SummaCare Medicare Topaz (H3660-050), 2016 Health Maintenance Organization Medicare Advantage Plan, Portage County, OH by SummaCare Secure.
SummaCare Medicare Topaz is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in Portage County, Ohio. 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
By law, private Medicare health insurance has an annual maximum out-of-pocket (MOOP) limit that helps protect you from financial disaster. The MOOP limit in 2019 is $6,700, but plans are allowed to have a MOOP as low as $3,400.
The most you will pay out-of-pocket, if you enroll in the SummaCare Medicare Topaz Medicare Advantage plan, is $3,800. This figure does not include your monthly premiums or your Medicare Part D coverage for prescriptions. This is what you pay out-of-pocket on co-payments and co-insurance.Be sure to compare the co-payments and co-insurance with traditional Medicare, but be aware that there are no out-of-pocket limits with Medicare Parts A and B. With Original Medicare you must buy supplemental insurance to cover the gaps or pay out-of-pocket.
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 SummaCare Medicare Topaz 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 SummaCare Medicare Topaz with these top rated Medicare Advantage Plans available in Portage County:
- SummaCare Medicare Emerald
- SummaCare Medicare Sapphire
- SummaCare Medicare Ruby
- PrimeTime Health Plan Basic - MA Only
- PrimeTime Health Plan Plus
SummaCare Medicare Topaz Availability
SummaCare Medicare Topaz is available in Kent, Garrettsville, Aurora, Rootstown, Atwater, Deerfield, Wayland, Mogadore, North Benton, Brady Lake, Randolph, Mantua, Windham, Hiram, Streetsboro, Diamond, Ravenna, and all other locations in Portage County.
For more information, see Medicare Advantage Plans in Portage County, OH.