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
The Centers for Medicare and Medicaid Services (CMS) rates the relative quality of all private health insurance offered through the Medicare Advantage program. The ratings are designed to assist people considering enrolling. CMS rates plans on a one to five-star scale, with five stars representing the best quality.
The Amerigroup Medicare-Medicaid Plan 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 Amerigroup Medicare-Medicaid Plan with these top rated Medicare Advantage Plans available in Harris County:
- KelseyCare Advantage Essential
- KelseyCare Advantage Rx
- KelseyCare Advantage Essential+Choice
- KelseyCare Advantage Rx+Choice
- AARP MedicareComplete Plan 1
Amerigroup Medicare-Medicaid Plan Availability
Amerigroup Medicare-Medicaid Plan is available in Hockley, Barker, Huffman, Bellaire, Spring, La Porte, Baytown, Hufsmith, Kingwood, Tomball, Channelview, Cypress, Houston, Crosby, Humble, Pasadena, North Houston, Webster, Highlands, South Houston, Seabrook, Waller, Galena Park, Alief, Deer Park, Katy, and all other locations in Harris County.
For more information, see Medicare Advantage Plans in Harris County, TX.