-pocket limit for Medicare-covered services.*
                      • $19.4 monthly plan premium in addition to your monthly Medicare Part B 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% 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.*
                      • 30% of the cost for each primary care doctor visit**
                      • 30% of the cost for each specialist visit**
                      PHYSICIANS HEALTH CHOICE Physicians Health Choice Total (HMO) (H4527-005) HMO

                        Premium and Other Important Information

                        • $3 600 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

                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                        • $25 copay for each in-area network urgent care Medicare-covered visit
                        • $25 copay for each specialist visit for Medicare-covered benefits.
                        PHYSICIANS HEALTH CHOICE Physicians Health Choice Select (HMO SNP) (H4527-006) 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.
                          • $3 350 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.*
                          PHYSICIANS HEALTH CHOICE Physicians Health Choice Basic (HMO) (H4527-024) HMO

                            Premium and Other Important Information

                            • $3 350 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

                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $10 copay for each in-area network urgent care Medicare-covered visit
                            • $10 copay for each specialist visit for Medicare-covered benefits.
                            Bravo Health Bravo Classic Plus (HMO-POS) (H4528-001) HMO with POS Option

                              Premium and Other Important Information

                              • Package: 1 - Enhanced Hearing and Dental:
                              • $34.30 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Comprehensive Dental Hearing Exams Hearing Aids
                              • $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

                              • $0 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.
                              Bravo Health Bravo Select (HMO SNP) (H4528-002) 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
                                • ** 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.*
                                • $30 monthly plan premium in addition to your monthly Medicare Part B 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.*
                                Bravo Health Bravo Traditions (HMO SNP) (H4528-013) HMO

                                  Premium and Other Important Information

                                  • $6 700 out-of-pocket limit for Medicare-covered services.
                                  • $30 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.
                                  • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                  Bravo Health Bravo Achieve (HMO SNP) (H4528-014) HMO

                                    Premium and Other Important Information

                                    • Package: 1 - Enhanced Hearing and Dental:
                                    • $38.30 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 Hearing Exams Hea
                                    • $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

                                    • $0 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.
                                    Texas Community Care Texas Community Care- Plus Point (HMO-POS) (H4529-002) HMO with POS Option

                                      Premium and Other Important Information

                                      • $3 200 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

                                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                      • $15 copay for each specialist visit for Medicare-covered benefits.
                                      Texas Community Care Texas Community Care - Dual Plus (HMO SNP) (H4529-007) 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.
                                        • $3 400 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

                                        • 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.*
                                        WindsorSterling WindsorSterling Gold Plus Plan (PPO) (H5162-017) Local Preferred Provider Organization

                                          Premium and Other Important Information

                                          • $4 000 out-of-pocket limit. All plan services included.
                                          • $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

                                          • $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
                                          WindsorSterling Fresenius Health Partners (PPO SNP) (H5162-019) Local Preferred Provider Organization

                                            Premium and Other Important Information

                                            • $6 700 out-of-pocket limit. All plan services included.
                                            • In 2012 the annual Part B deductible amount is $140. Contact the plan for services that apply.
                                            • $600 plan coverage limit every year for Non-Medicare Supplemental benefits. Contact the plan for services that apply.
                                            • $30 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% of the cost for each primary care doctor visit for Medicare-covered benefits.
                                            • 20% of the cost for each specialist visit for Medicare-covered benefits.
                                            Humana Insurance Company HumanaChoice H6411-002 (PPO) (H6411-002) Local Preferred Provider Organization

                                              Premium and Other Important Information

                                              • Package: 1 - MyOption Dental High PPO:
                                              • Package: 2 - MyOption Dental Low PPO:
                                              • $22 monthly premium in addition to your $21 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                              • $14 monthly premium in addition to your $21 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.
                                              • $5 000 out-of-pocket limit for Medicare-covered services.
                                              • $500 annual deductible. Contact the plan for services that apply.
                                              • $7 500 out-of-pocket limit for Medicare-covered services.
                                              • $21 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.
                                              • $30 copay for each in-area network urgent care Medicare-covered visit
                                              • $30 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
                                              Humana Insurance Company HumanaChoice H6411-008 (PPO) (H6411-008) Local Preferred Provider Organization

                                                Premium and Other Important Information

                                                • Package: 1 - MyOption Enhanced Dental:
                                                • $21 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
                                                • $3 400 out-of-pocket limit for Medicare-covered services.
                                                • $500 annual deductible. Contact the plan for services that apply.
                                                • $5 000 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

                                                • $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.
                                                • 30% of the cost for each primary care doctor visit
                                                • 30% of the cost for each specialist visit
                                                Coventry Health Care Advantra (PPO) (H7306-001) Local Preferred Provider Organization

                                                  Premium and Other Important Information

                                                  • $3 400 out-of-pocket limit. All plan services included.
                                                  • $10 000 out-of-pocket limit. All plan services included.
                                                  • $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.
                                                  • $30 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
                                                  • 30% of the cost for each specialist visit
                                                  Universal Health Care Insurance Company Inc. Any Any Any Gold (PFFS) (H8098-001) Private Fee for Service

                                                    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
                                                    • 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.
                                                    • $40 copay for each specialist visit for Medicare-covered benefits.
                                                    • $15 copay for each primary care doctor visit
                                                    • $40 copay for each specialist visit
                                                    Universal Health Care Insurance Company Inc. Any Any Any Gold MA Only (PFFS) (H8098-003) Private Fee for Service

                                                      Premium and Other Important Information

                                                      • Universal Health Care Insurance Company Inc. will reduce your monthly Medicare Part B premium by up to $ 15.00.
                                                      • $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.
                                                      • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                      • $40 copay for each specialist visit for Medicare-covered benefits.
                                                      • $15 copay for each primary care doctor visit
                                                      • $40 copay for each specialist visit
                                                      Humana Insurance Company Humana Gold Choice H8145-084 (PFFS) (H8145-084) Private Fee for Service

                                                        Premium and Other Important Information

                                                        • Package: 1 - MyOption Dental High PPO:
                                                        • Package: 2 - MyOption Dental Low PPO:
                                                        • $22 monthly premium in addition to your $79 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                        • $14 monthly premium in addition to your $79 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.
                                                        • $5 000 out-of-pocket limit for Medicare-covered services.
                                                        • $79 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.
                                                        • $35 copay for each in-area network urgent care Medicare-covered visit
                                                        • $35 copay for each specialist visit for Medicare-covered benefits.
                                                        • $10 copay for each primary care doctor visit
                                                        • $35 copay for each specialist visit
                                                        Humana Insurance Company Humana Gold Choice H8145-126 (PFFS) (H8145-126) Private Fee for Service

                                                          Premium and Other Important Information

                                                          • Package: 1 - MyOption Dental High PPO:
                                                          • Package: 2 - MyOption Dental Low PPO:
                                                          • $22 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
                                                          • $14 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
                                                          • $1 500 plan coverage limit every year for these benefits.
                                                          • $1 000 plan coverage limit every year for these benefits.
                                                          • $5 000 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.
                                                          • $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.
                                                          • $10 copay for each primary care doctor visit
                                                          • $35 copay for each specialist visit

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