Lovelace Medicare Plan Enhanced provided by BCBSNM, a Chaves County, New Mexico Medicare Advantage plan from Lovelace Medicare Plan, 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 $143.00 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 Lovelace Medicare Plan Enhanced provided by BCBSNM 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.
To help seniors compare plans, Medicare rates the relative quality of all plans. After a full year on the market, each plan receives a one to five-star over-all mark, with one star being the lowest quality and five stars the highest quality.
The CMS has awarded Lovelace Medicare Plan Enhanced provided by BCBSNM Above Average as compared to all others (as of 15 October, 2014).out of 5 stars. That means Medicare deems this plan
Medicare Advantage plans are limited to a maximum out-of-pocket limit of $6,700 (annually). This out-of-pocket limit does not include your prescriptions or your monthly premiums. It only applies to your costs for healthcare services.
Although the mandatory limit is $6,700, the CMS allows plans to offer a lower limit that can be as low as $3,400. The out-of-pocket limit on this plan is $6,700. Be sure to take into consideration, along with the premium and the co-payments, when making your enrollment decision.
If you are comparing Lovelace Medicare Plan Enhanced provided by BCBSNM with your original Medicare benefits, it's important to remember that there are no limits to your out-of-pocket expenses with Medicare Part A or Medicare Part B. If you keep your original Medicare benefits, the only way to avoid high medical bills is to purchase Medicare Supplement insurance to supplement your coverage.
Be a smart shopper. Compare Lovelace Medicare Plan Enhanced provided by BCBSNM with these plans:
- Lovelace Medicare Plan $0 provided by BCBSNM
- Presbyterian MediCare PPO Plan 1
- Presbyterian MediCare PPO Plan 3 with Rx
- Presbyterian MediCare PPO Plan 2 with Rx
- Amerivantage Classic + Rx
Lovelace Medicare Plan Enhanced provided by BCBSNM vs. Medigap Plan K
If you're looking at Lovelace Medicare Plan Enhanced provided by BCBSNM because of it premium, we suggest looking a Medigap Plan K, as well. The out-of-pocket limit on Plan K is $4,940 vs. $6,700 on this plan. You also have complete freedom to see the physician you choose. Visit Medigap Plan K vs. Medicare Advantage to see other important differences.
Who Can Join?
You can join Lovelace Medicare Plan Enhanced provided by BCBSNM 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: Roswell, Dexter, Hagerman, Lake Arthur, and all other areas of Chaves County, New Mexico.
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 (N/A), visit the Lovelace Medicare Plan website, or call Lovelace Medicare Plan at N/A.and was last updated on