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 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
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 Molina Dual Options 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 Molina Dual Options with these top rated Medicare Advantage Plans available in Hidalgo County:
- AARP MedicareComplete Focus
- AARP MedicareComplete Focus Essential
- Cigna-HealthSpring Advantage
- Cigna-HealthSpring Preferred
- HumanaChoice H5216-043
Molina Dual Options Availability
Molina Dual Options is available in Mercedes, Hidalgo, Weslaco, Hargill, Donna, La Blanca, Los Ebanos, Pharr, Mission, Progreso, Alamo, La Villa, Edcouch, Sullivan City, Edinburg, Mcallen, San Juan, Elsa, Linn, La Joya, Penitas, and all other locations in Hidalgo County.
For more information, see Medicare Advantage Plans in Hidalgo County, TX.