Community HealthFirst MA Plan Pierce County, WA Medicare Advantage Plan

Medicare Rating:Community HealthFirst MA Plan, a 2015 Medicare Advantage plan for Pierce County, WA seniors, has an average CMS rating of 3.0 out of 5 stars.
CMS Plan ID:H5826-006
CMS Plan Year:2015
Rx Deductible:$0.00/year
Online Pharmacy:No
Rx Gap Coverage:
Availability:Pierce County, WA
Benefits PDF:Not Available
Local HMO Plan
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Health Plan Summary

Community HealthFirst MA Plan Medicare Advantage Plan for Pierce County, Washington seniors on Medicare.Community HealthFirst MA Plan (H5826-006), Health Maintenance Organization Advantage Plan, Pierce County, WA by Community HealthFirst Medicare Advantage Plan

Community HealthFirst MA Plan is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in Pierce County, Washington. 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 $15.00.

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 Community HealthFirst MA Plan are allowed to offer a voluntary MOOP as low as $3,400.The Community HealthFirst MA Plan Medicare Advantage plan MOOP is $3,400. 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 $3,400, 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 Community HealthFirst MA Plan Medicare Advantage plan has received a 3.0 out of 5 star average rating. Overall, CMS considers this plan to be Average (as of 15 October, 2013).

Compare Medicare Advantage Plans

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Community HealthFirst MA Plan Availability

Community HealthFirst MA Plan is available in Elbe, Lakewood, Vaughn, La Grande, Gig Harbor, Puyallup, Longbranch, Kapowsin, Spanaway, Ashford, Mcchord AFB, Roy, Buckley, Longmire, Tacoma, Mckenna, Wilkeson, Paradise Inn, Milton, Orting, Steilacoom, Eatonville, Graham, Bonney Lake, Anderson Island, Dupont, Camp Murray, Sumner, Fox Island, University Place, Carbonado, Wauna, South Prairie, Lakebay, and all other locations in Pierce County.

This page was last updated on: 11/1/2014