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Advantra Choice

Advantra Choice Summers County, WV Medicare Advantage Plan

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Coventry Health Care logo
Medicare Rating:{plan}, a 2018 Medicare Advantage plan for Summers County, WV seniors, has an average CMS rating of 3.5 out of 5 stars.
CMS Plan ID:H1692-004
CMS Plan Year:2018
Premium:$0.00/mo
Prescriptions:Yes
Rx Deductible:$0.00/year
Online Pharmacy:No
Rx Gap Coverage:Y
Available In:Summers County, WV
Benefits PDF:Not Available

Advantra Choice Medicare Advantage Plan for Summers County, West Virginia seniors on Medicare.Advantra Choice (H1692-004), 2016 Health Maintenance Organization Medicare Advantage Plan, Summers County, WV by Coventry Health Care.

Advantra Choice 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 $0.00.

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

The new healthcare law allows for a maximum limit of $6,700 on your out of pocket medical costs for 2018 Medicare Advantage plans. This amount is commonly called the plan MOOP (Maximum Out of Pocket). A plan's MOOP does not include your prescriptions or the monthly premiums you pay for your health plan.

Although the mandatory MOOP limit is $6,700, the Affordable Care Act law allows for a “Voluntary MOOP” that can be as low as $3,400. The MOOP on this plan is $6,700. You need to take this figure into as much consideration as the premiums and the co-payments.

If you are comparing this Medicare Advantage plan with your Original Medicare benefits, take into consideration that the government does not have out-of-pocket limits on Medicare Parts A and B. With traditional Medicare the only way to protect yourself is to purchase a Medigap insurance policy to supplement your coverage.

CMS 5-Star Rating

After its first year on the market, each Medicare Advantage plan receives a one to five star rating from the Centers for Medicare and Medicaid Services (CMS). The relative quality assessment of health insurance by CMS assists people who are considering enrollment. Plans with five stars represent the highest quality, whereas a one star plan has the worst quality.

The Advantra Choice Medicare Advantage plan has received a 3.5.0 out of 5 star average rating. Overall, CMS considers this plan to be Above Average (as of 15 October, 2015).

Compare Medicare Advantage Plans

Compare Advantra Choice 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 Silver
  • Freedom Blue PPO Standard

Advantra Choice Availability

Advantra Choice is available in Pence Springs, Meadow Creek, Jumping Branch, Forest Hill, Hinton, Nimitz, Talcott, Sandstone, Pipestem, Green Sulphur Springs, and all other locations in Summers County.

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MedigapAndYou.com offers free information that helps seniors find and compare Medicare insurance, including Medicare Supplements, Medicare Advantage Plans and Prescription Drug Plans. Our goal is to help seniors save money on their out-of-pocket healthcare costs by showing them all of their options. Our plan data comes from government, non-profit and private sources. Be sure to confirm coverage and premiums before enrolling in a Medicare plan. MedigapAndYou.com does not endorse any specific plan, and we are not affiliated with or endorsed by the government or the Medicare program. CMS has neither reviewed nor endorsed the information contained on this website. To contact Medicare directly, call 1-800-MEDICARE or visit www.medicare.gov.

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