Sharp SecureHorizons Plan by UnitedHealthcare: Medicare Advantage Local HMO Plan for San Diego, CA Beneficiaries

Sharp SecureHorizons Plan by UnitedHealthcare (H0543-145), Health Maintenance Organization Advantage Plan, San Diego County, CA

Sharp SecureHorizons Plan by UnitedHealthcare is a Health Maintenance Organization (HMO) healthcare plan for seniors and other beneficiaries residing in San Diego County, CA. 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.

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.

Sharp SecureHorizons Plan by UnitedHealthcare Monthly Premium in San Diego 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.

Sharp SecureHorizons Plan by UnitedHealthcare 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.

Sharp SecureHorizons Plan by UnitedHealthcare Part D Plan Information

The Part D deductible for this plan is $0.00. That means you have first dollar coverage.

Sharp SecureHorizons Plan by UnitedHealthcare 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 prescription drugs 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 $4,900

Additional Facilities and Services Near San Diego, CA

• San Diego County, CA Skilled Nursing Facilities
• Home Care Facilities for Seniors in San Diego County, CA
• Hospital Accepting Patients with Medicare Benefits in San Diego County, CA
• California Medigap Medicare Supplements
• Dental Plans for California Seniors
• Part D Prescription Drug Medicare Benefits for California Seniors
• Mobility Aids, Power Chairs, Walkers, and Mobility Scooters

This page was last updated on: 4/29/2013