Sharp SecureHorizons Plan by UnitedHealthcare San Diego County, CA Medicare Advantage Plan
Medicare Advantage Plan Summary & Benefits
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 Above Average (as of 15 October, 2013).out of 5 star average rating. Overall, CMS considers this plan to be
Compare Medicare Advantage Plans
Compare Sharp SecureHorizons Plan by UnitedHealthcare with these top rated Medicare Advantage Plans available in San Diego County:
- Kaiser Permanente Senior Advantage San Diego
- AARP MedicareComplete SecureHorizons Premier
- Health Net Seniority Plus Green
- SCAN Signature
- AARP MedicareComplete SecureHorizons Essential
Related Medicare Health Plans in San Diego County, CA
- Medicare Advantage Plans in San Diego County, CA
- California Medigap Medicare Supplements
- Senior Dental Insurance Available in California
- California Medicare Part D Prescription Drug Plans
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