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Texas MedicareAdvantage Plans

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Medicare Advantage Plans in Rains County, Texas

Below are Medicare Advantage plans available to residents of Rains county, Texas. 7 carriers offer 34 plans throughout the county of Rains. Residents may choose plans from carriers such as Scott and White Health Plan SeniorCare, WindsorSterling and Universal American Corp.. 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 Rains county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Rains

Carrier Plan Title Plan Type
Scott and White Health Plan SeniorCare SeniorCare Sr Premium - Basic Rx (Cost) (H4564-001) Cost Plan

    Premium and Other Important Information

    • $3 400 out-of-pocket limit. All plan services included.
    • $204 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.
    • $40 copay for each in-area network urgent care Medicare-covered visit
    • $0 copay for each specialist doctor visit for Medicare-covered benefits.
    Scott and White Health Plan SeniorCare SeniorCare Sr Preferred - Basic Rx (Cost) (H4564-002) Cost Plan

      Premium and Other Important Information

      • $3 400 out-of-pocket limit. All plan services included.
      • $124 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
      • $15 copay for each specialist visit for Medicare-covered benefits.
      Scott and White Health Plan SeniorCare SeniorCare Sr Select - Basic Rx (Cost) (H4564-003) Cost Plan

        Premium and Other Important Information

        • $3 400 out-of-pocket limit. All plan services included.
        • $77 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.
        • $30 copay for each primary care doctor visit for Medicare-covered benefits.
        • $40 copay for each in-area network urgent care Medicare-covered visit
        • $30 copay for each specialist visit for Medicare-covered benefits.
        Scott and White Health Plan SeniorCare SeniorCare Sr Premium - Enhanced Rx (Cost) (H4564-004) Cost Plan

          Premium and Other Important Information

          • $3 400 out-of-pocket limit. All plan services included.
          • $260.1 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.
          • $40 copay for each in-area network urgent care Medicare-covered visit
          • $0 copay for each specialist doctor visit for Medicare-covered benefits.
          Scott and White Health Plan SeniorCare SeniorCare Sr Preferred - Enhanced Rx (Cost) (H4564-005) Cost Plan

            Premium and Other Important Information

            • $3 400 out-of-pocket limit. All plan services included.
            • $180.1 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
            • $15 copay for each specialist visit for Medicare-covered benefits.
            Scott and White Health Plan SeniorCare SeniorCare Sr Select - Enhanced Rx (Cost) (H4564-006) Cost Plan

              Premium and Other Important Information

              • $3 400 out-of-pocket limit. All plan services included.
              • $133.1 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.
              • $30 copay for each primary care doctor visit for Medicare-covered benefits.
              • $40 copay for each in-area network urgent care Medicare-covered visit
              • $30 copay for each specialist visit for Medicare-covered benefits.
              Scott and White Health Plan SeniorCare SeniorCare Sr Premium-Medical Only (Cost) (H4564-010) Cost Plan

                Premium and Other Important Information

                • $3 400 out-of-pocket limit. All plan services included.
                • $167.00 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.
                • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                • $40 copay for each in-area network urgent care Medicare-covered visit
                • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                Scott and White Health Plan SeniorCare SeniorCare Sr Preferred-Medical Only (Cost) (H4564-011) Cost Plan

                  Premium and Other Important Information

                  • $3 400 out-of-pocket limit. All plan services included.
                  • $87.00 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.
                  • $40 copay for each in-area network urgent care Medicare-covered visit
                  • $15 copay for each specialist visit for Medicare-covered benefits.
                  Scott and White Health Plan SeniorCare SeniorCare Sr Select-Medical Only (Cost) (H4564-012) Cost Plan

                    Premium and Other Important Information

                    • $3 400 out-of-pocket limit. All plan services included.
                    • $40.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                    Doctor Office Visits

                    • Authorization rules may apply.
                    • $30 copay for each primary care doctor visit for Medicare-covered benefits.
                    • $40 copay for each in-area network urgent care Medicare-covered visit
                    • $30 copay for each specialist visit for Medicare-covered benefits.
                    Scott and White Health Plan SeniorCare SeniorCare Sr Premium - Value Rx (Cost) (H4564-013) Cost Plan

