Vantage PREMIUM Saint Martin Parish, LA — 2021 Medicare Advantage Plan
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| Medicare Rating: | |
|---|---|
| CMS Plan ID: | H5576-018 |
| CMS Plan Year: | 2021 |
| Premium: | $179.00/mo |
| Premium Valid: | Until 2021-12-31 |
| Drug Plan: | Yes |
| Rx Deductible: | $0.00/year |
| Online Pharmacy: | No |
| Rx Gap Coverage: | Yes |
| Availability: | Saint Martin County, LA |
| Policy Valid: | 2021-1-1 to 2021-12-31 |
| Insured By: | Vantage Health Plan |
Monthly Premium
Vantage PREMIUM's monthly premium in Saint Martin Parish is $179.00. That includes your prescription coverage, as well. Plus, you must continue to pay your monthly Medicare Part B premium. Co-payments and/or co-insurances also apply with most healthcare services, except preventive care mandated by CMS (see H5576-018 Summary of Benefits).
Although the health plan itself does not have a deductible, the prescription drug plan does. It's $0.00 per year. That means you have first dollar coverage.
IMPORTANT: When evaluating Vantage PREMIUM, look past the monthly premium. Identify the costs of the healthcare services you use most. Only then will you uncover the plan's value for your personal situation.
Maximum Out-of-Pocket (MOOP) Limit
Unlike Original Medicare, Medicare Advantage plans must set an annual Maximum Out-of-Pocket limit on inpatient and outpatient healthcare services. The Vantage PREMIUM plan MOOP is $3,500 . Once you reach this amount of spending on your co-payments, all of your Medicare Part A and Part B services will be covered at no additional charge.
Plans can set their MOOP at a voluntary level of $0 to $3,400 (for in-network services) or a mandatory $3,401 to $6,700 (in-network). Combined totals for in-network and out-of-network are generally higher.
NOTE: MOOP does not include what you spend on monthly premiums. It also does not apply to your prescription drugs or Part D deductible.
CRITICAL: It is important to evaluate the combined annual MA/MAPD premiums and MOOP versus what you might expect to pay for a Medicare Supplement in Saint Martin Parish. Some Medicare Supplements offer less overall financial risk than Medicare Advantage.
Contact Vantage Health Plan
For more information about this plan, and other plans on this site, call 1-855-266-4865. You may also contact the plan:
For assistance 24 hours a day, call 800-633-4227. TTY users should call 877-486-2048. If you qualify for Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov. To learn more about this plan, visit the Vantage Health Plan Medicare website.
Compare Plan Options
The average Louisiana senior compares three or more plan options before making an enrollment decision.
Additional Medicare Plan Options in Saint Martin Parish
Are you eligible for a Saint Martin Parish, LA Medicare Special Needs Plan (SNP)? SNPs are a special type of Medicare Advantage plan designed to help people with special needs. Here are some of the SNP plans in your area:
- WellCare Liberty (Local HMO), for Dual-Eligible beneficiaries
- Peoples Health Secure Complete (Local HMO), for Dual-Eligible beneficiaries
- WellCare Freedom (Local HMO), for Dual-Eligible beneficiaries
- Healthy Blue Dual Advantage (Local HMO), for Dual-Eligible beneficiaries
- WellCare Pinnacle (Local HMO), for Dual-Eligible beneficiaries
Not qualified for an SNP? Here are some additional plans you might consider:
- Humana Honor (PPO)
- WellCare Endurance (HMO)
- Humana Gold Plus H1951-049 (HMO)
- HumanaChoice H5216-202 (PPO)
- HumanaChoice R0110-003 (PPO)
RELATED: Top 9 Advantages and Disadvantages of Medicare Advantage Plans
The Medicare Part C information on this page originates from CMS Landscape Source Files, is maintained by David Bynon, and was last updated on .
