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Texas MedicareAdvantage Plans

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Medicare Advantage Plans in Rockwall County, Texas

Below are Medicare Advantage plans available to residents of Rockwall county, Texas. 8 carriers offer 22 plans throughout the county of Rockwall. Residents may choose plans from carriers such as HUMANA HEALTH PLAN OF TEXAS INC., Humana Insurance Company and Bravo Health. 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 Rockwall county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Rockwall

Carrier Plan Title Plan Type
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 HEALTH PLAN OF TEXAS INC. Humana Gold Plus SNP-DE H4510-023 (HMO SNP) (H4510-023) 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 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.
                    Universal American Corp. Today's Options Advantage Plus 250A (PPO) (H5378-010) Local Preferred Provider Organization

                      Premium and Other Important Information

                      • $3 250 out-of-pocket limit for Medicare-covered services.
                      • $132 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.
                      • $35 copay for each in-area network urgent care Medicare-covered visit
                      • $30 copay for each specialist visit for Medicare-covered benefits.
                      • $10 copay for each primary care doctor visit
                      • $40 copay for each specialist visit
                      Universal American Corp. Today's Options Advantage Plus 450H (PPO) (H5378-016) Local Preferred Provider Organization

                        Premium and Other Important Information

                        • $6 700 out-of-pocket limit for Medicare-covered services.
                        • $62 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.
                        • $35 copay for each in-area network urgent care Medicare-covered visit
                        • $50 copay for each specialist visit for Medicare-covered benefits.
                        • $30 copay for each primary care doctor visit
                        • $60 copay for each specialist visit
                        TexasFirst Health Plans TexanPlus Classic (HMO) (H5656-001) HMO

                          Premium and Other Important Information

                          • $3 000 out-of-pocket limit for Medicare-covered services.
                          • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                          Doctor Office Visits

                          • Authorization rules may apply.
                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                          • $25 copay for each in-area network urgent care Medicare-covered visit
                          • $20 copay for each specialist visit for Medicare-covered benefits.
                          TexasFirst Health Plans TexanPlus Value (HMO) (H5656-003) HMO

                            Premium and Other Important Information

                            • Universal American Corp. will reduce your monthly Medicare Part B premium by up to $ 32.90.
                            • $3 000 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

                            Doctor Office Visits

                            • Authorization rules may apply.
                            • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $25 copay for each in-area network urgent care Medicare-covered visit
                            • $20 copay for each specialist visit for Medicare-covered benefits.
                            Universal American Corp. Today's Options Premier 400 (PFFS) (H6169-016) Private Fee for Service

                              Premium and Other Important Information

                              • $6 700 out-of-pocket limit for Medicare-covered services.
                              • $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
                              • 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.
                              • $35 copay for each in-area network urgent care Medicare-covered visit
                              • $50 copay for each specialist visit for Medicare-covered benefits.
                              • $30 copay for each primary care doctor visit
                              • $60 copay for each specialist visit
                              Universal American Corp. Today's Options Premier Plus 450D (PFFS) (H6169-036) Private Fee for Service

                                Premium and Other Important Information

                                • $6 700 out-of-pocket limit for Medicare-covered services.
                                • $101 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.
                                • $35 copay for each in-area network urgent care Medicare-covered visit
                                • $50 copay for each specialist visit for Medicare-covered benefits.
                                • $30 copay for each primary care doctor visit
                                • $60 copay for each specialist visit
                                Universal American Corp. Today's Options Premier 200 (PFFS) (H6169-053) Private Fee for Service

                                  Premium and Other Important Information

                                  • $3 250 out-of-pocket limit for Medicare-covered services.
                                  • $85.00 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.
                                  • $35 copay for each in-area network urgent care Medicare-covered visit
                                  • $30 copay for each specialist visit for Medicare-covered benefits.
                                  • $10 copay for each primary care doctor visit
                                  • $40 copay for each specialist visit
                                  Universal American Corp. Today's Options Premier Plus 250A (PFFS) (H6169-057) Private Fee for Service

                                    Premium and Other Important Information

                                    • $3 250 out-of-pocket limit for Medicare-covered services.
                                    • $157 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.
                                    • $35 copay for each in-area network urgent care Medicare-covered visit
                                    • $30 copay for each specialist visit for Medicare-covered benefits.
                                    • $10 copay for each primary care doctor visit
                                    • $40 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 Preferred DFW (PPO) (H7787-001) 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.
                                        • $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

                                        • 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
                                        • $30 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 (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
                                          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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