2019 UCare Value (HMO-POS) H2459-1-0 in MN from Ucare | HealthPocket

UCare Value (HMO-POS)

$39/mo

Apply For This Plan

Zip Code55106
Applicant4/21/1984 Male
Coverage Start4/22/2019
Apply Now

Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderUcare
Plan IDH2459-1-0
Plan Year2019
CMS Rating
Plan TypeHMO-POS
Annual Deductible$0.00

What To Know About This Plan
  • This is a health coverage only plan with no drug coverage

Costs and Other Important Information

Plan Year2019
Monthly Health Plan Premium$39.00
Monthly Drug Plan PremiumNot Applicable
Health Plan Deductible$0
Other health plan deductibles?No
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)$3,400 In-network
$10,000 Out-of-network
Optional Supplemental BenefitsYes

Benefits

SERVICECOST
Inpatient hospital coverageIn-Network:$400 per stay
Out-of-Network:20% per stay
Outpatient hospital coverageIn-Network:$250 per visit
Out-of-Network:20% per visit
Doctor visitsPrimary:
In-Network:$0 copay
Out-of-Network:$0 copay
Specialist:
In-Network:$35 per visit
Out-of-Network:$35 per visit
Preventive careIn-Network:$0 copay
Out-of-Network:$0 copay
Emergency care/Urgent careEmergency:$100 per visit (always covered)
Urgent care:$50 per visit (always covered)
Diagnostic procedures/lab services/imagingDiagnostic tests and procedures:
In-Network:10%
Out-of-Network:20%
Lab services:
In-Network:$0 copay
Out-of-Network:$0 copay
Diagnostic radiology services (e.g., MRI):
In-Network:10%
Out-of-Network:20%
Outpatient x-rays:
In-Network:10%
Out-of-Network:20%
Mental health servicesInpatient hospital - psychiatric:
In-Network:$400 per stay
Out-of-Network:20% per stay
Outpatient group therapy visit with a psychiatrist:
In-Network:$35
Out-of-Network:$35
Outpatient individual therapy visit with a psychiatrist:
In-Network:$35
Out-of-Network:$35
Outpatient group therapy visit:
In-Network:$35
Out-of-Network:$35
Outpatient individual therapy visit:
In-Network:$35
Out-of-Network:$35
Skilled Nursing FacilityIn-Network:$0 per day for days 1 through 20
$125 per day for days 21 through 100
Out-of-Network:20% per stay
Rehabilitation servicesOccupational therapy visit:
In-Network:$35
Out-of-Network:$35
Physical therapy and speech and language therapy visit:
In-Network:$35
Out-of-Network:$35
Ground ambulanceIn-Network:$100
Out-of-Network:$100
TransportationNot covered
Foot care (podiatry services)Foot exams and treatment:
In-Network:$35
Out-of-Network:$35
Routine foot care:Not covered
Medical equipment/suppliesDurable medical equipment (e.g., wheelchairs, oxygen):
In-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:20% per item
Wellness programs (e.g., fitness, nursing hotline)Covered
Medicare Part B drugsChemotherapy:
In-Network:20%
Out-of-Network:20%
Other Part B drugs:
In-Network:20%
Out-of-Network:20%

Benefits Services

Hearing
Hearing examIn-Network: $35
Out-of-Network: 20%
Fitting/evaluationNot covered
Hearing aids - inner earNot covered
Hearing aids - outer earNot covered
Hearing aids - over the earNot covered
Preventive Dental
Oral examIn-Network: $0 copay
Out-of-Network: $0 copay
There may be limits on how much the plan will provide.
CleaningIn-Network: $0 copay
Out-of-Network: $0 copay
There may be limits on how much the plan will provide.
Fluoride treatmentIn-Network: $0 copay
Out-of-Network: $0 copay
Dental x-ray(s)In-Network: $0 copay
Out-of-Network: $0 copay
There may be limits on how much the plan will provide.
Comprehensive Dental
Non-routine servicesNot covered
Diagnostic servicesNot covered
Restorative servicesNot covered
EndodonticsNot covered
PeriodonticsNot covered
ExtractionsNot covered
Prosthodontics, other oral/maxillofacial surgery, other servicesNot covered
Vision
Routine eye examIn-Network: $0 copay
There may be limits on how much the plan will provide.
OtherNot covered
Contact lensesNot covered
Eyeglasses (frames and lenses)Not covered
Eyeglass framesNot covered
Eyeglass lensesNot covered
UpgradesNot covered

Coverage Area for UCare Value (HMO-POS)

StateMinnesota
CountyRamsey

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 managementNot Rated
Care for older adults – medication reviewNot Rated
Care for older adults – functional status assessmentNot Rated
Care for older adults – Pain screeningNot 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

Physicians that accept UCare Value (HMO-POS) for Minnesota

/
Please select the correct zip
Keller, Curtis
View All Details
Gapinski, Leah
View All Details
Yang, Peter
View All Details
Roberts, William
View All Details
Smith, George
View All Details
Barsanti, John
View All Details
Current, David
View All Details
Clark, Kirby
View All Details
Cermak, Peter
View All Details
Kiesling, Sarah
View All Details
Marston, Scott
View All Details
Khoury, Antoine
View All Details
Czapansky-beilman, Desiree
View All Details
Guerrero, Marco
View All Details
Bojanov, K
View All Details
Albrecht, Luke
View All Details
Graven, Krista
View All Details
Barringer, Kelly
View All Details
Stoik, Nicole
View All Details
Burnett, Aaron
View All Details
Hokanson, Jonathan
View All Details
Deshpande, Supreet
View All Details
Mundy, Matthew
View All Details
Rizvi, Mohammad
View All Details
Stellpflug, Samuel
View All Details
Curtis Keller, MD
View All Details
  • Phone Number
    (651) 772-3461
  • Office Locations
    1414 Maryland Ave E
    Saint Paul, MN 55106
1414 Maryland Ave E Saint Paul MN, 55106
UCare Prime (HMO-POS)
COST:from $0CMS Rating:
Select
Allina Health | Aetna Medicare Discover Plus (PPO)
COST:from $0CMS Rating:Not Rated
Select
HumanaChoice H5216-086 (PPO)
COST:from $0CMS Rating:
Select
Blue Cross Medicare Advantage Core (PPO)
COST:from $0CMS Rating:
Select
HealthPartners Journey Pace (PPO)
COST:from $9CMS Rating:
Select

get free advice

Speak With A Licensed Agent

Call (800) 931-6467

Learn More

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is a wholly owned subsidiary of Health Plan Intermediaries Holdings LLC (NASDAQ: HIIQ)

Medicare Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is a wholly owned subsidiary of Health Plan Intermediaries Holdings LLC (NASDAQ: HIIQ)