                      Premium and Other Important Information

                      • $3 400 out-of-pocket limit. All plan services included.
                      • $197.6 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.
                      • $40 copay for each in-area network urgent care Medicare-covered visit
                      • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                      Scott and White Health Plan SeniorCare SeniorCare Sr Preferred - Value Rx (Cost) (H4564-014) Cost Plan

                        Premium and Other Important Information

                        • $3 400 out-of-pocket limit. All plan services included.
                        • $117.6 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
                        • $15 copay for each specialist visit for Medicare-covered benefits.
                        Scott and White Health Plan SeniorCare SeniorCare Sr Select - Value Rx (Cost) (H4564-015) Cost Plan

                          Premium and Other Important Information

                          • $3 400 out-of-pocket limit. All plan services included.
                          • $70.6 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.
                          • $30 copay for each primary care doctor visit for Medicare-covered benefits.
                          • $40 copay for each in-area network urgent care Medicare-covered visit
                          • $30 copay for each specialist visit for Medicare-covered benefits.
                          Scott and White Health Plan SeniorCare SeniorCare Sr VIP - Medical Only (Cost) (H4564-016) Cost Plan

                            Premium and Other Important Information

                            • $3 400 out-of-pocket limit. All plan services included.
                            • $125.00 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.
                            • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $40 copay for each in-area network urgent care Medicare-covered visit
                            • $5 copay for each specialist visit for Medicare-covered benefits.
                            Scott and White Health Plan SeniorCare SeniorCare Sr VIP - Basic Rx (Cost) (H4564-017) Cost Plan

                              Premium and Other Important Information

                              • $3 400 out-of-pocket limit. All plan services included.
                              • $162 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.
                              • $40 copay for each in-area network urgent care Medicare-covered visit
                              • $5 copay for each specialist visit for Medicare-covered benefits.
                              Scott and White Health Plan SeniorCare SeniorCare Sr VIP - Enhanced Rx (Cost) (H4564-018) Cost Plan

                                Premium and Other Important Information

                                • $3 400 out-of-pocket limit. All plan services included.
                                • $218.1 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.
                                • $40 copay for each in-area network urgent care Medicare-covered visit
                                • $5 copay for each specialist visit for Medicare-covered benefits.
                                Scott and White Health Plan SeniorCare SeniorCare Sr VIP - Value Rx (Cost) (H4564-019) Cost Plan

                                  Premium and Other Important Information

                                  • $3 400 out-of-pocket limit. All plan services included.
                                  • $155.6 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.
                                  • $40 copay for each in-area network urgent care Medicare-covered visit
                                  • $5 copay for each specialist visit for Medicare-covered benefits.
                                  Scott and White Health Plan SeniorCare SeniorCare Sr MedOption - Medical Only (Cost) (H4564-020) Cost Plan

                                    Premium and Other Important Information

                                    • $3 400 out-of-pocket limit. All plan services included.
                                    • $148.00 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.
                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                    • $40 copay for each in-area network urgent care Medicare-covered visit
                                    • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                    Scott and White Health Plan SeniorCare SeniorCare Sr MedOption - Basic Rx (Cost) (H4564-021) Cost Plan

                                      Premium and Other Important Information

                                      • $3 400 out-of-pocket limit. All plan services included.
                                      • $185 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.
                                      • $40 copay for each in-area network urgent care Medicare-covered visit
                                      • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                      Scott and White Health Plan SeniorCare SeniorCare Sr MedOption - Enhanced Rx (Cost) (H4564-022) Cost Plan

                                        Premium and Other Important Information

                                        • $3 400 out-of-pocket limit. All plan services included.
                                        • $241.1 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.
                                        • $40 copay for each in-area network urgent care Medicare-covered visit
                                        • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                        Scott and White Health Plan SeniorCare SeniorCare Sr MedOption - Value Rx (Cost) (H4564-023) Cost Plan

