Coventry Medicare Advantage (PPO)

Medicare Advantage Plan for Kansas

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PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderAetna
Plan IDH1608-17-0
CMS Rating1
Plan TypePPO
Annual Deductible$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Why We Like This Plan

  • has both Health and Drug Coverage
  • has no additional premium costs outside of your Medicare Part B premium
  • was the 3rd best selling plan in Butler in 2018

Plan Details

Costs and Other Important Information

Plan Year:
2018
Optional Supplemental Benefits
Yes
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
$6,400 In and Out-of-network $6,400 In-network
Other health plan deductibles?
No
Health Plan Deductible
$0
Monthly Drug Plan Premium
$0.00
Monthly Health Plan Premium
$0.00

Benefits

Service
Cost
Inpatient hospital coverage
In-Network:
$315 for days 1 through 5
$0 for days 6 through 90
Out-of-Network:
45% per stay
Outpatient hospital coverage
In-Network:
$265-315 per visit. Out-of-Network:
45% per visit
Doctor visits
Primary:In-Network:
$5 per visit. Out-of-Network:
45% per visit
Specialist:In-Network:
$45 per visit. Out-of-Network:
45% per visit
Preventive care
In-Network:
$0 copay. Out-of-Network:
0-45%
Emergency care/Urgent care
Emergency:$80 per visit (always covered)
Urgent care:$50 per visit (always covered)
Diagnostic procedures/lab services/imaging
Diagnostic tests and procedures:In-Network:
$0 copay. Out-of-Network:
45%
Lab services:In-Network:
$0 copay. Out-of-Network:
45%
Diagnostic radiology services (e.g., MRI):In-Network:
$200-265Out-of-Network:
45%
Outpatient x-rays:In-Network:
$0Out-of-Network:
45%
Mental health services
In-Network:
$325 for days 1 through 4
$0 for days 5 through 90
Out-of-Network:
45% per stay
Outpatient group therapy visit with a psychiatrist:In-Network:
$40Out-of-Network:
45%
Outpatient individual therapy visit with a psychiatrist:In-Network:
$40Out-of-Network:
45%
Outpatient group therapy visit:In-Network:
$40Out-of-Network:
45%
Outpatient individual therapy visit:In-Network:
$40Out-of-Network:
45%
Skilled Nursing Facility
In-Network:
$0 for days 1 through 20
$167.50 for days 21 through 100
Out-of-Network:
45% per stay
Rehabilitation services
Occupational therapy visit:In-Network:
$40Out-of-Network:
45%
Physical therapy and speech and language therapy visit:In-Network:
$40Out-of-Network:
45%
Ambulance
In-Network:
$250Out-of-Network:
$250
Transportation
In-Network:
$0 copay. Out-of-Network:
45%
Foot care (podiatry services)
Foot exams and treatment:In-Network:
$45Out-of-Network:
45%
Routine foot care:Not covered
Medical equipment/supplies
Durable medical equipment (e.g., wheelchairs, oxygen):In-Network:
20% per item. Out-of-Network:
20% per item
Prosthetics (e.g., braces, artificial limbs):In-Network:
20% per item. Out-of-Network:
20% per item
Diabetes supplies:In-Network:
0-20% per item. Out-of-Network:
0-20% per item
Wellness programs (e.g., fitness, nursing hotline)
Covered
Medicare Part B drugs
Chemotherapy:In-Network:
20%Out-of-Network:
45%
Other Part B drugs:In-Network:
20%Out-of-Network:
45%

Coverage Area for Coventry Medicare Advantage (PPO)

StateKansas
CountyJohnson

Cost Sharing Information

All cost-sharing assumes in-network healthcare providers.

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offereds$3 copayNot offered
Tier 2: Non-Preferred GenericNot offered$7 copayNot offered
Tier 3: Preferred Brand NameNot offered$47 copayNot offered
Tier 4: Non-Preferred Brand NameNot offered$100 copayNot offered
Tier 5: Specialty TierNot offered33% coinsuranceNot offered
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offered$0 copayNot offered
Tier 2: Non-Preferred GenericNot offered$21 copayNot offered
Tier 3: Preferred Brand NameNot offered$141 copayNot offered
Tier 4: Non-Preferred Brand NameNot offered$300 copayNot offered
Tier 5: Specialty Tier

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Not Rated
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
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan
Care Coordination

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physician Finder

Physicians that accept Coventry Medicare Advantage (PPO) for Kansas

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STONE, MICHAEL
16538 W 159TH TER
OLATHE, KS 66062
CLARK, ANNE
620 S ROGERS RD
OLATHE, KS 66062
CHARTRAND, KATHRYN
15435 W 134TH PL
OLATHE, KS 66062
WYMORE, CRAIG
15435 W 134TH PL
OLATHE, KS 66062
HARRIS, GARY
15435 W 134TH PL
OLATHE, KS 66062
MATTESON, CHARLIE
15435 W 134TH PL
OLATHE, KS 66062
GRAY, SHALAUNDA
13839 S MUR LEN RD
OLATHE, KS 66062
FIELEKE, MATTHEW
15435 W 134TH PL
OLATHE, KS 66062
CLARKE, JOHN
15435 W 134TH PL
OLATHE, KS 66062
HERRON, KRISTINE
1295 E 151ST ST
OLATHE, KS 66062
MOORE, CURTIS
18695 W 151ST ST
OLATHE, KS 66062
ZWIBELMAN, JAY
601 N MUR LEN RD
OLATHE, KS 66062
FERGUSON, MICHAEL
801 N MUR LEN RD
OLATHE, KS 66062
NOTTINGHAM, ROBERT
13045 SO MUR LEN
OLATHE, KS 66062
BERNHARDT, GARY
15270 W 119TH ST
OLATHE, KS 66062
PHILLIPS, JAMES
18695 W 151ST ST
OLATHE, KS 66062
IRICK, CONSTANCE
15270 W 119TH ST
OLATHE, KS 66062
Details
MICHAEL STONE, D.O
Phone Number
(913) 829-1660
Office Locations
16538 W 159TH TER
OLATHE, KS 66062
16538 W 159TH TER OLATHE KS, 66062

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