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 PHP Care Complete FIDA-IDD Plan Medicare Advantage plan, is N/A. 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
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 PHP Care Complete FIDA-IDD 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 PHP Care Complete FIDA-IDD Plan with these top rated Medicare Advantage Plans available in Queens County:
- Empire MediBlue Core
- Empire MediBlue Plus
- Aetna Medicare Standard Plan
- Aetna Medicare Elite Plan
- UnitedHealthcare MedicareComplete Choice Plan 1
PHP Care Complete FIDA-IDD Plan Availability
PHP Care Complete FIDA-IDD Plan is available in Middle Village, Flushing, Woodhaven, Astoria, Long Island City, Ridgewood, Queens Village, Oakland Gardens, Far Rockaway, Forest Hills, Cambria Heights, Kew Gardens, Arverne, Ozone Park, Saint Albans, Hollis, Woodside, College Point, Springfield Gardens, Maspeth, Little Neck, Whitestone, Bayside, Richmond Hill, Jamaica, Rego Park, Jackson Heights, Bellerose, Elmhurst, Rosedale, East Elmhurst, Fresh Meadows, Breezy Point, Glen Oaks, Howard Beach, Sunnyside, Rockaway Park, South Richmond Hill, Floral Park, Corona, South Ozone Park, and all other locations in Queens County.
For more information, see Medicare Advantage Plans in Queens County, NY.