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Washington MedicareAdvantage Plans

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Medicare Advantage Plans in Clark County, Washington

Below are Medicare Advantage plans available to residents of Clark county, Washington. 9 carriers offer 29 plans throughout the county of Clark. Residents may choose plans from carriers such as Humana Health Plan Inc., WindsorSterling and Regence BlueCross BlueShield of Oregon. 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 Clark county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Clark

Carrier Plan Title Plan Type
Humana Health Plan Inc. Humana Gold Plus H2012-031 (HMO) (H2012-031) HMO

    Premium and Other Important Information

    • Package: 1 - MyOption Dental High:
    • Package: 2 - MyOption Dental Low PPO:
    • Package: 3 - MyOption Vision:
    • Package: 4 - MyOption Plus:
    • Package: 5 - MyOption Healthy Back:
    • $33 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
    • $20 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
    • $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
    • $31 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
    • $16 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
    • $1 500 plan coverage limit every year for these benefits.
    • $500 plan coverage limit every year for these benefits.
    • $4 500 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.
    • $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.
    Humana Health Plan Inc. Humana Gold Plus H2012-032 (HMO-POS) (H2012-032) HMO with POS Option

      Premium and Other Important Information

      • Package: 1 - MyOption Dental High PPO:
      • Package: 2 - MyOption Dental Low PPO:
      • Package: 3 - MyOption Vision:
      • Package: 4 - MyOption Plus:
      • Package: 5 - MyOption Healthy Back:
      • $33 monthly premium in addition to your $25 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
      • $20 monthly premium in addition to your $25 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 $25 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
      • $31 monthly premium in addition to your $25 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
      • $16 monthly premium in addition to your $25 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
      • $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.
      • $500 plan coverage limit every year for these benefits.
      • $2 900 out-of-pocket limit for Medicare-covered services.
      • $25 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.
      • $20 copay for each in-area network urgent care Medicare-covered visit
      • $20 copay for each specialist visit for Medicare-covered benefits.
      WindsorSterling WindsorSterling Silver Connect Plan (PFFS) (H3410-002) 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.
        • $25.00 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.
        • $35.00 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.
        • $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.
        • $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.
        • $25 copay for each primary care doctor visit
        • $40 copay for each specialist visit
        WindsorSterling WindsorSterling Gold Connect Plan (PFFS) (H3410-003) Private Fee for Service

          Premium and Other Important Information

          • $4 000 out-of-pocket limit. All plan services included.
          • $59 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.
          • $79 monthly plan premium in addition to your monthly Medicare Part B premium.
          • $60 monthly plan premium in addition to your monthly Medicare Part B premium.
          • $65 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.
          • 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.
          • $10 copay for each in-area network urgent care Medicare-covered visit
          • $30 copay for each specialist visit for Medicare-covered benefits.
          • $25 copay for each primary care doctor visit
          • $40 copay for each specialist visit
          WindsorSterling WindsorSterling Emerald Connect Plan (PFFS) (H3410-004) Private Fee for Service

            Premium and Other Important Information

            • $6 700 out-of-pocket limit. All plan services included.
            • $28.5 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.
            • $20 copay for each in-area network urgent care Medicare-covered visit
            • $35 copay for each specialist visit for Medicare-covered benefits.
            • 20% of the cost for each primary care doctor visit
            • 20% of the cost for each specialist visit
            Regence BlueCross BlueShield of Oregon Regence MedAdvantage Basic (PPO) (H3817-001) Local Preferred Provider Organization

              Premium and Other Important Information

              • $3 400 out-of-pocket limit. All plan services included.
              • $35.00 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
              • $35 copay for each specialist visit for Medicare-covered benefits.
              • $35 copay for each primary care doctor visit
              • $35 copay for each specialist visit
              Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Classic (PPO) (H3817-002) 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.
                • $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

                • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                • $15 copay for each in-area network urgent care Medicare-covered visit
                • $35 copay for each specialist visit for Medicare-covered benefits.
                • $35 copay for each primary care doctor visit
                • $35 copay for each specialist visit
                Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx Enhanced (PPO) (H3817-003) Local Preferred Provider Organization

                  Premium and Other Important Information

                  • $2 500 out-of-pocket limit. All plan services included.
                  • $135 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
                  • $25 copay for each specialist visit for Medicare-covered benefits.
                  • $25 copay for each primary care doctor visit
                  • $25 copay for each specialist visit
                  UnitedHealthcare AARP MedicareComplete Plan 1 (HMO) (H5005-010) HMO

                    Premium and Other Important Information

                    • Package: 1 - Deluxe Rider:
                    • Package: 2 - Dental 467 Rider:
                    • Package: 3 - Fitness Rider:
                    • $37 monthly premium in addition to your $89 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 $89 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental
                    • $13 monthly premium in addition to your $89 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
                    • $4 200 out-of-pocket limit for Medicare-covered services.
                    • $89 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

                    • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                    • $30 copay for each in-area network urgent care Medicare-covered visit
                    • $35 copay for each specialist visit for Medicare-covered benefits.
                    UnitedHealthcare AARP MedicareComplete Essential (HMO) (H5005-018) HMO

                      Premium and Other Important Information

                      • Package: 1 - Dental Platinum Rider:
                      • Package: 2 - Dental 467 Rider:
                      • Package: 3 - Fitness Rider:
                      • $33 monthly premium in addition to your $29 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                      • $15 monthly premium in addition to your $29 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental
                      • $13 monthly premium in addition to your $29 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
                      • $4 200 out-of-pocket limit for Medicare-covered services.
                      • $29.00 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

                      • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                      • $30 copay for each in-area network urgent care Medicare-covered visit
                      • $35 copay for each specialist visit for Medicare-covered benefits.
                      UnitedHealthcare AARP MedicareComplete Plan 3 (HMO) (H5005-019) HMO

                        Premium and Other Important Information

                        • Package: 1 - Dental Platinum Rider:
                        • Package: 2 - Dental 467 Rider:
                        • Package: 3 - Fitness Rider:
                        • $33 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                        • $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
                        • $13 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Supplemental Education/Wellness Programs
                        • $5 700 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

                        • $15 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.
                        Health Net Life Insurance Company Health Net Aqua (PPO) (H5520-001) Local Preferred Provider Organization

                          Premium and Other Important Information

                          • Package: 1 - Extended Dental:
                          • $23 monthly premium in addition to your $45 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Comprehensive Dental
                          • $750 plan coverage limit every year for these benefits.
                          • $2 500 out-of-pocket limit for Medicare-covered services.
                          • $75 annual deductible. Contact the plan for services that apply.
                          • $5 100 out-of-pocket limit for Medicare-covered services.
                          • $45.00 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

                          • $12 copay for each primary care doctor visit for Medicare-covered benefits.
                          • $12 to $25 copay for each in-area network urgent care Medicare-covered visit
                          • $12 copay for each specialist visit for Medicare-covered benefits.
                          • $20 copay for each primary care doctor visit
                          • $20 copay for each specialist visit
                          Health Net Life Insurance Company Health Net Violet Option 1 (PPO) (H5520-002) Local Preferred Provider Organization

                            Premium and Other Important Information

                            • Package: 1 - Extended Dental:
                            • $23 monthly premium in addition to your $99 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Comprehensive Dental
                            • $750 plan coverage limit every year for these benefits.
                            • $2 500 out-of-pocket limit for Medicare-covered services.
                            • $175 annual deductible. Contact the plan for services that apply.
                            • $4 000 out-of-pocket limit for Medicare-covered services.
                            • $99 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

