Lovelace Medicare Plan Enhanced Chaves County, NM Medicare Advantage Plan

Quality Rating:Lovelace Medicare Plan Enhanced for  County, NM, a 2014 Medicare Advantage plan, gets 3.0 out of 5 stars from CMS.
Plan ID:H3251-021
Plan Year:2014
Prescriptions:Yes
Rx Deductible:$0.00
Mail Order Rx:No
Donut Hole:Many Generics
Benefits PDF:Lovelace Medicare Plan Enhanced Medicare Plan Summary of Benefits PDF Download
Local HMO Plan
$89.00
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Lovelace Medicare Plan Enhanced Overview

Lovelace Medicare Plan Enhanced Medicare Advantage Plan for Chaves County, New Mexico seniors on Medicare.Lovelace Medicare Plan Enhanced for Chaves County, New Mexico, by Lovelace Medicare Plan, 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 $89.00 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.

Lovelace Medicare Plan Enhanced 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 Lovelace Medicare Plan Enhanced 3.0 out of 5 stars. That means Medicare deems this plan Average as compared to all others (as of 15 October, 2013).

Lovelace Medicare Plan Enhanced 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 Lovelace Medicare Plan Enhanced 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 Lovelace Medicare Plan Enhanced with these Medicare Advantage plans:

Availability

Lovelace Medicare Plan Enhanced is available in the following New Mexico cities: Roswell, Dexter, Hagerman, Lake Arthur, and all other areas of Chaves County.

CMS File Date: January 14, 2014.

This Medicare health insurance catalog is maintained by David Bynon and was last updated on 9/30/2014.