2020 Erickson Advantage Liberty without Drugs (HMO) H5652-002-000 in CO from UnitedHealthcare | HealthPocket

Erickson Advantage Liberty without Drugs (HMO)

$0/mo

Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderUnitedHealthcare
Plan IDH5652-002-000
Plan Year2020
CMS Rating
Plan TypeHMO
Annual Deductible$0.00
Out-of-Pocket Maximum6700

What To Know About This Plan
  • This is a health coverage only plan with no drug coverage
  • This plan is available for 2021. see plan

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$800 In-network
Estimated yearly costs
Estimated total yearly costs for care$6,894.00
Out-of-pocket max
Out-of-pocket max$6,700 In-network

Benefits & costs

Doctor services
Primary doctor visit$20-30 per visit
Specialist visit$50 per visit
Tests, labs, & imaging
Diagnostic tests & procedures$0 copay
Lab services$10
Diagnostic radiology services (like MRI)$0-100
Outpatient x-rays$20
Emergency care$90 per visit (always covered)
Urgent care$30 per visit (always covered)
Hospital services
Inpatient hospital coverage$300 per day for days 1 through 7
$0 per day for days 8 through 90
$0 per day for days 91 and beyond
Outpatient hospital coverage$0-300 per visit
Skilled nursing facility
Skilled nursing facility$0 per day for days 1 through 20
$178 per day for days 21 through 58
$0 per day for days 59 through 100
Preventive services
Preventive services$0 copay
Ambulance
Ground ambulance$250
Therapy services
Occupational therapy visit$40
Physical therapy & speech & language therapy visit$40
Mental health services
Outpatient group therapy with a psychiatrist$30
Outpatient individual therapy with a psychiatrist$30
Outpatient group therapy visit$0 copay
Outpatient individual therapy visit$0-30
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 supplies20% per item

Extra benefits & costs

Hearing
Hearing exam$0 copay
Fitting/evaluationNot covered
Hearing aids - All types$375-2,075
Preventive dental
Oral exam$0 copay
Cleaning$0 copay
Fluoride treatment$0 copay
Dental x-rays$0 copay
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 exam$0 copay
Contact lenses$0 copay
Eyeglasses (frames & lenses)$0 copay
Eyeglass frames (only)Not covered
Eyeglass lenses (only)Not covered
UpgradesNot covered
More benefits
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 benefitsNot covered
Meals for short durationNot covered
Annual physical examsLimited coverage
TelehealthNot covered

Drug coverage & costs

Part B drugs
Chemotherapy drugs10%
Other Part B drugs10%

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
Care for older adults – medication review
Care for older adults – functional status assessment
Care for older adults – Pain screening
Osteoporosis management in women who had a fractureNot Rated
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressureNot Rated
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

Getting needed care
Getting appointments and care quicklyNot Rated
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 decisionsNot Rated
Call center – foreign language interpreter and TTY/TDD availability - MedicalNot Rated

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 planNot Rated
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
Statin Use in Persons with DiabetesNot Rated

Physicians that accept Erickson Advantage Liberty without Drugs (HMO) for Colorado

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Larry, Fisher
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Khoi, Nguyen
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Raymond, Garrett
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Antony Nguyen, Vanbang
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Cuong, Ngo
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Mark, Elles
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Dinh, Nguyen
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Jesse, Sutherland
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Kathy, Mccranie
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Brian, Lambden
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Rachel, Basse
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Martin, Thumim
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Michael, Schindel
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Sherri, Laubach
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Loan, Pham
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Larry Fisher, MD
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  • Phone Number
    (303) 935-9142
  • Office Locations
    1930 S Federal Blvd
    Denver, CO 80219
1930 S Federal Blvd Denver CO, 80219

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Medicare Plans Found

 

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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 Benefytt Technologies, Inc. family of companies.