WellCare Value Forsyth County, GA Medicare Advantage Plan
Medicare Advantage Plan Summary & Benefits
WellCare Value (H1112-027), Health Maintenance Organization Advantage Plan, Forsyth County, GA by WellCare
WellCare Value is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in Forsyth County, Georgia. 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 $6,700. 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
To help shoppers compare private health insurance options, Medicare rates the quality of all Medicare Advantage plans. The Centers for Medicare and Medicare Services rates each plan using a one to five-star scale, with one star representing the lowest quality and five stars the highest.
The WellCare Value Medicare Advantage plan has received a Below Average (as of 15 October, 2013).out of 5 star average rating. Overall, CMS considers this plan to be
Compare Medicare Advantage Plans
Compare WellCare Value with these top rated Medicare Advantage Plans available in Forsyth County:
- Kaiser Permanente Senior Advantage Enhanced
- Kaiser Permanente Senior Advantage Basic
- Aetna Medicare Standard Plan
- Aetna Medicare Premier Plan
- Medicare Preferred Core
Related Medicare Health Plans in Forsyth County, GA
- Medicare Advantage Plans in Forsyth County, GA
- Georgia Medigap Medicare Supplements
- Senior Dental Insurance Available in Georgia
- Georgia Medicare Part D Prescription Drug Plans
WellCare Value Availability
The WellCare Value Mediare Advantage plan is currently available to residents of Cumming, and all other locations in Forsyth County, Georgia.
This page was last updated on: 7/20/2014