Humana Gold Choice : Medicare Advantage PFFS Plan for Mahoning, OH Beneficiaries
| Summary Rating: |  |
|---|---|
| Part C Premium: | $92.00 |
| Part D Deductible: | $0.00 |
| ICL: | $0.00 |
| Mail Order: | No |
| Gap Coverage: | Few Generics and Few Brands |
| LIS: | No |
| Formulary Drugs: | 0 |
| Plan ID: | H8145-032 |
| Plan Year: | 2013 |
| Residents of: | OH Residents |
| Plan Type: | PFFS |
| Regional Members: | 0 |
Plan Summary & Benefits
Humana Gold Choice (H8145-032), Medicare Advantage Private Fee-for-Service Plan, Mahoning County, OH
Humana Gold Choice is a Private Fee-for-Service (PFFS) plan for seniors with Medicare benefit living in Mahoning County, OH. With a Medicare Advantage PFFS plan you can see almost any doctor you choose, as long as the provider accepts the plan's Terms and Conditions of Payment. Many Private Fee-for-Service plans combine all the benefits of Original Medicare, prescription coverage and many extras into one simple, easy-to-use plan. If that's what you want, be sure to read all of the details.
The Humana Gold Choice Private Fee-for-Service plan works differently than a Medicare Supplement plan. With a Medicare Advantage PFFS plan your doctor or hospital can continue to treat you if it agrees to accept the terms and conditions of payment. For the same reason, they can choose not to treat you (with the exception of emergencies).
The benefit information provided herein is a brief summary, not a comprehensive description of available benefits. Additional information about the plan benefits is available from your agent.
Humana Gold Choice Monthly Premium, Mahoning County
The monthly premium for this healthcare plan is $92.00 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.
Humana Gold Choice , Mahoning 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.
Humana Gold Choice 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 N/A
More Information
About The Insurer Humana Insurance Company
Humana Inc., headquartered in Louisville, Kentucky, is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom the company has relationships.
The summary (overall) rating for this Humana Insurance Company plan is 3.5 out of 5 based on reviews from 0 user ratings from the previous year. For more information about the review process, visit http://cms.gov.