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 2019 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 N/A. 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 Absolute Total Care Medicare Advantage plan is new and has not yet been rated by CMS. This is why the plan's rating is listed as out of 5 stars (as of 15 October, 2015).
Compare Medicare Advantage Plans
Compare Absolute Total Care with these top rated Medicare Advantage Plans available in Lexington County:
- HumanaChoice H5216-056
- Care Improvement Plus Medicare Advantage
- AARP MedicareComplete
- AARP MedicareComplete Essential
- HumanaChoice R3392-001
Absolute Total Care Availability
Absolute Total Care is available in Cayce, Chapin, Gaston, West Columbia, Lexington, Leesville, Batesburg, Columbia, Gilbert, Swansea, Pelion, and all other locations in Lexington County.
For more information, see Medicare Advantage Plans in Lexington County, SC.