Humana Gold Choice H8145-126 Tyler County, TX Medicare Advantage Plan
Medicare Advantage Plan Summary & Benefits
Humana Gold Choice H8145-126 (H8145-126), Private Fee-for-Service Advantage Plan, Tyler County, TX by Humana Insurance Company
Humana Gold Choice H8145-126 is a Private Fee-for-Service (PFFS) health insurance for people with Medicare in Tyler County, Texas. With a Medicare Advantage PFFS plan you can see almost any doctor you choose, as long as the provider accepts the plan's Terms and Conditions of Payment. Many Private Fee-for-Service plans combine all the benefits of Original Medicare, prescription drug coverage and many extras into one simple, easy-to-use plan. If that's what you want, be sure to read all of the details. The monthly premium is $15.00.
The Humana Gold Choice H8145-126 Private Fee-for-Service plan works differently than a Medicare Supplement (Medigap). With a Medicare Advantage PFFS plan your doctor or hospital can continue to treat you if it agrees to accept the terms and conditions of payment. For the same reason, they can choose not to treat you (with the exception of emergencies).
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 Humana Gold Choice H8145-126 are allowed to offer a voluntary MOOP as low as $3,400.The Humana Gold Choice H8145-126 Medicare Advantage plan MOOP is N/A. 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 N/A, 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 Humana Gold Choice H8145-126 Medicare Advantage plan is new and has not yet been rated by CMS. This is why the plan's rating is listed as out of 5 stars (as of 15 October, 2013).
Compare Medicare Advantage Plans
Compare Humana Gold Choice H8145-126 with these top rated Medicare Advantage Plans available in Tyler County:
- Cigna-HealthSpring Advantage
- HumanaChoice R5826-012
- Cigna-HealthSpring Preferred
- HumanaChoice R5826-026
- Care Improvement Plus Medicare Advantage
Related Medicare Health Plans in Tyler County, TX
- Medicare Advantage Plans in Tyler County, TX
- Texas Medigap Medicare Supplements
- Senior Dental Insurance Available in Texas
- Texas Medicare Part D Prescription Drug Plans
Humana Gold Choice H8145-126 Availability
The Humana Gold Choice H8145-126 Mediare Advantage plan is currently available to residents of Woodville, Spurger, Hillister, Warren, Fred, Doucette, Colmesneil, Chester, and all other locations in Tyler County, Texas.
This page was last updated on: 7/20/2014