Blue Medicare HMO Standard Nash County, NC Medicare Advantage Plan
Medicare Advantage Plan Summary & Benefits
Blue Medicare HMO Standard (H3449-013), Health Maintenance Organization Advantage Plan, Nash County, NC by Blue Cross and Blue Shield of North Carolina
Blue Medicare HMO Standard is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in Nash County, North Carolina. 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
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 Blue Medicare HMO Standard Medicare Advantage plan, is $3,400. 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
The Centers for Medicare and Medicaid Services (CMS) rates the relative quality of all private health insurance offered through the Medicare Advantage program. The ratings are designed to assist people considering enrolling. CMS rates plans on a one to five-star scale, with five stars representing the best quality.
The Blue Medicare HMO Standard Medicare Advantage plan has received a Average (as of 15 October, 2013).out of 5 star average rating. Overall, CMS considers this plan to be
Compare Medicare Advantage Plans
Compare Blue Medicare HMO Standard with these top rated Medicare Advantage Plans available in Nash County:
- HumanaChoice R5826-063
- HumanaChoice R5826-003
- Blue Medicare PPO Enhanced
- HumanaChoice R5826-079
- Blue Medicare HMO Medical Only
Additional Senior Health Plans in Nash County, NC
- Medicare Advantage HMO and PPO Plans Available in Nash County, NC
- North Carolina Medigap Medicare Supplements
- Dental Plans for North Carolina Seniors
- Medicare Part D Prescription Drug Plans for North Carolina Seniors
Blue Medicare HMO Standard Availability
The Blue Medicare HMO Standard Mediare Advantage plan is currently available to residents of Sharpsburg, Nashville, Castalia, Rocky Mount, Whitakers, Middlesex, Bailey, Red Oak, Spring Hope, and all other locations in Nash County, North Carolina.
This page was last updated on: 7/20/2014