AARP MedicareComplete Plan 1, a Suffolk County, Massachusetts Medicare Advantage plan from UnitedHealthcare, is a Health Maintenance Organization (HMO) option for people with Medicare. It gives you all of the same health insurance benefits as original Medicare and offers extras that Medicare does not cover.
The insurance premium is $0.00 per month. You also have co-payments and/or co-insurances with each healthcare service that you use. You can learn more about the basic coverage costs on the co-payments page.
The real benefit of an HMO plan like AARP MedicareComplete Plan 1 is lower, predictable out-of-pocket expenses. Although more restrictive than original Medicare, a Medicare Advantage HMO plan limits your annual out-of-pocket costs. With Medicare Parts A and B, there's no cap, leaving you vulnerable to excessive medical bills.
With an HMO you are required to use healthcare providers in the plan's network. If you don't you will incur additional costs. Also, be aware that your primary care physician must make refer you before you see a specialist.
After its first year on the market, the CMS (Centers for Medicare and Medicaid Services) gives each plan an overall one to five star rating. The unbiased quality assessment assists people when comparing plans. Medicare Advantage plans with five stars have the highest quality, whereas a one star plan has the lowest quality.
The CMS has awarded AARP MedicareComplete Plan 1 Above Average as compared to all others (as of 15 October, 2014).out of 5 stars. That means Medicare deems this plan
By law, Medicare Advantage plans have an out-of-pocket limit of $6,700 per year. That said, plans can offer an out-of-pocket maximum as low as $3,400 per year. This plan's out-of-pocket spending limit is $6,700 per year. This amount is not inclusive of your monthly premium or the cost of your prescriptions. It's only what you pay when you receive heathcare services.
What this means to you is that you will no longer make co-payments or co-insurance payments when your out-of-pocket spending reaches $6,700. This is your safety net in the event of a critical illness or a serious accident. It protects you from serious financial liability and it should be carefully considered along with the premium and the co-payments.When comparing AARP MedicareComplete Plan 1 with original Medicare benefits, don't forget that you pay about twenty percent of all healthcare expenses covered by Part A and Part B, but there is no out-of-pocket limit. In other words, you have a lot of risk unless you get a Medigap policy to cover the gaps.
Your healthcare needs are as unique as you are, so shop around. We recommend comparing AARP MedicareComplete Plan 1 with:
- Medicare PPO Blue PlusRx
- Fallon Senior Plan Plus Enhanced RX
- Fallon Senior Plan Saver Enhanced RX
- Tufts Medicare Preferred HMO Saver Rx
- Fallon Senior Plan Saver
Who Can Join?
You can join AARP MedicareComplete Plan 1 if you are entitled to Medicare Part A and enrolled in Medicare Part B and live in the service area. You must continue to pay your Medicare Part B premium. The service area includes: Boston, Roxbury, Roxbury Crossing, Dorchester, Dorchester Center, Mattapan, South Boston, Charlestown, Jamaica Plain, Roslindale, West Roxbury, Allston, Brighton, Hyde Park, Readville, Chelsea, Revere, Winthrop, East Boston, and all other areas of Suffolk County, Massachusetts.
CMS File Date: October 15, 2014.
This Medicare Advantage Plan catalog is maintained by 9/14/2015. For more information, download the Summary of Benefits , visit the UnitedHealthcare website, or call UnitedHealthcare at N/A.and was last updated on