Advantra Preferred Burke County, GA Medicare Advantage Plan

CMS Rating:Advantra Preferred, a 2014 Medicare Advantage plan for Burke County, GA seniors, has an average CMS rating of 3.0 out of 5 stars.
Plan Year:2014
Monthly Premium:$0.00
Includes Part D:Yes
Part D Deductible:$0.00
Mail Order Pharmacy:No
Part D Gap Coverage:No Gap Coverage
Plan ID:H9847-005
For Residents Of:Burke County, GA
Plan Brochure:Advantra Preferred Medicare Advantage plan Summary of Benefits for Burke County, GA
Local PPO Plan
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Medicare Advantage Plan Summary & Benefits

Advantra Preferred Medicare Advantage Plan for Burke County, Georgia seniors on Medicare.Advantra Preferred (H9847-005), Preferred Provider Organization Advantage Plan, Burke County, GA by Coventry Health Care

Advantra Preferred is a Preferred Provider Organization (PPO) health insurance plan for seniors and other Medicare beneficiaries in Burke County, Georgia 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 $0.00.

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 $4,400. 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 Advantra Preferred 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).

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This page was last updated on: 6/22/2014