Fallon Senior Plan Super Saver Rx (H9001-032), 2016 Health Maintenance Organization Medicare Advantage Plan, Berkshire County, MA by Fallon Community Health Plan.
Fallon Senior Plan Super Saver Rx is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in Berkshire County, Massachusetts. 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 $17.00.
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 Fallon Senior Plan Super Saver Rx Medicare Advantage plan, is $6,700. 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
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 Fallon Senior Plan Super Saver Rx 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 Fallon Senior Plan Super Saver Rx with these top rated Medicare Advantage Plans available in Berkshire County:
- Fallon Senior Plan Saver
- Fallon Senior Plan Saver Enhanced RX
- Fallon Senior Plan Plus Enhanced RX
- Health New England Medicare Premium
- Health New England Medicare Premium No Rx
Fallon Senior Plan Super Saver Rx Availability
Fallon Senior Plan Super Saver Rx is available in Ashley Falls, Drury, Sandisfield, Housatonic, Mill River, Richmond, Lee, Glendale, Berkshire, West Stockbridge, Lanesboro, South Egremont, Monterey, East Otis, Williamstown, North Adams, Becket, North Egremont, Dalton, Otis, Hinsdale, Lenox, Lenox Dale, Cheshire, Great Barrington, Southfield, Sheffield, Savoy, Adams, Stockbridge, Tyringham, Pittsfield, South Lee, Windsor, and all other locations in Berkshire County.
For more information, see Medicare Advantage Plans in Berkshire County, MA.