WellCare Value Dallas County, TX Medicare Advantage Plan

CMS Rating:WellCare Value, a 2014 Medicare Advantage plan for Dallas County, TX seniors, has an average CMS rating of 3.0 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:No Gap Coverage
Plan ID:H1264-004
For Residents Of:Dallas County, TX
Plan Brochure:WellCare Value Medicare Advantage plan Summary of Benefits for Dallas County, TX
Local HMO Plan
WellCare logo

Medicare Advantage Plan Summary & Benefits

WellCare Value Medicare Advantage Plan for Dallas County, Texas seniors on Medicare.WellCare Value (H1264-004), Health Maintenance Organization Advantage Plan, Dallas County, TX by WellCare

WellCare Value is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in Dallas County, Texas. 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

All Medicare Advantage plans have a maximum out-of-pocket (MOOP) limit of $6,700. This is mandated by law. However, plans like WellCare Value are allowed to offer a voluntary MOOP as low as $3,400.The WellCare Value Medicare Advantage plan MOOP is $6,700. This figure does not include your monthly premium or the cost of your prescriptions (Part D Coverage).

What this means is that as soon as your copayments and coinsurance for doctor visits and hospital care reaches $6,700, you will no longer pay copayment or coinsurance for the remainder of the year. This is your guarantee that a critical illness or serious accident will protect you from financial liability. It's just as important as the premiums and the co-payments.

When comparing Medicare Advantage plans with traditional Medicare, don't forget that you pay about twenty percent of all covered expenses, but there's no limit. That means you have a lot of risk unless you purchase a Medicare supplement policy to cover the gap.

CMS 5-Star Rating

After its first year on the market, each Medicare Advantage plan receives a one to five star rating from the Centers for Medicare and Medicaid Services (CMS). The relative quality assessment of health insurance by CMS assists people who are considering enrollment. Plans with five stars represent the highest quality, whereas a one star plan has the worst quality.

The WellCare Value Medicare Advantage plan has received a 3.0 out of 5 star average rating. Overall, CMS considers this plan to be Average (as of 15 October, 2013).

Compare Medicare Advantage Plans

Compare WellCare Value with these top rated Medicare Advantage Plans available in Dallas County:

Additional Senior Health Plans in Dallas County, TX

WellCare Value Availability

WellCare Value is available in Wilmer, Lancaster, Seagoville, Balch Springs, Dallas, Irving, Sunnyvale, Carrollton, Richardson, Duncanville, Grand Prairie, Hutchins, Mesquite, Desoto, Addison, Garland, Sachse, Rowlett, Cedar Hill, Coppell, and all other locations in Dallas County.

This page was last updated on: 8/18/2014