|Part D Benefit:||Yes|
|Rx Gap Coverage:||No|
|Plan Phone #:||888-775-7003|
|Summary of Benefits:||Not Available|
Senior Care Plus: Freedom Rx Plan is a Preferred Provider Organization Medicare Advantage Plan, by Hometown Health, available in Carson City County, NV. It gives you freedom to choose your doctors, specialists and hospital facilities. Plus, you can keep your out of pocket costs as low as possible when you use the Hometown Health network. You get predictable copayments and coinsurance, making it easier to keep your healthcare costs in check.
The monthly premium for this plan in Carson City County, NV is $40.00. This amount is paid directly to Hometown Health.
If you enroll in this plan you will pay your Medicare Part B premium plus this plan's monthly premium. Most people pay the standard Part B premium, but some beneficiaries pay higher Part B premiums due to their annual income (over $85k for singles or $170k for married couples). Late enrollment penalties can also increase your Part B premium.
In addition to the premiums you also pay your share when you use healthcare services. Each time you see your doctor, or if you are admitted as an inpatient (hospitalized), you'll pay copayments. Your prescription drugs also have a cost sharing component.
Maximum Out-of-Pocket Limit
2017 Medicare Advantage plans have an annual maximum out-of-pocket (MOOP) limit that protects you from financial disaster. The MOOP limit is $6,700, but plans can go as low as $3,400.
The most you will pay out-of-pocket if you enroll in this plan is $3,400. This amount does not include your monthly premium or the copayments. This is only the amount that you pay out of pocket.
Don't forget to look at the co-payments and co-insurance with Original Medicare (no out-of-pocket limits). If you stay on Original Medicare you'll need a Medicare Supplement to pay the gaps or pay it yourself.
Coverage, Copayments & Coinsurance
The Senior Care Plus: Freedom Rx Plan plan offers the same basic benefits as Original Medicare. The big difference is copayments and coinsurances. Below you will find (where available) what you will pay for common health care services.
Most plans have copayments when you see your primary care doctor or a specialist. Here's how this plan works:
|Primary Care Doctor:||20% co-insurance|
|Physician Specialist:||$50 co-payment|
|Occupational Therapist:||$25 co-payment|
|Physical Therapist:||$25 co-payment|
|Speech Terapist:||$25 co-payment|
Medicare covers a wide range of preventive care services, including cardiovascular screenings, alcohol misuse screening and counseling, depression screen, and diabetes screening, to name just a few. Here's how this plan covers the following at no cost:
- Abdominal aortic aneurysm screening
- Alcohol misuse counseling
- Bone mass measurement
- Breast cancer screening (mammogram)
- Cardiovascular disease (behavioral therapy)
- Cardiovascular screenings
- Cervical and vaginal cancer screening
- Colorectal cancer screenings
- Depression screening
- Diabetes screenings
- HIV screening
- Medical nutrition therapy services
- Obesity screening and counseling
- Prostate cancer screenings (PSA)
- Sexually transmitted infections screening and counseling
- Tobacco use cessation counseling
- Vaccines including Flu shots Hepatitis B shots Pneumococcal shots
- 'Welcome to Medicare' preventive visit
- Yearly 'Wellness' visit
Urgent Care and Emergency Room
Urgent care and emergency room services are covered under Medicare Part B and have copayment or coinsurance fees. Some Medicare Advantage plans waive these fees if you are admitted as an inpatient within a specified number of days.
|Urgent Care:||$30 to $60 co-payment |
Co-insurance waived if admitted within 0 Hours
|Emergency Care:||$75 co-payment |
Co-insurance waived if admitted within 0 Hours
If you are admitted to a hospital or clinic for treatment and stay overnight, you are an inpatient. Most plans have tiered costs for inpatient treatment. Here's how this plan covers you:
- Day 1 to 4 you pay $325 per day
- See the Summary of Benefits for additional copayment periods.
Prescription Drug Coverage
Senior Care Plus: Freedom Rx Plan includes Medicare Part D coverage for your prescription medications. The table below outlines what you will pay (the copayment) at your pharmacy at each tier level.
If you are entitled to Part D assistance, your premium will be adjusted based on your percentage.
The annual Part D deductible is $0.00 (first dollar coverage).
Medicare Plan Rating
Medicare gave the Senior Care Plus: Freedom Rx Plan plan an average rating of 3.5.0 out of 5 stars. This rating is Average, by Medicare's definition.
Each Medicare Advantage plan receives a 1.0 to 5.0 star rating by Medicare (annually). The quality assessment of plans helps people considering enrollment. A plan with 5 stars has the highest quality.
Compare Senior Care Plus: Freedom Rx Plan with these top rated plans available in Carson City County:
- Senior Care Plus: Freedom Basic Plan
- Senior Care Plus: Freedom Rx Enhanced Plan
- Senior Care Plus: Freedom Rx Select Plan
- Prominence Prime
- Prominence Value
Senior Care Plus: Freedom Rx Plan Availability
Senior Care Plus: Freedom Rx Plan is available in Carson City, and all other areas of Carson City County.
This page was last updated on 10/25/2016.