Kaiser Permanente Senior Advantage Alam., SF, Napa: Medicare Advantage Local HMO Plan for San Francisco, CA Beneficiaries
| Summary Rating: |  |
|---|---|
| Part C Premium: | $76.00 |
| Part D Deductible: | $0.00 |
| ICL: | $0.00 |
| Mail Order: | No |
| Gap Coverage: | All Generics and Few Brands |
| LIS: | No |
| Formulary Drugs: | 0 |
| Plan ID: | H0524-032 |
| Plan Year: | 2013 |
| Residents of: | CA Residents |
| Plan Type: | Local HMO |
| Regional Members: | 43712 |
Plan Summary & Benefits
Kaiser Permanente Senior Advantage Alam., SF, Napa (H0524-032), Medicare Advantage Health Maintenance Organization Plan, San Francisco County, CA
Kaiser Permanente Senior Advantage Alam., SF, Napa is a Health Maintenance Organization (HMO) healthcare plan for seniors with Medicare benefits residing in San Francisco County, CA. 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.
Kaiser Permanente Senior Advantage Alam., SF, Napa Monthly Premium, San Francisco County
The monthly premium for this healthcare plan is $76.00 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.
Kaiser Permanente Senior Advantage Alam., SF, Napa, San Francisco 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.
Kaiser Permanente Senior Advantage Alam., SF, Napa 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 $3,400
More Information
About The Insurer Kaiser Permanente Senior Advantage
The organization that is now Kaiser Permanente began at the height of the Great Depression with a single inventive young surgeon and a 12-bed hospital in the middle of the Mojave Desert. When Sidney Garfield, MD, looked at the thousands of men involved in building the Los Angeles Aqueduct, he saw an opportunity. He borrowed money to build Contractors General Hospital; six miles from a tiny town called Desert Center, and began treating sick and injured workers.
Today Kaiser Permanente is a working partnership of two organizations: the not-for-profit Kaiser Foundation Health Plan and Hospitals, and the Permanente Medical Groups.
The summary (overall) rating for this Kaiser Permanente Senior Advantage plan is 5.0 out of 5 based on reviews from 43712 user ratings from the previous year. For more information about the review process, visit http://cms.gov.