WellCare Value Forsyth County, GA Medicare Advantage Plan

Quality Rating:WellCare Value for  County, GA, a 2015 Medicare Advantage plan, gets 3.0 out of 5 stars from CMS.
Plan ID:H1112-027
Plan Year:2015
Prescriptions:Yes
Rx Deductible:$0.00
Mail Order Rx:No
Donut Hole Coverage:No
Benefits PDF:WellCare Value Medicare Plan Summary of Benefits PDF Download
Local HMO Plan
$0.00
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WellCare Value Overview

WellCare Value Medicare Advantage Plan for Forsyth County, Georgia seniors on Medicare.WellCare Value for Forsyth County, Georgia, by WellCare, is a Health Maintenance Organization (HMO) Medicare Advantage plan for seniors on Medicare. It gives you all of the same health insurance benefits as traditional Medicare and offers extras that Medicare does not cover.

The insurance premium is $0.00 per month. You also have co-payments and/or co-insurances with each healthcare service that you use. You can learn more about the basic coverage costs on the co-payments page.

The real benefit of an HMO plan like WellCare Value is lower, predictable out-of-pocket expenses. Although more restrictive than traditional Medicare, a Medicare Advantage HMO plan limits your annual out-of-pocket costs. With Medicare Parts A and B, there's no cap, leaving you vulnerable to excessive medical bills.

With an HMO you are required to use healthcare providers in the plan's network. If you don't you will incur additional costs. Also, be aware that your primary care physician must make refer you before you see a specialist.

WellCare Value Quality Rating

To help seniors compare Medicare Advantage plans, Medicare rates the relative quality of all plans. After a full year on the market, each plan receives a one to five-star over-all mark, with one star being the lowest quality and five stars the highest quality.

The CMS has awarded WellCare Value 3.0 out of 5 stars. That means Medicare deems this plan Average as compared to all others (as of 15 October, 2013).

WellCare Value Out-of-Pocket Expenses

One of the benefits built in to all Medicare Advantage plans is an annual out-of-pocket limit. The maximum is $6,700, but plans are allowed to offer a voluntary limit as low as $3,400 per year.

The most you will pay out-of-pocket if you enroll in this plan is $6,700. This amount is what you actually pay for your healthcare services. It does not include your monthly premium or your prescriptions. It's only the costs you pay out-of-pocket on co-payments and co-insurances.

It's important to do your homework and compare the co-payments and co-insurance with this plan to those of traditional Medicare. Also, be aware that Medicare Part A and Part B do not limit your out-of-pocket costs like Medicare Advantage. If you stay in traditional Medicare you must add supplemental Medicare insurance to cover the cost gaps.

Compare Medicare Health Insurance Plans

Make sure you get the best health insurance for your unique situation. Compare WellCare Value with these Medicare Advantage plans:

Availability

WellCare Value is available in the following Georgia cities: Cumming, and all other areas of Forsyth County.

CMS File Date: October 15, 2014.

This Medicare health insurance catalog is maintained by David Bynon and was last updated on 10/26/2014.