Advantra Silver (H1692-002), 2016 Health Maintenance Organization Medicare Advantage Plan, Summers County, WV by Coventry Health Care.
Advantra Silver is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in Summers County, West Virginia. It includes all of the benefits of Original Medicare and may include prescription drug coverage and other extras. The primary benefit of an HMO is that the out-of-pocket costs are lower and more predictable than with other types of plans. The monthly premium is $36.00.
Please note: You must use plan providers to avoid incurring additional costs. You will be responsible for the costs of out of network care. Referrals may be required for all but primary care physician visits.
Maximum Out-of-Pocket (MOOP) Expense
All Medicare Advantage plans have a maximum out-of-pocket (MOOP) limit of $6,700. This is mandated by law. However, plans like Advantra Silver are allowed to offer a voluntary MOOP as low as $3,400.The Advantra Silver Medicare Advantage plan MOOP is $6,700. This figure does not include your monthly premium or the cost of your prescriptions (Part D Coverage).
What this means is that as soon as your copayments and coinsurance for doctor visits and hospital care reaches $6,700, you will no longer pay copayment or coinsurance for the remainder of the year. This is your guarantee that a critical illness or serious accident will protect you from financial liability. It's just as important as the premiums and the co-payments.When comparing Medicare Advantage plans with traditional Medicare, don't forget that you pay about twenty percent of all covered expenses, but there's no limit. That means you have a lot of risk unless you purchase a Medicare supplement policy to cover the gap.
CMS 5-Star Rating
To help shoppers compare private health insurance options, Medicare rates the quality of all Medicare Advantage plans. The Centers for Medicare and Medicare Services rates each plan using a one to five-star scale, with one star representing the lowest quality and five stars the highest.
The Advantra Silver Medicare Advantage plan has received a Above Average (as of 15 October, 2015).out of 5 star average rating. Overall, CMS considers this plan to be
Compare Medicare Advantage Plans
Compare Advantra Silver with these top rated Medicare Advantage Plans available in Summers County:
- The Health Plan SecureCare - Option II
- The Health Plan SecureCare - Option I, MA Only
- The Health Plan SecureChoice - Option II
- Advantra Choice
- Freedom Blue PPO Standard
Advantra Silver Availability
Advantra Silver is available in Jumping Branch, Pence Springs, Forest Hill, Nimitz, Meadow Creek, Pipestem, Green Sulphur Springs, Sandstone, Talcott, Hinton, and all other locations in Summers County.
For more information, see Medicare Part C Plans in Summers County, WV.