Anthem Medicare Preferred Standard Dodge County, WI Medicare Advantage Plan

CMS Rating:Anthem Medicare Preferred Standard, a 2014 Medicare Advantage plan for Dodge County, WI seniors, has an average CMS rating of 3.0 out of 5 stars.
Plan Year:2014
Monthly Premium:$62.00
Includes Part D:Yes
Part D Deductible:$176.00
Mail Order Pharmacy:No
Part D Gap Coverage:No Gap Coverage
Plan ID:H4036-005
For Residents Of:Dodge County, WI
Plan Brochure:Anthem Medicare Preferred Standard Medicare Advantage plan Summary of Benefits for Dodge County, WI
Local PPO Plan
$62.00
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Medicare Advantage Plan Summary & Benefits

Anthem Medicare Preferred Standard Medicare Advantage Plan for Dodge County, Wisconsin seniors on Medicare.Anthem Medicare Preferred Standard (H4036-005), Preferred Provider Organization Advantage Plan, Dodge County, WI by Anthem Blue Cross and Blue Shield

Anthem Medicare Preferred Standard is a Preferred Provider Organization (PPO) health insurance plan for seniors and other Medicare beneficiaries in Dodge County, Wisconsin 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 $62.00.

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 Anthem Medicare Preferred Standard are allowed to offer a voluntary MOOP as low as $3,400.The Anthem Medicare Preferred Standard Medicare Advantage plan MOOP is $4,200. 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 $4,200, 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

To help shoppers compare private health insurance options, Medicare rates the quality of all Medicare Advantage plans. The Centers for Medicare and Medicare Services rates each plan using a one to five-star scale, with one star representing the lowest quality and five stars the highest.

The Anthem Medicare Preferred Standard 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

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Anthem Medicare Preferred Standard Availability

Anthem Medicare Preferred Standard is available in Reeseville, Brownsville, Fox Lake, Horicon, Randolph, Rubicon, Iron Ridge, Ashippun, Lomira, Neosho, Woodland, Hustisford, Waupun, Watertown, Clyman, Burnett, Lowell, Theresa, Lebanon, Beaver Dam, Mayville, Juneau, and all other locations in Dodge County.

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