2018 Medicare Advantage Plan Details | |||||
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Medicare Plan Name: | SmartFund (MSA) | ||||
Location: | Warren, New York Click to see other locations | ||||
Plan ID: | H5613 - 002 - 0 Click to see other plans | ||||
Member Services: | 1-800-665-7924 TTY users 1-800-662-1220 | ||||
— 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 SmartFund (MSA) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | MSAs do not have a monthly premium. (see Plan Premium Details below) | ||||
Annual Deductible: | no drug coverage (Tier old excluded from the Deductible.) | ||||
Health Plan Type: | MSA * | ||||
Maximum Out-of-Pocket Limit for Parts A & B (MOOP): | $0 | ||||
Number of Members enrolled in this plan in (H5613 - 002): | 186 members | ||||
Plan’s Summary Star Rating: | Not Applicable. | ||||
• Customer Service Rating: | Plan not required to report measure. | ||||
• Member Experience Rating: | Plan not required to report measure. | ||||
• Drug Cost Accuracy Rating: | Plan not required to report measure. | ||||
— Plan Premium Details — | |||||
The Monthly Premium is Split as Follows: ❔ | Total Premium | Part C Premium | Part D Base Premium | Part D Supplemental Premium | |
MSAs do not have a monthly premium. | $-99.00 | $-99.00 | $-99.00 | ||
Monthly Premium with Extra Help Low-Income Subsidy (LIS): ❔ | 100% Subsidy | 75% Subsidy | 50% Subsidy | 25% Subsidy | |
Monthly Part D Premium with LIS: | $-99.00 | $-99.00 | $-99.00 | $-99.00 | |
Total Monthly Premium with LIS (Parts C & D): | $-198.00 | $-198.00 | $-198.00 | $-198.00 |
— Plan Health Benefits — |