Medicare Masterpiece: Medicare Advantage Local HMO Plan for Hillsborough, FL Beneficiaries
| Summary Rating: |  |
|---|---|
| Part C Premium: | $0.00 |
| Part D Deductible: | $0.00 |
| ICL: | $0.00 |
| Mail Order: | No |
| Gap Coverage: | Many Generics |
| LIS: | No |
| Formulary Drugs: | 3152 |
| Plan ID: | H5404-001 |
| Plan Year: | 2013 |
| Residents of: | FL Residents |
| Plan Type: | Local HMO |
| Regional Members: | 13047 |
Plan Summary & Benefits
Medicare Masterpiece (H5404-001), Medicare Advantage Health Maintenance Organization Plan, Hillsborough County, FL
Medicare Masterpiece is a Health Maintenance Organization (HMO) healthcare plan for seniors with Medicare benefits residing in Hillsborough County, FL. It includes all of the benefits of Original Medicare and may include prescription coverage and other extras. The primary benefit of an HMO is that the out-of-pocket costs are lower and more predictable than with other types of plans.
Please note: You must use plan providers to avoid incurring additional costs. You will be responsible for the costs of out of network care. Referrals may be required for all but primary care physician visits.
The health care benefit information provided here is an overview only and not a comprehensive description of available benefits. Additional information about the plan benefits is available from your agent.
Medicare Masterpiece Monthly Premium, Hillsborough County
The monthly premium for this healthcare plan is $0.00 plus your monthly Medicare Part B premium. Most Medicare Beneficiaries pay the standard monthly Part B premium in addition to their MA or MAPD plan premium. However, some beneficiaries are required to pay slightly higher Part B and Part D premiums because of their income (over $85,000 per year for singles or $170,000 for married couples), or due to late enrollment penalties.
Medicare Masterpiece, Hillsborough County Summary of Benefits
NOTE: As of this publication date the Summary of Benefits information for this 2013 plan was not available from CMS. Please ask your agent for the Summary of Benefits documentation.
The Part D deductible for this plan is $0.00. That means you have first dollar coverage.
Medicare Masterpiece Maximum Out of Pocket (MOOP) Benefit
The new ObamaCare (Patient Protection and Affordable Care Act) law placed a mandatory maximum limit of $6,700 on all out of pocket medical costs for Medicare Advantage plans, which is referred to as the Maximum Out of Pocket or MOOP. The MOOP does not include prescriptions and monthly premiums. The Mandatory MOOP is $6,700 but the Affordable Care Act allows for a “Voluntary MOOP” of up to $3,400. This plan's MOOP is $2,450
More Information
About The Insurer Universal Health Care, Inc.
Universal Health Care is a Medicare/Medicaid health insurance provider based in St. Petersburg, Florida. We provide managed care services for government sponsored health care programs, focusing on Medicare and Medicaid. We offer a variety of health insurance products to our Members, including Medicare Advantage plans in 19 States, Medicaid in the State of Florida, and a Long-Term Community Diversion program in Florida (designed to enable seniors to live a healthy and comfortable life in their homes). All of our subsidiaries operate under the umbrella of Universal Health Care and maintain the same high standards of quality health care and customer service.The summary (overall) rating for this Universal Health Care, Inc. plan is 2.5 out of 5 based on reviews from 13047 user ratings from the previous year. For more information about the review process, visit http://cms.gov.