SelectHealth Advantage (HMO-POS)

Medicare Advantage Plan (Part C w/ RX)

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Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
SelectHealth
CMS Rating
Not Rated
Plan Type
HMO-POS
Annual Deductible
$0.00

What To Know About This Plan

  • This plan has health and drug coverage
  • This plan is available for 2015. see plan

Why We Like This Plan

  • has both Health and Drug Coverage
  • has no additional premium costs outside of your Medicare Part B premium
  • Primary care physician office visit copay of $5
  • was the 2nd best selling plan in Weber in 2014

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$3 copay$3 copay$3 copay
Tier 2: Non-Preferred Generic$9 copay$9 copay$9 copay
Tier 3: Preferred Brand Name$45 copay$45 copay$45 copay
Tier 4: Non-Preferred Brand Name$95 copay$95 copay$95 copay
Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$9 copay$9 copay$9 copay
Tier 2: Non-Preferred Generic$27 copay$27 copay$27 copay
Tier 3: Preferred Brand Name$135 copay$135 copay$135 copay
Tier 4: Non-Preferred Brand Name$285 copay$285 copay$285 copay
Tier 5: Specialty Tier

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Not Rated
Cholesterol screening for patients with heart disease
Not Rated
Glaucoma testing
Not Rated
Annual flu vaccine
Not Rated
Pneumonia vaccine
Not Rated
Improving or maintaining physical health
Not Rated
Improving or maintaining mental health
Not Rated
Monitoring physical ability
Not Rated
Access to primary care doctor visits
Not Rated
Adult BMI assessment
Not Rated

Managing Chronic Conditions

Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Not Rated
Diabetes care – eye exam
Not Rated
Diabetes care – kidney disease monitoring
Not Rated
Diabetes care – blood sugar controlled
Not Rated
Diabetes care – cholesterol controlled
Not Rated
Controlling blood pressure
Not Rated
Rheumatoid arthritis management
Not Rated
Improving bladder control
Not Rated
Reducing the risk of falling
Not Rated
Plan all-cause readmissions
Not Rated

Ratings of Plan Responsiveness and Care

Getting needed care
Not Rated
Getting appointments and care quickly
Not Rated
Customer service
Not Rated
Overall rating of health care quality
Not Rated
Overall rating of plan
Not Rated

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the health plan
Not Rated
Beneficiary access and performance problems
Members choosing to leave the plan
Not Rated
Plan makes timely decision about appeals
Not Rated
Reviewing appeals decisions
Not Rated
Call center – foreign language interpreter and TTY/TDD availability
Not Rated

Physician Finder

Physicians that accept SelectHealth Advantage (HMO-POS) for Utah

/
FEIL, MATTHEW
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
GRANGE, TIMOTHY
4052 PIONEER PKWY
SALT LAKE CITY, UT 84120
KOLBER, SHARON
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
COLE, DAVID
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
LARSEN, BRENT
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
PUTNAM, CATHEY
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
NICHOLLS, CHAD
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
PERRY, ROGER
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
WEBER, QUINN
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
AGRESTA, MATTHEW
3451 S 5600 W
SALT LAKE CITY, UT 84120
MATEJKA, ROBERT
3460 PIONEER PKWY
WEST VALLEY, UT 84120
SAIDI, ABDUL
3460 PIONEER PKWY
SALT LAKE CITY, UT 84120
THORN, TRENTON
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
CHRISTENSEN, QUINN
134 W 2025 S CIRCLE
ST GEORGE, UT 84170
Details
MATTHEW FEIL, DO
Phone Number
(801) 964-3100
Office Locations
3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
3460 PIONEER PKWY WEST VALLEY CITY UT, 84120

Community Q&A

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