Presbyterian MediCare PPO Plan 3 with Rx Union County, NM Medicare Advantage Plan

CMS Rating:Presbyterian MediCare PPO Plan 3 with Rx, a 2014 Medicare Advantage plan for Union County, NM seniors, has an average CMS rating of 3.0 out of 5 stars.
Plan Year:2014
Monthly Premium:$132.00
Includes Part D:Yes
Part D Deductible:$0.00
Mail Order Pharmacy:No
Part D Gap Coverage:Many Generics
Plan ID:H3206-002
For Residents Of:Union County, NM
Plan Brochure:Not Available
Local PPO Plan
Presbyterian MediCare PPO logo

Medicare Advantage Plan Summary & Benefits

Presbyterian MediCare PPO Plan 3 with Rx Medicare Advantage Plan for Union County, New Mexico seniors on Medicare.Presbyterian MediCare PPO Plan 3 with Rx (H3206-002), Preferred Provider Organization Advantage Plan, Union County, NM by Presbyterian MediCare PPO

Presbyterian MediCare PPO Plan 3 with Rx is a Preferred Provider Organization (PPO) health insurance plan for seniors and other Medicare beneficiaries in Union County, New Mexico with Medicare benefits. A Medicare Advantage PPO plan gives you freedom to choose which doctors, specialists, and hospitals you visit. You can lower your costs when you use network providers. Plus, predictable copayments and coinsurance make it easier for you to budget healthcare costs. The monthly premium is $132.00.

Maximum Out-of-Pocket (MOOP) Expense

By law, private Medicare health insurance has an annual maximum out-of-pocket (MOOP) limit that helps protect you from financial disaster. The MOOP limit in 2014 is $6,700, but plans are allowed to have a MOOP as low as $3,400.

The most you will pay out-of-pocket, if you enroll in the Presbyterian MediCare PPO Plan 3 with Rx Medicare Advantage plan, is $3,000. This figure does not include your monthly premiums or your Medicare Part D coverage for prescriptions. This is what you pay out-of-pocket on co-payments and co-insurance.

Be sure to compare the co-payments and co-insurance with traditional Medicare, but be aware that there are no out-of-pocket limits with Medicare Parts A and B. With Original Medicare you must buy supplemental insurance to cover the gaps or pay out-of-pocket.

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 Presbyterian MediCare PPO Plan 3 with Rx 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).

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Presbyterian MediCare PPO Plan 3 with Rx Availability

Presbyterian MediCare PPO Plan 3 with Rx is available in Folsom, Grenville, Gladstone, Clayton, Sedan, Capulin, Des Moines, Amistad, and all other locations in Union County.

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