Keystone 65 Preferred Rx Overview
Keystone 65 Preferred Rx for Philadelphia County, Pennsylvania, by Keystone 65, 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 $190.00 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 Keystone 65 Preferred Rx 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.
Keystone 65 Preferred Rx Quality Rating
After its first year on the market, the CMS (Centers for Medicare and Medicaid Services) gives each Medicare Advantage plan an overall one to five star rating. The unbiased quality assessment assists people when comparing plans. Medicare Advantage plans with five stars have the highest quality, whereas a one star plan has the lowest quality.
The CMS has awarded Keystone 65 Preferred Rx Above Average as compared to all others (as of 15 October, 2013).out of 5 stars. That means Medicare deems this plan
Keystone 65 Preferred Rx Out-of-Pocket Expenses
Medicare Advantage plans are limited to a maximum out-of-pocket limit of $6,700 (annually). This out-of-pocket limit does not include your prescriptions or your monthly premiums. It only applies to your costs for healthcare services.
Although the mandatory limit is $6,700, the CMS allows plans to offer a lower limit that can be as low as $3,400. The out-of-pocket limit on this plan is $5,000. Be sure to take into consideration, along with the premium and the co-payments, when making your enrollment decision.
If you are comparing Keystone 65 Preferred Rx with your traditional Medicare benefits, it's important to remember that there are no limits to your out-of-pocket expenses with Medicare Part A or Medicare Part B. If you keep your traditional Medicare benefits, the only way to avoid high medical bills is to purchase Medicare Supplement insurance to supplement your coverage.
Compare Medicare Health Insurance Plans
Make sure you get the best health insurance for your unique situation. Compare Keystone 65 Preferred Rx with these Medicare Advantage plans:
- Personal Choice 65 Rx
- Personal Choice 65 Medical Only
- Aetna Medicare Basic Plan
- Aetna Medicare Premier Plan
- Aetna Medicare Standard Plan
Keystone 65 Preferred Rx is available in the following Pennsylvania cities: Philadelphia, and all other areas of Philadelphia County.
CMS File Date: October 15, 2014.
This Medicare health insurance catalog is maintained by 10/26/2014.and was last updated on