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Texas MedicareAdvantage Plans

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Medicare Advantage Plans in Johnson County, Texas

Below are Medicare Advantage plans available to residents of Johnson county, Texas. 8 carriers offer 22 plans throughout the county of Johnson. Residents may choose plans from carriers such as Care Improvement Plus, HUMANA HEALTH PLAN OF TEXAS INC. 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 Johnson county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Johnson

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 Reader's Digest Healthy Living Plan (HMO) (H4510-018) HMO

            Premium and Other Important Information

            • Package: 1 - MyOption Dental High PPO:
            • Package: 2 - MyOption Dental Low PPO:
            • Package: 4 - MyOption Vision:
            • Package: 5 - MyOption Plus:
            • $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
            • $15 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
            • $25 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
            • $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.
            • $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.
            • $5 copay for each primary care doctor visit for Medicare-covered benefits.
            • $20 copay for each in-area network urgent care Medicare-covered visit
            • $20 copay for each specialist visit for Medicare-covered benefits.
            Humana Insurance Company HumanaChoice H4520-006 (PPO) (H4520-006) Local Preferred Provider Organization

              Premium and Other Important Information

              • Package: 1 - MyOption Dental High PPO:
              • Package: 2 - MyOption Dental Low PPO:
              • Package: 4 - MyOption Vision:
              • Package: 5 - MyOption Plus:
              • $22 monthly premium in addition to your $49 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 $49 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 $49 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
              • $25 monthly premium in addition to your $49 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.
              • $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.
              • $49 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
              • $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
              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 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.
                    UnitedHealthcare AARP MedicareComplete SecureHorizons (HMO) (H4590-012) HMO

                      Premium and Other Important Information

                      • Package: 1 - Deluxe Rider:
                      • Package: 2 - Dental 467 Rider:
                      • $39 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
                      • $15 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental
                      • $4 900 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

                      • $5 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.
                      UnitedHealthcare UnitedHealthcare Dual Complete (HMO SNP) (H4590-020) 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
                        • 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.*
                        • $22.1 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.*
                        UnitedHealthcare AARP MedicareComplete SecureHorizons Essential (HMO) (H4590-027) HMO

                          Premium and Other Important Information

                          • Package: 1 - Deluxe Rider:
                          • Package: 2 - Dental 467 Rider:
                          • $39 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
                          • $15 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental
                          • $4 500 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

                          • $5 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.
                          Care N' Care Health Plan Care N' Care Health Plan I (PPO) (H6328-001) Local Preferred Provider Organization

                            Premium and Other Important Information

                            • Package: 1 - Dental Rider:
                            • $20 monthly premium in addition to your $75 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                            • $2 500 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.
                            • $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.
                            • $75 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

                            • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $5 to $30 copay for each in-area network urgent care Medicare-covered visit
                            • $15 copay for each specialist visit for Medicare-covered benefits.
                            • $20 copay for each primary care doctor visit
                            • $30 copay for each specialist visit
                            Care N' Care Health Plan Care N' Care Health Plan II (PPO) (H6328-002) Local Preferred Provider Organization

                              Premium and Other Important Information

                              • Package: 1 - Dental Rider:
                              • $20 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
                              • $3 100 out-of-pocket limit. All plan services included.
                              • $5 100 out-of-pocket limit. All plan services included.
                              • $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
                              • 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 to $30 copay for each in-area network urgent care Medicare-covered visit
                              • $25 copay for each specialist visit for Medicare-covered benefits.
                              • $25 copay for each primary care doctor visit
                              • $35 copay for each specialist visit
                              Care N' Care Health Plan Care N' Care Health Plan III (PPO) (H6328-003) Local Preferred Provider Organization

                                Premium and Other Important Information

                                • Package: 1 - Dental Rider:
                                • $20 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. All plan services included.
                                • $5 100 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

                                • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $15 to $35 copay for each in-area network urgent care Medicare-covered visit
                                • $35 copay for each specialist visit for Medicare-covered benefits.
                                • $35 copay for each primary care doctor visit
                                • $45 copay for each specialist visit
                                Care N' Care Health Plan Care N' Care Health Plan I MA-Only (PPO) (H6328-005) Local Preferred Provider Organization

                                  Premium and Other Important Information

                                  • Package: 1 - Dental Rider:
                                  • $20 monthly premium in addition to your $30 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                  • $3 000 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.
                                  • $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.
                                  • $30.00 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

                                  • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                  • $5 to $30 copay for each in-area network urgent care Medicare-covered visit
                                  • $15 copay for each specialist visit for Medicare-covered benefits.
                                  • $20 copay for each primary care doctor visit
                                  • $30 copay for each specialist visit
                                  Care N' Care Health Plan Care N' Care Health Plan II MA-Only (PPO) (H6328-006) Local Preferred Provider Organization

                                    Premium and Other Important Information

                                    • Package: 1 - Dental Rider:
                                    • $20 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. All plan services included.
                                    • $5 100 out-of-pocket limit. All plan services included.
                                    • $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 to $30 copay for each in-area network urgent care Medicare-covered visit
                                    • $25 copay for each specialist visit for Medicare-covered benefits.
                                    • $25 copay for each primary care doctor visit
                                    • $35 copay 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
                                      HealthSpring Medicare Advantage PPO HealthyAdvantage (PPO) (H7787-002) Local Preferred Provider Organization

                                        Premium and Other Important Information

                                        • HealthSpring Medicare Advantage PPO will reduce your monthly Medicare Part B premium by up to $ 75.00.
                                        • $3 400 out-of-pocket limit for Medicare-covered services.
                                        • $1 000 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

                                        • Authorization rules may apply.
                                        • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                        • $25 copay for each in-area network urgent care Medicare-covered visit
                                        • $35 copay for each specialist visit for Medicare-covered benefits.
                                        • $40 copay for each primary care doctor visit
                                        • $60 copay for each specialist visit
                                        HealthSpring Medicare Advantage PPO HealthyAdvantage Preferred (PPO) (H7787-004) Local Preferred Provider Organization

                                          Premium and Other Important Information

                                          • $3 400 out-of-pocket limit for Medicare-covered services.
                                          • $1 000 annual deductible. Contact the plan for services that apply.
                                          • $5 100 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
                                          • 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

                                          • Authorization rules may apply.
                                          • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                          • $25 copay for each in-area network urgent care Medicare-covered visit
                                          • $35 copay for each specialist visit for Medicare-covered benefits.
                                          • $40 copay for each primary care doctor visit
                                          • $60 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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