2020 Cigna-HealthSpring Advantage (HMO) H9460-2-0 in KS from Cigna | HealthPocket

Cigna-HealthSpring Advantage (HMO)

$0/mo

Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderCigna
Plan IDH9460-2-0
Plan Year2020
CMS Rating
Plan TypeHMO
Annual Deductible$0.00
Out-of-Pocket Maximum3900

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

Why We Like This Plan
  • has no additional premium costs outside of your Medicare Part B premium

Overview

Premium
Total monthly premium$0.00
Health plan premium$0.00
Standard Part B premium$135.50
Part B premium reductionNo
Deductible
Health plan deductible$0
Estimated yearly costs
Estimated total yearly costs for care$6,342.00
Out-of-pocket max
Out-of-pocket max$3,900 In-network

Benefits & costs

Doctor services
Primary doctor visit$0 copay
Specialist visit$40 per visit
Tests, labs, & imaging
Diagnostic tests & procedures$0-200
Lab services$0 copay
Diagnostic radiology services (like MRI)$0-200
Outpatient x-rays$10
Emergency care$90 per visit (always covered)
Urgent care$45 per visit (always covered)
Hospital services
Inpatient hospital coverage$345 per day for days 1 through 5
$0 per day for days 6 through 90
Outpatient hospital coverage$0-350 per visit
Skilled nursing facility
Skilled nursing facility$0 per day for days 1 through 20
$178 per day for days 21 through 100
Preventive services
Preventive services$0 copay
Ambulance
Ground ambulance$220
Therapy services
Occupational therapy visit$40
Physical therapy & speech & language therapy visit$40
Mental health services
Outpatient group therapy with a psychiatrist$40
Outpatient individual therapy with a psychiatrist$40
Outpatient group therapy visit$40
Outpatient individual therapy visit$40
Opioid treatment services
Opioid treatment servicesCovered
Other services
Durable medical equipment (like wheelchairs & oxygen)20% per item
Prosthetics (like braces, artificial limbs)20% per item
Diabetes supplies0-20% per item

Extra benefits & costs

Hearing
Hearing exam$0-20
Fitting/evaluation$0 copay
Hearing aids - Inner earNot covered
Hearing aids - Outer ear$0 copay
Hearing aids - Over the ear$0 copay
Preventive dental
Oral exam$0 copay
Cleaning$0 copay
Fluoride treatmentNot covered
Dental x-rays$0 copay
Comprehensive dental
Non-routine servicesNot covered
Diagnostic servicesNot covered
Restorative services$10-195
EndodonticsNot covered
Periodontics$10-55
Extractions$35-75
Prosthodontics, other oral/maxillofacial surgery, other services$25-195
Vision
Routine eye exam$0 copay
Contact lenses$0 copay
Eyeglasses (frames & lenses)$0 copay
Eyeglass frames (only)$0 copay
Eyeglass lenses (only)$0 copay
Upgrades$0 copay
More benefits
Fitness benefitLimited coverage
Transportation services for non-emergency care: Any health-related locationsNot covered
Transportation services for non-emergency care: Plan-approved locationsLimited coverage
Over the counter drug benefitsLimited coverage
In-home support servicesNot covered
Home and bathroom safety devicesNot covered
Meals for short durationLimited coverage
Annual physical examsNot covered
TelehealthNot covered

Drug coverage & costs

Part B drugs
Chemotherapy drugs20%
Other Part B drugs20%

Coverage Area for Cigna-HealthSpring Advantage (HMO)

StateKansas
CountyJohnson

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical healthNot Rated
Improving or maintaining mental healthNot Rated
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 assessmentNot Rated
Osteoporosis management in women who had a fractureNot Rated
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Rheumatoid arthritis managementNot Rated
Reducing the risk of falling
Improving bladder control
Medication reconciliation post-discharge
Plan all-cause readmissions
Statin Therapy for Patients with Cardiovascular Disease

Member Experience with Health Plan

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

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
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 availability
Appeals auto-forward
Appeals upheldNot Rated

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
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
Medication adherence for diabetes medications
Medication adherence for hypertension - RAS antagonists
Medication adherence for cholesterol - Statins
MTM program completion rate for CMR
Statin use in persons with diabetes - SUPD

Physicians that accept Cigna-HealthSpring Advantage (HMO) for Kansas

/
Please select the correct zip
Constance, Irick
View All Details
Bruce, Young
View All Details
Scott, Williamson
View All Details
Laura, Mckinney
View All Details
Heather, Grisham
View All Details
Heather, Conklin
View All Details
Laura, Reilly
View All Details
Kristina, Cunningham
View All Details
Michael, Stone
View All Details
Matthew, Fieleke
View All Details
Wesley, Nash
View All Details
Brooks, Young
View All Details
Kerri, Fellows
View All Details
Charlie, Matteson
View All Details
Kare, Lyche
View All Details
Kristine, Herron
View All Details
Kirk, Duncan
View All Details
Venu, Nair
View All Details
Jay, Zwibelman
View All Details
Richard, Schumacher
View All Details
Gary, Bernhardt
View All Details
Constance Irick, M.D.
View All Details
  • Phone Number
    (913) 829-8833
  • Office Locations
    15270 W 119th St
    Olathe, KS 66062
15270 W 119th St Olathe KS, 66062
Humana Gold Plus H0028-013 (HMO)
COST:from $0CMS Rating:
Select
Blue Medicare Advantage Complete (HMO)
COST:from $0CMS Rating:
Select
Aetna Medicare Premier Plus (PPO)
COST:from $0CMS Rating:
Select
AARP Medicare Advantage Choice (PPO)
COST:from $0CMS Rating:
Select
Lasso Healthcare (MSA)
COST:from $0CMS Rating:Not Rated
Select

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family 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 part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).

Medicare Plans Found

 

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family 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 part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).