Sharp SecureHorizons Plan by UnitedHealthcare San Diego County, CA Medicare Advantage Plan

CMS Rating:Sharp SecureHorizons Plan by UnitedHealthcare, a 2014 Medicare Advantage plan for San Diego County, CA seniors, has an average CMS rating of 4.0 out of 5 stars.
Plan Year:2014
Monthly Premium:$0.00
Includes Part D:Yes
Part D Deductible:$0.00
Mail Order Pharmacy:No
Part D Gap Coverage:Some Generics
Plan ID:H0543-145
For Residents Of:San Diego County, CA
Plan Brochure:Sharp SecureHorizons Plan by UnitedHealthcare Medicare Advantage plan Summary of Benefits for San Diego County, CA
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Medicare Advantage Plan Summary & Benefits

Sharp SecureHorizons Plan by UnitedHealthcare Medicare Advantage Plan for San Diego County, California seniors on Medicare.Sharp SecureHorizons Plan by UnitedHealthcare (H0543-145), Health Maintenance Organization Advantage Plan, San Diego County, CA by UnitedHealthcare

Sharp SecureHorizons Plan by UnitedHealthcare is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in San Diego County, California. It includes all of the benefits of Original Medicare and may include prescription drug 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. The monthly premium is $0.00.

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.

Maximum Out-of-Pocket (MOOP) Expense

The new healthcare law allows for a maximum limit of $6,700 on your out of pocket medical costs for 2014 Medicare Advantage plans. This amount is commonly called the plan MOOP (Maximum Out of Pocket). A plan's MOOP does not include your prescriptions or the monthly premiums you pay for your health plan.

Although the mandatory MOOP limit is $6,700, the Affordable Care Act law allows for a “Voluntary MOOP” that can be as low as $3,400. The MOOP on this plan is $5,700. You need to take this figure into as much consideration as the premiums and the co-payments.

If you are comparing this Medicare Advantage plan with your Original Medicare benefits, take into consideration that the government does not have out-of-pocket limits on Medicare Parts A and B. With traditional Medicare the only way to protect yourself is to purchase a Medigap insurance policy to supplement your coverage.

CMS 5-Star Rating

The Centers for Medicare and Medicaid Services (CMS) rates the relative quality of all private health insurance offered through the Medicare Advantage program. The ratings are designed to assist people considering enrolling. CMS rates plans on a one to five-star scale, with five stars representing the best quality.

The Sharp SecureHorizons Plan by UnitedHealthcare Medicare Advantage plan has received a 4.0 out of 5 star average rating. Overall, CMS considers this plan to be Above Average (as of 15 October, 2013).

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Sharp SecureHorizons Plan by UnitedHealthcare Availability

The Sharp SecureHorizons Plan by UnitedHealthcare Mediare Advantage plan is currently available to residents of Jamul, La Jolla, Rancho Santa Fe, Vista, Pauma Valley, Imperial Beach, Poway, Campo, Del Mar, Fallbrook, Valley Center, Ranchita, El Cajon, Carlsbad, Borrego Springs, Potrero, Pine Valley, Bonita, Boulevard, Coronado, La Mesa, San Marcos, Palomar Mountain, Mount Laguna, Julian, Solana Beach, Lemon Grove, Ramona, Cardiff By The Sea, Spring Valley, Jacumba, Alpine, National City, Bonsall, Pala, San Diego, Tecate, Encinitas, Oceanside, Descanso, Escondido, Santa Ysabel, Lincoln Acres, Lakeside, San Luis Rey, Guatay, San Ysidro, Santee, Chula Vista, Dulzura, Warner Springs, Camp Pendleton, and all other locations in San Diego County, California.

This page was last updated on: 7/20/2014