Powered by Q1Group LLC
Education and Decision Support Tools for the Medicare Community
  • Menu ☰
  • Home
  • Contact
  • MAPD
  • PDP
  • 2020
  • 2021
  • FAQs
  • Articles
  • Search
  • Contact
  • 2020
  • 2021
  • FAQs
  • Articles
  • Latest Medicare News
  • Search


2020 Medicare Advantage Plan Benefit Details for the Lasso Healthcare (MSA) - H1924-003-0


2020 Medicare Advantage Plan Details
Medicare Plan Name:Lasso Healthcare (MSA)
Location:Caddo, Louisiana
Plan ID:H1924 - 003 - 0     Click to see other plans
Member Services:
— Enrollment Options —
Medicare Contact Information:1-800-MEDICARE (1-800-633-4227)
TTY users 1-877-486-2048
Advertisement
Speak to a licensed sales agent to learn more and enroll.
Call Medicare Solutions at 855-373-9484 / TTY 711

Monday ‐ Friday 8:30am — 10pm EST
MULTIPLAN_GHHJTEXEN_ACCEPTED
Email a copy of the Lasso Healthcare (MSA) benefit details
— Medicare Plan Features —
Monthly Premium:MSAs do not have a monthly premium.
Annual Deductible:no drug coverage
Health Plan Type:MSA *
Maximum Out-of-Pocket Limit for Parts A & B (MOOP):$0
Number of Members enrolled in this plan in Caddo, Louisiana:less than 10 members
Number of Members enrolled in this plan in Louisiana:less than 10 members
Number of Members enrolled in this plan in (H1924 - 003):1,003 members
Plan’s Summary Star Rating: New plan - No summary rating as of yet.
Customer Service Rating: -4 out of 5 Stars.
Member Experience Rating: -4 out of 5 Stars.
Drug Cost Accuracy Rating: Does not apply.
— Plan Health Benefits —
** Base Plan **
Premium
• Health plan premium: $0
• Drug plan premium: $0
• You must continue to pay your Part B premium.
• Part B premium reduction: No
Deductible
• Health plan deductible: $9,400 annual deductible
• Other health plan deductibles: In-network: No
• Yearly deposit from the plan: $3,240.00
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
• Not Applicable
Optional supplemental benefits
• No
Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?
• In-network: No
Doctor visits
• Primary: $0 copay after you pay your deductible
• Specialist: $0 copay after you pay your deductible
Diagnostic procedures/lab services/imaging
• Diagnostic tests and procedures: $0 copay after you pay your deductible
• Lab services: $0 copay after you pay your deductible
• Diagnostic radiology services (e.g., MRI): $0 copay after you pay your deductible
• Outpatient x-rays: $0 copay after you pay your deductible
Emergency care/Urgent care
• Emergency: $0 copay after you pay your deductible
• Urgent care: $0 copay after you pay your deductible
Inpatient hospital coverage
• $0 copay after you pay your deductible
Outpatient hospital coverage
• $0 copay after you pay your deductible
Skilled Nursing Facility
• $0 copay after you pay your deductible
Preventive care
• $0 copay
Ground ambulance
• $0 copay after you pay your deductible
Rehabilitation services
• Occupational therapy visit: $0 copay after you pay your deductible
• Physical therapy and speech and language therapy visit: $0 copay after you pay your deductible
Mental health services
• Inpatient hospital - psychiatric: $0 copay after you pay your deductible
• Outpatient group therapy visit with a psychiatrist: $0 copay after you pay your deductible
• Outpatient individual therapy visit with a psychiatrist: $0 copay after you pay your deductible
• Outpatient group therapy visit: $0 copay after you pay your deductible
• Outpatient individual therapy visit: $0 copay after you pay your deductible
Medical equipment/supplies
• Durable medical equipment (e.g., wheelchairs, oxygen): $0 copay after you pay your deductible
• Prosthetics (e.g., braces, artificial limbs): $0 copay after you pay your deductible
• Diabetes supplies: $0 copay after you pay your deductible
Hearing
• Hearing exam: $0 copay after you pay your deductible
• Fitting/evaluation: Not covered
• Hearing aids - inner ear: Not covered
• Hearing aids - outer ear: Not covered
• Hearing aids - over the ear: Not covered
Preventive dental
• Oral exam: Not covered
• Cleaning: Not covered
• Fluoride treatment: Not covered
• Dental x-ray(s): Not covered
Comprehensive dental
• Non-routine services: Not covered
• Diagnostic services: Not covered
• Restorative services: Not covered
• Endodontics: Not covered
• Periodontics: Not covered
• Extractions: Not covered
• Prosthodontics, other oral/maxillofacial surgery, other services: Not covered
Vision
• Routine eye exam: Not covered
• Other: Not covered
• Contact lenses: Not covered
• Eyeglasses (frames and lenses): Not covered
• Eyeglass frames: Not covered
• Eyeglass lenses: Not covered
• Upgrades: Not covered
Wellness programs (e.g., fitness, nursing hotline)
Not covered
Transportation
Not covered
Foot care (podiatry services)
• Foot exams and treatment: $0 copay after you pay your deductible
• Routine foot care: Not covered
Medicare Part B drugs
• Chemotherapy: $0 copay after you pay your deductible
• Other Part B drugs: $0 copay after you pay your deductible
Medically-approved non-opioid pain management services
• Chiropractic services: Not covered
• Acupuncture: Not covered
• Therapeutic Massage: Not covered
• Alternative Therapies: Not covered
More benefits
• Over-the-counter drug benefits: Not covered
• Meals for short duration: Not covered
• Annual physical exams: Not covered
• WorldWide emergency: Not covered
• Fitness Benefit: Not covered
• In-Home Support Services: Not covered
• Bathroom Safety Devices: Not covered
• Health Education: Not covered
• In-Home Safety Assessment: Not covered
• Personal Emergency Response System (PERS): Not covered
• Medical Nutrition Therapy (MNT): Not covered
• Post discharge In-Home Medication Reconciliation: Not covered
• Re-admission Prevention: Not covered
• Wigs for Hair Loss Related to Chemotherapy: Not covered
• Weight Management Programs: Not covered
• Adult Day Health Services: Not covered
• Nutritional/Dietary Benefit: Not covered
• Home-Based Palliative Care: Not covered
• Support for Caregivers of Enrollees: Not covered
• Additional Sessions of Smoking and Tobacco Cessation Counseling: Not covered
• Enhanced Disease Management: Not covered
• Telemonitoring Services: Not covered
• Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline): Not covered
• Counseling Services: Not covered




Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.