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
The new healthcare law allows for a maximum limit of $6,700 on your out of pocket medical costs for 2014 Medicare Advantage plans. This amount is commonly called the plan MOOP (Maximum Out of Pocket). A plan's MOOP does not include your prescriptions or the monthly premiums you pay for your health plan.
Although the mandatory MOOP limit is $6,700, the Affordable Care Act law allows for a “Voluntary MOOP” that can be as low as $3,400. The MOOP on this plan is N/A. You need to take this figure into as much consideration as the premiums and the co-payments.
If you are comparing this Medicare Advantage plan with your Original Medicare benefits, take into consideration that the government does not have out-of-pocket limits on Medicare Parts A and B. With traditional Medicare the only way to protect yourself is to purchase a Medigap insurance policy to supplement your coverage.
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 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
Additional Senior Health Plans in Tyler County, TX
- Medicare Advantage HMO and PPO Plans Available in Tyler County, TX
- Texas Medigap Medicare Supplements
- Dental Plans for Texas Seniors
- Medicare Part D Prescription Drug Plans for Texas Seniors
Humana Gold Choice H8145-126 Availability
Humana Gold Choice H8145-126 is available in Warren, Colmesneil, Fred, Woodville, Doucette, Chester, Hillister, Spurger, and all other locations in Tyler County.
This page was last updated on: 8/18/2014