Community HealthFirst MA Plan for Pierce, WA
|Drugs in Formulary:||3124|
|Available to:||WA Residents|
|Type of Plan:||Local HMO|
Health Plan Summary
Community HealthFirst MA PlanHealth Maintenance Organization (HMO) Medicare Advantage Health Plan (H5826-006) available in Pierce County, WA
Community HealthFirst MA Plan is a HMO health plan for seniors with Medicare residing in Pierce County, WA. This Medicare Advantage HMO plan gives yuo all of the same hospital and medical insurance benefits as Original Medicare and may include prescription coverage (Medicare Part D) and other healthcare extras. The number one benefit of an HMO is that the your out-of-pocket expenses are generally and more predictable than with other types of health plans or your Original Medicare.
Important: With an HMO you are required to use the plan's health care providers. Using providers outside of the network may incur additional costs that you are responsible for paying. Also, referrals from your primary care physician are generally required before seeing a specialist.
This is an overview of the HMO plan. A full health plan benefit packet is available from your Medicare insurance agent.
Health Plan Monthly Premium
The premium for this health plan is $0.00 per month plus your Part B monthly premium. Most people with Medicare benefits pay the standard monthly Part B premium in addition to their MA health plan premium. That said, some people to pay higher Part B and Part D premiums due to their income status and/or a Medicare Part D late enrollment penalty.
Medicare Advantage Plan Summary of Benefits
NOTE: As of this publication date the Summary of Benefits information for this plan was not available. Please ask your Medicare insurance agent for the Summary of Benefits documentation.
Medicare Part D Plan Information
The Community HealthFirst MA Plan plan does not include Medicare Part D prescription drug coverage.
The Maximum Out of Pocket (MOOP) Benefit
The Affordable Care Act health care law put a maximum out-of-pocket limit on all Medicare Advantage Plans. This is known as the Maximum Out of Pocket (MOOP) expense. The MOOP does not include your prescription drugs or the monthly premiums you pay for health insurance. The Mandatory MOOP is $6,700 (maximum), but, the law does permit a “Voluntary MOOP” that can be a maximum of $3,400. The MOOP on this plan is $3,400