                            • $12 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $12 to $35 copay for each in-area network urgent care Medicare-covered visit
                            • $12 copay for each specialist visit for Medicare-covered benefits.
                            • $20 copay for each primary care doctor visit
                            • $20 copay for each specialist visit
                            Health Net Life Insurance Company Health Net Violet Option 2 (PPO) (H5520-005) Local Preferred Provider Organization

                              Premium and Other Important Information

                              • Package: 1 - Preventive Dental Plus:
                              • Package: 2 - Routine Vision:
                              • $31 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
                              • $6 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
                              • $1 250 plan coverage limit every year for these benefits.
                              • $100 plan coverage limit every two years for these benefits.
                              • $3 400 out-of-pocket limit for Medicare-covered services.
                              • $275 annual deductible. Contact the plan for services that apply.
                              • $4 500 out-of-pocket limit for Medicare-covered services.
                              • $0 monthly plan premium in addition to your monthly Medicare Part B premium.
                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                              • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                              Doctor Office Visits

                              • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                              • $15 to $35 copay for each in-area network urgent care Medicare-covered visit
                              • $15 copay for each specialist visit for Medicare-covered benefits.
                              • $20 copay for each primary care doctor visit
                              • $20 copay for each specialist visit
                              Health Net Life Insurance Company Health Net Healthy Heart (PPO) (H5520-009) Local Preferred Provider Organization

                                Premium and Other Important Information

                                • Package: 1 - Extended Dental:
                                • $23 monthly premium in addition to your $149 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Comprehensive Dental
                                • $750 plan coverage limit every year for these benefits.
                                • $1 750 out-of-pocket limit for Medicare-covered services.
                                • $75 annual deductible. Contact the plan for services that apply.
                                • $3 500 out-of-pocket limit for Medicare-covered services.
                                • $149 monthly plan premium in addition to your monthly Medicare Part B premium.
                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                                • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                                Doctor Office Visits

                                • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $10 to $25 copay for each in-area network urgent care Medicare-covered visit
                                • $10 copay for each specialist visit for Medicare-covered benefits.
                                • $20 copay for each primary care doctor visit
                                • $20 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.
                                          Humana Insurance Company HumanaChoice H6609-015 (PPO) (H6609-015) Local Preferred Provider Organization

                                            Premium and Other Important Information

                                            • Package: 1 - MyOption Dental High PPO:
                                            • Package: 2 - MyOption Dental Low PPO:
                                            • Package: 3 - MyOption Vision:
                                            • Package: 4 - MyOption Plus:
                                            • Package: 5 - MyOption healthy Back:
                                            • $25 monthly premium in addition to your $52 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                            • $16 monthly premium in addition to your $52 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 $52 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                                            • $31 monthly premium in addition to your $52 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
                                            • $16 monthly premium in addition to your $52 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
                                            • $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.
                                            • $500 plan coverage limit every year for these benefits.
                                            • $3 400 out-of-pocket limit for Medicare-covered services.
                                            • $52 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.
                                            • $25 copay for each in-area network urgent care Medicare-covered visit
                                            • $25 copay for each specialist visit for Medicare-covered benefits.
                                            • $15 to $25 copay for each primary care doctor visit
                                            • $25 copay for each specialist visit
                                            Humana Insurance Company Humana Gold Choice H8145-097 (PFFS) (H8145-097) Private Fee for Service

                                              Premium and Other Important Information

                                              • Package: 1 - MyOption Dental High PPO:
                                              • Package: 2 - MyOption Dental Low PPO:
                                              • Package: 3 - MyOption Vision:
                                              • Package: 4 - MyOption Plus:
                                              • Package: 5 - MyOption Healthy Back:
                                              • $33 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                              • $20 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                              • $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
                                              • $31 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
                                              • $16 monthly premium in addition to your $0 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
                                              • $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.
                                              • $500 plan coverage limit every year for these benefits.
                                              • $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
                                              • 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% of the cost for each primary care doctor visit for Medicare-covered benefits.
                                              • 20% of the cost for each in-area network urgent care Medicare-covered visit
                                              • 20% of the cost for each specialist visit for Medicare-covered benefits.
                                              • 0% to 20% of the cost for each primary care doctor visit
                                              • 0% to 20% of the cost for each specialist visit
                                              Humana Insurance Company Humana Gold Choice H8145-109 (PFFS) (H8145-109) Private Fee for Service

