2018 CMC Care Advantage Vida (HMO) (HMO) H0904-4-0 in PR from CMC Care Advantege | HealthPocket

CMC Care Advantage Vida (HMO) (HMO)


Apply For This Plan

Zip Code00926
Applicant10/17/1983 Male
Coverage Start10/19/2018
Apply Now

Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderCMC Care Advantege
Plan IDH0904-4-0
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)$3,400.01 In-network
Other health plan deductibles?No
Health Plan Deductible$0
Monthly Drug Plan Premium$0.00
Monthly Health Plan Premium$0.00


Inpatient hospital coverage$0 copay
Outpatient hospital coverage$0 copay
Doctor visitsPrimary:
$0 copay
$6 per visit
Preventive care$0 copay
Emergency care/Urgent careEmergency:
$45 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):
Outpatient x-rays:
Mental health services$0 copay
Outpatient group therapy visit with a psychiatrist:
Outpatient individual therapy visit with a psychiatrist:
Outpatient group therapy visit:
$0 copay
Outpatient individual therapy visit:
$0 copay
Skilled Nursing Facility$0 copay
Rehabilitation servicesOccupational therapy visit:
$0 copay
Physical therapy and speech and language therapy visit:
$0 copay
Ambulance$0 copay
Transportation$0 copay
Foot care (podiatry services)Foot exams and treatment:
Routine foot care:
Medical equipment/suppliesDurable medical equipment (e.g., wheelchairs, oxygen):
15% per item
Prosthetics (e.g., braces, artificial limbs):
15% per item
Diabetes supplies:
$0 copay
Wellness programs (e.g., fitness, nursing hotline)Covered
Medicare Part B drugsChemotherapy:
Other Part B drugs:

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

StatePuerto Rico
CountySan Juan

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

Please select the correct zip

No results found. Try changing the search distance or zip code.

Basic (HMO)
COST:from $0CMS Rating:
MCS Classicare MediOnlyNoRx (HMO)
COST:from $0CMS Rating:
Humana Gold Plus H4007-012 (HMO)
COST:from $0CMS Rating:
MMM - Elite Ultra (HMO-POS)
COST:from $0CMS Rating:
Orion Constellation Health (HMO)
COST:from $0CMS Rating:

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.


Medicare Plans Found