Presbyterian MediCare PPO Plan 3 with Rx Union County, NM Medicare Advantage Plan

Quality Rating:Presbyterian MediCare PPO Plan 3 with Rx for  County, NM, a 2014 Medicare Advantage plan, gets 3.0 out of 5 stars from CMS.
Plan ID:H3206-002
Plan Year:2014
Prescriptions:Yes
Rx Deductible:$0.00
Mail Order Rx:No
Donut Hole:Many Generics
Benefits PDF:Presbyterian MediCare PPO Plan 3 with Rx Medicare Plan Summary of Benefits PDF Download
Local PPO Plan
$132.00
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Presbyterian MediCare PPO Plan 3 with Rx Overview

Presbyterian MediCare PPO Plan 3 with Rx Medicare Advantage Plan for Union County, New Mexico seniors on Medicare.Presbyterian MediCare PPO Plan 3 with Rx for Union County, New Mexico, by Presbyterian MediCare PPO, is a Preferred Provider Organization (PPO) Medicare Advantage plan for seniors on Medicare. PPO health insurance allows you to choose your own primary care doctor, specialists and other healthcare providers. If you're on a budget you can lower your out-of-pocket costs by using the plan's provider network.

The monthly premium on this PPO plan is $132.00. Plus, co-payments and/or co-insurances also apply to most of the healthcare services you use. However, unlike traditional Medicare your out-of-pocket expenses are capped. As a result, you won't be vulnerable to excessive medical bills due to an accident or a critical illness.

Presbyterian MediCare PPO Plan 3 with Rx Quality Rating

The Centers for Medicare and Medicaid Services (CMS) reviews and rates the quality of all Medicare Advantage plans. The 1 (worst) to 5 (best) star ratings assist people considering plans and offer an unbiased measure of quality.

The CMS has awarded Presbyterian MediCare PPO Plan 3 with Rx 3.0 out of 5 stars. That means Medicare deems this plan Average as compared to all others (as of 15 October, 2013).

Presbyterian MediCare PPO Plan 3 with Rx 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 $3,000. 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 Presbyterian MediCare PPO Plan 3 with Rx with these Medicare Advantage plans:

Availability

Presbyterian MediCare PPO Plan 3 with Rx is available in the following New Mexico cities: Amistad, Capulin, Clayton, Des Moines, Folsom, Gladstone, Grenville, Sedan, and all other areas of Union 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.