2018 CMC Care Advantage Ahorro (HMO) (HMO) H0904-6-0 in PR from CMC Care Advantege | HealthPocket

CMC Care Advantage Ahorro (HMO) (HMO)

$0/mo

Apply For This Plan

Zip Code00926
Applicant12/13/1983 Male
Coverage Start12/14/2018
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Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderCMC Care Advantege
Plan IDH0904-6-0
Plan Year2018
CMS RatingNot Rated
Plan TypeHMO
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

Costs and Other Important Information

Plan Year2018
Optional Supplemental BenefitsNo
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)$3,400 In-network
Other health plan deductibles?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0.00
Monthly Health Plan Premium$0.00

Benefits

SERVICECOST
Inpatient hospital coverage$0 copay
Outpatient hospital coverage$100 per visit
Doctor visitsPrimary:
$0 copay
Specialist:
$8 per visit
Preventive care$0 copay
Emergency care/Urgent careEmergency:
$60 per visit (always covered)
Urgent care:
$0 copay
Diagnostic procedures/lab services/imagingDiagnostic tests and procedures:
$0 copay
Lab services:
$0 copay
Diagnostic radiology services (e.g., MRI):
20%
Outpatient x-rays:
20%
Mental health services$0 copay
Outpatient group therapy visit with a psychiatrist:
$10
Outpatient individual therapy visit with a psychiatrist:
$10
Outpatient group therapy visit:
$10
Outpatient individual therapy visit:
$10
Skilled Nursing Facility$0 copay
Rehabilitation servicesOccupational therapy visit:
$8
Physical therapy and speech and language therapy visit:
$8
Ambulance$0 copay
Transportation$0 copay
Foot care (podiatry services)Foot exams and treatment:
$8
Routine foot care:
$8
Medical equipment/suppliesDurable medical equipment (e.g., wheelchairs, oxygen):
20% per item
Prosthetics (e.g., braces, artificial limbs):
20% per item
Diabetes supplies:
20% per item
Wellness programs (e.g., fitness, nursing hotline)Covered
Medicare Part B drugsChemotherapy:
10%
Other Part B drugs:
20%

Coverage Area for CMC Care Advantage Ahorro (HMO) (HMO)

StatePuerto Rico
CountySan Juan

Physicians that accept CMC Care Advantage Ahorro (HMO) (HMO) for Puerto Rico

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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.

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.