Medicare Blue Choice Value Plus Monroe County, NY Medicare Advantage Plan

Quality Rating:Medicare Blue Choice Value Plus for  County, NY, a 2014 Medicare Advantage plan, gets 4.0 out of 5 stars from CMS.
Plan ID:H3351-013
Plan Year:2014
Prescriptions:Yes
Rx Deductible:$0.00
Mail Order Rx:No
Donut Hole:No Gap Coverage
Benefits PDF:Medicare Blue Choice Value Plus Medicare Plan Summary of Benefits PDF Download
Local HMO Plan
$80.00
Excellus Health Plan, Inc logo

Medicare Blue Choice Value Plus Overview

Medicare Blue Choice Value Plus Medicare Advantage Plan for Monroe County, New York seniors on Medicare.Medicare Blue Choice Value Plus for Monroe County, New York, by Excellus Health Plan, Inc, 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 $80.00 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 Medicare Blue Choice Value Plus 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.

Medicare Blue Choice Value Plus 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 Medicare Blue Choice Value Plus 4.0 out of 5 stars. That means Medicare deems this plan Above Average as compared to all others (as of 15 October, 2013).

Medicare Blue Choice Value Plus 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 $4,000 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 $4,000. 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 Medicare Blue Choice Value Plus 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 Medicare Blue Choice Value Plus with these Medicare Advantage plans:

Availability

Medicare Blue Choice Value Plus is available in the following New York cities: Adams Basin, Brockport, Churchville, Clarkson, East Rochester, Fairport, Hamlin, Henrietta, Hilton, Honeoye Falls, Mendon, Morton, Mumford, North Chili, North Greece, Penfield, Pittsford, Rush, Scottsville, Spencerport, Webster, West Henrietta, Rochester, and all other areas of Monroe 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.