Presbyterian MediCare PPO Plan 3 with Rx Overview
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 $160.00. 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 Average as compared to all others (as of 15 October, 2013).out of 5 stars. That means Medicare deems this plan
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:
- HumanaChoice H6609-111
- HumanaChoice H6609-115
- Presbyterian MediCare PPO Plan 2 with Rx
- Presbyterian MediCare PPO Plan 1
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: October 15, 2014.
This Medicare health insurance catalog is maintained by 10/26/2014.and was last updated on