WellCare Value Dallas County, TX Medicare Advantage Plan

Quality Rating:WellCare Value for  County, TX, a 2014 Medicare Advantage plan, gets 3.0 out of 5 stars from CMS.
Plan ID:H1264-004
Plan Year:2014
Prescriptions:Yes
Rx Deductible:$0.00
Mail Order Rx:No
Donut Hole:No Gap Coverage
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 Dallas County, Texas seniors on Medicare.WellCare Value for Dallas County, Texas, by WellCare, is a Health Maintenance Organization Medicare Advantage Plan with a Point of Service Option (HMO-POS) available to seniors on Medicare. A HMO-POS plan has a flexible provider network that lets its members use healthcare providers outside of the plan network for certain situations or certain types of treatment. When out-of-network services are used members pay additional point-of-service fees.

The monthly premium for this HMO-POS plan is $0.00 In addition to the premium, members make co-payments when they use most healthcare services. A schedule of co-payments and co-insurances can be found on the co-payments page.

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

By law, Medicare Advantage plans have an out-of-pocket limit of $6,700 per year. That said, plans can offer an out-of-pocket maximum as low as $3,400 per year. This plan's out-of-pocket spending limit is $6,700 per year. This amount is not inclusive of your monthly premium or the cost of your prescriptions. It's only what you pay when you receive heathcare services.

What this means to you is that you will no longer make co-payments or co-insurance payments when your out-of-pocket spending reaches $6,700. This is your safety net in the event of a critical illness or a serious accident. It protects you from serious financial liability and it should be carefully considered along with the premium and the co-payments.

When comparing WellCare Value with traditional Medicare benefits, don't forget that you pay about twenty percent of all healthcare expenses covered by Part A and Part B, but there is no out-of-pocket limit. In other words, you have a lot of risk unless you get a Medigap policy to cover the 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 Texas cities: Addison, Carrollton, Irving, Coppell, Rowlett, Garland, Sachse, Grand Prairie, Richardson, Cedar Hill, Desoto, Duncanville, Lancaster, Hutchins, Mesquite, Seagoville, Wilmer, Balch Springs, Sunnyvale, Dallas, and all other areas of Dallas County.

CMS File Date: January 14, 2014.

This Medicare health insurance catalog is maintained by David Bynon and was last updated on 9/16/2014.