2017 Medicare Advantage Plan Details | |||||
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Medicare Plan Name: | AARP MedicareComplete SecureHorizons (HMO) | ||||
Location: | Fresno, California Click to see other locations | ||||
Plan ID: | H0543 - 035 - 0 Click to see other plans | ||||
Member Services: | 1-800-950-9355 TTY users 711 | ||||
— This plan information is for research purposes only. — Click here to see plans for the current plan year | |||||
Medicare Contact Information: | Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistance |
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Email a copy of the AARP MedicareComplete SecureHorizons (HMO) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $78.00 (see Plan Premium Details below) | ||||
Annual Deductible: | $315 (Tier 1 and 2 excluded from the Deductible.) | ||||
Annual Initial Coverage Limit (ICL): | $3,700 | ||||
Health Plan Type: | Local HMO | ||||
Maximum Out-of-Pocket Limit for Parts A & B (MOOP): | $6,700 | ||||
Additional Gap Coverage? | No additional gap coverage, only the Donut Hole Discount | ||||
Total Number of Formulary Drugs: | 3,817 drugs | Browse the AARP MedicareComplete SecureHorizons (HMO) Formulary | |||
This plan has 5 drug tiers. See cost-sharing for all pharmacies and tiers. | |||||
Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | $2.00 | $12.00 | $47.00 | $100.00 | 26% |
• Number of Drugs per Tier: | 312 | 578 | 914 | 1188 | 825 |
Plan's Pharmacy Search: | http://www.UHCMedicareSolutions.com | ||||
Plan Offers Mail Order? | Yes | ||||
Number of Members enrolled in this plan in (H0543 - 035): | 2,313 members | ||||
Plan’s Summary Star Rating: | 4.5 out of 5 Stars. | ||||
• Customer Service Rating: | 5 out of 5 Stars. | ||||
• Member Experience Rating: | 4 out of 5 Stars. | ||||
• Drug Cost Accuracy Rating: | 4 out of 5 Stars. | ||||
— Plan Premium Details — | |||||
The Monthly Premium is Split as Follows: ❔ | Total Premium | Part C Premium | Part D Base Premium | Part D Supplemental Premium | |
$78.00 | $46.80 | $31.20 | $0.00 | ||
Monthly Premium with Extra Help Low-Income Subsidy (LIS): ❔ | 100% Subsidy | 75% Subsidy | 50% Subsidy | 25% Subsidy | |
Monthly Part D Premium with LIS: | $0.00 | $7.80 | $15.60 | $23.40 | |
Total Monthly Premium with LIS (Parts C & D): | $46.80 | $54.60 | $62.40 | $70.20 | |
— Plan Health Benefits — |