                                          Premium and Other Important Information

                                          • $3 400 out-of-pocket limit. All plan services included.
                                          • $178.6 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.
                                          • $40 copay for each in-area network urgent care Medicare-covered visit
                                          • $0 copay for each specialist doctor visit for Medicare-covered benefits.
                                          WindsorSterling WindsorSterling Gold Access Plan (PFFS) (H5006-017) Private Fee for Service

                                            Premium and Other Important Information

                                            • $4 000 out-of-pocket limit. All plan services included.
                                            • $60 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • $75 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • $70 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • $55 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • $59 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • $80 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • $62 monthly plan premium in addition to your monthly Medicare Part B premium.
                                            • $85 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.
                                            • $30 copay for each specialist visit for Medicare-covered benefits.
                                            WindsorSterling WindsorSterling Silver Access Plan (PFFS) (H5006-018) Private Fee for Service

                                              Premium and Other Important Information

                                              • $4 000 out-of-pocket limit. All plan services included.
                                              • $30.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • $45.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • $40.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • $25.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • $50.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • $49.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • $32.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • $29.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                              • $55.00 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 specialist visit for Medicare-covered benefits.
                                              Universal American Corp. Today's Options Premier 400 (PFFS) (H5421-047) Private Fee for Service

                                                Premium and Other Important Information

                                                • $6 700 out-of-pocket limit for Medicare-covered services.
                                                • $25.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                                • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                Doctor Office Visits

                                                • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                                • $50 copay for each specialist visit for Medicare-covered benefits.
                                                Universal American Corp. Today's Options Premier Plus 450B (PFFS) (H5421-065) Private Fee for Service

                                                  Premium and Other Important Information

                                                  • $6 700 out-of-pocket limit for Medicare-covered services.
                                                  • $60 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                  • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                  Doctor Office Visits

                                                  • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                  • $25 copay for each primary care doctor visit for Medicare-covered benefits.
                                                  • $50 copay for each specialist visit for Medicare-covered benefits.
                                                  Universal American Corp. Today's Options Premier 200 (PFFS) (H5421-207) Private Fee for Service

                                                    Premium and Other Important Information

                                                    • $3 250 out-of-pocket limit for Medicare-covered services.
                                                    • $60.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
                                                    • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                    Doctor Office Visits

                                                    • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                    • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                                    • $30 copay for each specialist visit for Medicare-covered benefits.
                                                    Universal American Corp. Today's Options Premier Plus 250A (PFFS) (H5421-213) Private Fee for Service

                                                      Premium and Other Important Information

                                                      • $3 250 out-of-pocket limit for Medicare-covered services.
                                                      • $119 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                                      • This plan does not allow providers to balance bill (charging more than your cost share amount).

                                                      Doctor Office Visits

                                                      • You may go to any doctor specialist or hospital that accepts the plan's terms and conditions of payment.
                                                      • $5 copay for each primary care doctor visit for Medicare-covered benefits.
                                                      • $30 copay for each specialist visit for Medicare-covered benefits.
                                                      UnitedHealthcare UnitedHealthcare MedicareDirect Essential (PFFS) (H5435-001) Private Fee for Service

                                                        Premium and Other Important Information

                                                        • $6 200 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.
                                                        • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                                                        • $45 copay for each specialist visit for Medicare-covered benefits.
                                                        UnitedHealthcare UnitedHealthcare MedicareDirect Rx (PFFS) (H5435-014) Private Fee for Service

                                                          Premium and Other Important Information

                                                          • $6 700 out-of-pocket limit for Medicare-covered services.
                                                          • $28 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.
                                                          • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                                                          • $45 copay for each specialist visit for Medicare-covered benefits.
                                                          UNIVERSAL HEALTH CARE INSURANCE COMPANY INC. Any Any Any Gold (PFFS) (H5820-002) 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.
                                                            UNIVERSAL HEALTH CARE INSURANCE COMPANY INC. Any Any Any Gold MA Only (PFFS) (H5820-026) 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 $ 10.00.
                                                              • $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.
                                                              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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