CCHP Senior Program for San Francisco, CA
|Part C Premium:|
|Part D Deductible:||$310.00|
|Gap Coverage:||No Gap Coverage|
|Residents of:||CA Residents|
|Plan Type:||Local HMO|
Medicare Advantage 2014 Plan Summary
CCHP Senior Program (H0571-001) is a Health Maintenance Organization (HMO) Advantage plan for seniors and other Medicare beneficiaries in the county of San Francisco, California. The healthcare plan includes all of the coverage benefits of Medicare Part A and Part B, and may include Part D coverage for prescriptions, as well as other extras. The number one benefit of an HMO Advantage plan is that your out-of-pocket costs are usually lower and more predictable than they are with Medicare Part A and B deductibles, co-payments and co-insurances.
An HMO is not as flexible as your Original Medicare. You are required to use the insurance carrier's network of providers. If you use a healthcare provider outside of the network, you are responsible for the costs. In most cases, you must get a referral from your primary care physician to see specialists.
The benefit data on this page is a summary, but not a comprehensive description of available benefits. Additional information about the plan benefits is available from your agent.
The monthly premium for this healthcare plan is $40.00 plus your monthly Medicare Part B premium. Most Medicare Beneficiaries pay the standard monthly Part B premium in addition to their MA or MAPD plan premium. However, some beneficiaries are required to pay slightly higher Part B and Part D premiums because of their income (over $85,000 per year for singles or $170,000 for married couples), or due to late enrollment penalties.
Summary of Benefits
NOTE: As of this publication date the Summary of Benefits information for this 2014 plan was not available from CMS. Please Contact an Agent and ask for the Summary of Benefits document.
Part D Plan Information
The Part D deductible for this plan is $310.00.
Maximum Out of Pocket (MOOP) Benefit
The new Affordable Care Act (aka, ObamaCare) law placed a mandatory maximum limit of $6,700 on all out of pocket medical costs for 2014 Medicare Advantage plans, which is referred to as the Maximum Out of Pocket or MOOP. The MOOP does not include prescriptions and monthly premiums. The Mandatory MOOP is $6,700 but the Affordable Care Act allows for a “Voluntary MOOP” as low as $3,400. The MOOP with this health plan is $3,400
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