                                                Premium and Other Important Information

                                                • Package: 1 - MyOption Dental High:
                                                • Package: 2 - MyOption Dental Low PPO:
                                                • Package: 3 - MyOption Vision:
                                                • Package: 4 - MyOption Plus:
                                                • Package: 5 - MyOption Healthy Back:
                                                • $33 monthly premium in addition to your $92 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental
                                                • $20 monthly premium in addition to your $92 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 $92 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Eye Exams Eye Wear
                                                • $31 monthly premium in addition to your $92 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Exams Eye Wear
                                                • $16 monthly premium in addition to your $92 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Chiropractic Services
                                                • $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.
                                                • $500 plan coverage limit every year for these benefits.
                                                • $3 400 out-of-pocket limit for Medicare-covered services.
                                                • $92 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.
                                                • $35 copay for each in-area network urgent care Medicare-covered visit
                                                • $35 copay for each specialist visit for Medicare-covered benefits.
                                                • $15 copay for each primary care doctor visit
                                                • $35 copay for each specialist visit
                                                Kaiser Permanente Senior Advantage Kaiser Permanente Senior Advantage (HMO) (H9003-001) HMO

                                                  Premium and Other Important Information

                                                  • Package: 1 - Advantage Plus:
                                                  • $38 monthly premium in addition to your $99 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Wear Hearing Ai
                                                  • $2 500 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                                                  • $99 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.
                                                  • $20 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.
                                                  Kaiser Permanente Senior Advantage Kaiser Permanente Senior Advantage Basic (HMO) (H9003-006) HMO

                                                    Premium and Other Important Information

                                                    • Package: 1 - Advantage Plus:
                                                    • $38 monthly premium in addition to your $39 monthly plan premium and the monthly Medicare Part B premium for the following optional benefits: Preventive Dental Comprehensive Dental Eye Wear Hearing Ai
                                                    • $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                                                    • $39 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.
                                                    • $35 copay for each in-area network urgent care Medicare-covered visit
                                                    • $30 copay for each specialist visit for Medicare-covered benefits.
                                                    Providence Health Plans Providence Medicare Extra + RX (HMO) (H9047-001) HMO

                                                      Premium and Other Important Information

                                                      • $2 500 out-of-pocket limit. All plan services included.
                                                      • $130 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

                                                      • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                      • $25 copay for each in-area network urgent care Medicare-covered visit
                                                      • $15 copay for each specialist visit for Medicare-covered benefits.
                                                      Providence Health Plans Providence Medicare Choice + RX (HMO-POS) (H9047-024) HMO with POS Option

                                                        Premium and Other Important Information

                                                        • $3 400 out-of-pocket limit. All plan services included.
                                                        • $75 annual deductible. Contact the plan for services that apply.
                                                        • $76 monthly plan premium in addition to your monthly Medicare Part B premium.
                                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                                        Doctor Office Visits

                                                        • $20 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.
                                                        Providence Health Plans Providence Medicare Extra (HMO) (H9047-033) HMO

                                                          Premium and Other Important Information

                                                          • $2 500 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

                                                          • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                                          • $25 copay for each in-area network urgent care Medicare-covered visit
                                                          • $15 copay for each specialist visit for Medicare-covered benefits.
                                                          Providence Health Plans Providence Medicare Choice (HMO-POS) (H9047-035) HMO with POS Option

                                                            Premium and Other Important Information

                                                            • $3 400 out-of-pocket limit. All plan services included.
                                                            • $75 annual deductible. Contact the plan for services that apply.
                                                            • $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

                                                            • $20 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.

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