Medicare Advantage Plans in Clallam County, Washington
Below are Medicare Advantage plans available to residents of Clallam county, Washington.
3 carriers offer 10 plans throughout the county of Clallam.
Residents may choose plans from
Group Health Options Inc., Regence BlueShield or Community HealthFirst Medicare Advantage Plan. 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 Clallam county that is right for you complete the form at the top of the page.
Medicare Advantage Health Plans in the county of Clallam
| Carrier |
Plan Title |
Plan Type |
| Group Health Options Inc. |
Group Health Options Clear Care Prestige (PPO) (H2810-001) |
Local Preferred Provider Organization |
Premium and Other Important Information - Package: 1 - Clear Care Dental:
- $49 monthly premium in addition to your $67 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.
- $3 200 out-of-pocket limit for Medicare-covered services.
- $67 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
- Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept
Doctor Office Visits- $20 copay for each primary care doctor visit for Medicare-covered benefits.
- $20 copay for each in-area network urgent care Medicare-covered visit
- $45 copay for each specialist visit for Medicare-covered benefits.
- $35 copay for each primary care doctor visit
- $60 copay for each specialist visit
|
| Group Health Options Inc. |
Group Health Options Clear Care Elite (PPO) (H2810-002) |
Local Preferred Provider Organization |
Premium and Other Important Information - Package: 1 - Clear Care Dental:
- $49 monthly premium in addition to your $121 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.
- $2 500 out-of-pocket limit for Medicare-covered services.
- $121 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 copay for each in-area network urgent care Medicare-covered visit
- $35 copay for each specialist visit for Medicare-covered benefits.
- $25 copay for each primary care doctor visit
- $50 copay for each specialist visit
|
| Regence BlueShield |
Regence MedAdvantage Basic (PPO) (H5009-001) |
Local Preferred Provider Organization |
Premium and Other Important Information - $3 400 out-of-pocket limit. All plan services included.
- $50 annual deductible. Contact the plan for services that apply.
- $79.00 monthly plan premium in addition to your monthly Medicare Part B premium.
- Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i
- Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept
Doctor Office Visits- $15 copay for each primary care doctor visit for Medicare-covered benefits.
- $15 copay for each in-area network urgent care Medicare-covered visit
- $40 copay for each specialist visit for Medicare-covered benefits.
- $40 copay for each primary care doctor visit
- $40 copay for each specialist visit
|
| Regence BlueShield |
Regence MedAdvantage + Rx Classic (PPO) (H5009-002) |
Local Preferred Provider Organization |
Premium and Other Important Information - $3 400 out-of-pocket limit. All plan services included.
- $100 annual deductible. Contact the plan for services that apply.
- $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
- 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 copay for each in-area network urgent care Medicare-covered visit
- $40 copay for each specialist visit for Medicare-covered benefits.
- $40 copay for each primary care doctor visit
- $40 copay for each specialist visit
|
| Regence BlueShield |
Regence MedAdvantage + Rx Enhanced (PPO) (H5009-004) |
Local Preferred Provider Organization |
Premium and Other Important Information - $2 800 out-of-pocket limit. All plan services included.
- $211 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 copay for each in-area network urgent care Medicare-covered visit
- $30 copay for each specialist visit for Medicare-covered benefits.
- $30 copay for each primary care doctor visit
- $30 copay for each specialist visit
|
| Community HealthFirst Medicare Advantage Plan |
Community HealthFirst MA Special Needs Plan (HMO SNP) (H5826-005) |
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.
- $2 000 out-of-pocket limit. All plan services included.*
- $0 monthly plan premium in addition to your monthly Medicare Part B premium.*
Doctor Office Visits- Authorization rules may apply.
- 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.*
|
| Community HealthFirst Medicare Advantage Plan |
Community HealthFirst MA Plan (HMO) (H5826-006) |
HMO |
Premium and Other Important Information - $2 800 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
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
- $20 copay for each specialist visit for Medicare-covered benefits.
|
| Community HealthFirst Medicare Advantage Plan |
Community HealthFirst MA Pharmacy Plan (HMO) (H5826-008) |
HMO |
Premium and Other Important Information - $2 800 out-of-pocket limit. All plan services included.
- $33.6 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
- $20 copay for each specialist visit for Medicare-covered benefits.
|
| Community HealthFirst Medicare Advantage Plan |
Community HealthFirst MA Extra Plan (HMO) (H5826-010) |
HMO |
Premium and Other Important Information - $3 400 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
Doctor Office Visits- Authorization rules may apply.
- $10 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.
|
| Community HealthFirst Medicare Advantage Plan |
Community HealthFirst MA Premium Plan (HMO-POS) (H5826-011) |
HMO with POS Option |
Premium and Other Important Information - $1 500 out-of-pocket limit. All plan services included.
- $2 500 out-of-pocket limit for select Medicare-covered services. Contact plan for details regarding Medicare-covered services under this limit.
- $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
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
- $20 copay for each specialist visit for Medicare-covered benefits.
|
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