Medicare Advantage Plan Benefit Details in Plain Text |
The following Medicare Advantage plan benefits apply to the Today's Options Premier 300 (PFFS) (H2816 - 008) in Piscataquis, Maine .
This plan is administered by . To switch to a different Medicare Advantage plan or to change your location, click here. |
Click here to see the Today's Options Premier 300 (PFFS) health benefit details in chart format
or
email and view benefits chart
![Email and View health benefit details for Today's Options Premier 300 (PFFS)](https://q1medicare.com/pics/ContentPics/email_medicare_plan_details.gif)
|
Plan Premium |
This plan has a $0.00 monthly premium. Although you pay no additional monthly premium, you must continue to pay your Medicare Part B premium. If you have a premium penalty, your premium will be higher. Or if you have a higher income you would be subject to the Income Related Adjustment Amount (IRMAA).
|
This Medicare Advantage Plan without Prescription Drug Coverage is a PFFS * plan.
|
Plan Membership and Plan Ratings |
The Today's Options Premier 300 (PFFS) (H2816 - 008) currently has 3,979 members. , and 1,126 members in Maine.
|
The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3.5 stars. The detail CMS plan carrier ratings are as follows: |
Please be aware that this plan does NOT include Prescription Drug Coverage! |
The Today's Options Premier 300 (PFFS) offers many Health Coverage Benefits. The following section will describe these benefits in detail. |
** General Plan Information ** |
Choice of Doctors?: Plan Doctors for Most Services |
** Cost ** |
Monthly Health Plan Premium: $0.00 |
Monthly Drug Plan Premium: Not Applicable |
Health Plan Deductible: $0 |
Other Health Plan Deductibles?: No |
Maximum Out-of-Pocket Enrollee Responsibility (does not include prescription drugs)
: $6,700 In and Out-of-network |
** Extra Benefits ** |
Prescription Drugs Covered?: No |
Optional Supplemental Benefits?: No |
** Outpatient Care and Services ** |
Ambulance: - In-network: $300
- Out-of-network: $300
|
Doctor's office visits: - Primary Physician
- In-network: $5 per visit
- Out-of-network: $15 per visit
- Specialist
- In-network: $30 per visit
- Out-of-network: $50 per visit
|
Durable medical equipment (wheelchairs, oxygen, etc.): - In-network: 20% per item
- Out-of-network: 25% per item
|
Emergency care: $75 per visit (always covered) |
Home health care: - In-network: You pay nothing
- Out-of-network: 25%
|
Mental health care: - In-network:
- $260 for days 1 through 6
- $0 for days 7 through 90
- Out-of-network:
- $300 for days 1 through 7
- $0 for days 8 through 90
|
Outpatient hospital: - In-network: $200 per visit
- Out-of-network: 25% per visit
|
Renal dialysis: - In-network: 20% per visit
- Out-of-network: 25% per visit
|
** Inpatient Care ** |
Inpatient hospital care: - In-network:
- $260 for days 1 through 6
- $0 for days 7 through 90
- Out-of-network:
- $300 for days 1 through 7
- $0 for days 8 and beyond
|
Optional Supplemental Benefits?: No |
Skilled Nursing Facility (SNF): - In-network:
- $0 for days 1 through 20
- $100 for days 21 through 100
- Out-of-network:
- $0 for days 1 through 20
- $150 for days 21 through 100
|
Prescription Drugs Covered?: No |
** Additional Benefits ** |
Optional Supplemental Benefits?: No |
|