Council on Aging Answers 2017 - 88

COUNCIL ON AGING - SOUTHERN CALIFORNIA

Medicare Advantage Plans Comparison Chart
CENTRAL HEALTH
MEDICARE PL.
Central Health
Premier Plan
H5649-004

SIZE OF NETWORK
OUT OF POCKET MAXIMUM
DOCTOR/SPECIALIST VISIT

New enrollment:
866-314-2427
Current Members:
866-314-2427
centralhealthplan.com
MA-PD (HMO)
Medi-Medi option offered
$36.20 monthly premium
health plan deduct.: unavail.
$400 drug plan deductible
4501-5000 providers
$6,700 In-Network
20%/20% of cost each visit

IN-PATIENT HOSPITALIZATION

Contact plan for details.

TELEPHONE NUMBERS
AND WEBSITE
PLAN TYPE
TOTAL MONTHLY PREMIUM
& ANNUAL DEDUCTIBLES

SKILLED NURSING FACILITY
AMBULANCE
CHEMOTHERAPY DRUGS
CHIROPRACTIC
DIABETES

DIAGNOSTIC TESTS, LAB &
RADIOLOGY SERVICES,
AND X-RAYS
DURABLE MEDICAL EQUIPMENT
EMERGENCY ROOM VISIT
OUTPATIENT HOSPITAL SERVICES
OUTPATIENT REHAB SERVICES
TRANSPORTATION
DENTAL SERVICES
(SEE NOTES FOR *)

HEARING SERVICES
(SEE NOTES FOR **)

VISION SERVICES
(SEE NOTES FOR ***)

100 days each benefit period. Contact
plan for more details.
20% of cost each service
20% of cost for Part B chemotherapy
drugs

EASY CHOICE HEALTH PLAN

EASY CHOICE HEALTH PLAN

GOLDEN STATE

Easy Choice Plus Plan
H5087-002

Easy Choice Best Plan
H5087-005

Golden State
Medicare Health Plan,
Golden
H2241-006

New enrollment:
866-999-3945
Current Members:
866-999-3945
easychoicehealthplan.com
MA-PD (HMO)
Medi-Medi option offered

New enrollment:
866-999-3945
Current Members:
866-999-3945
easychoicehealthplan.com

New enrollment:
877-541-4111
Current Members:
877-541-4111
gsmhp.com

MA-PD (HMO)

MA-PD (HMO)

$27 monthly premium
$400 drug plan deductible

$0 monthly premium

$4.40 monthly premium

4501-5000 providers
$6,700 In-Network
$0/20% of cost each visit

12001-13000 providers
$3,400 In-Network
$0/$0 each visit

4501-5000 providers
$3,400 In-Network
$10/$15 each visit

Days 1-3: $500/day, Days 4-90: $0/day.
$0/day for additional 120 days.

Days 1-90: $0/day. $0/day for 120
additional days.

$300 copay. Unlimited days each benefit
period.

Days 1 -20: $0/day, Days 21-100: $50/day.
100 days each benefit period.
$50 each service
20% of cost for Part B chemotherapy
drugs

Days 1-20: $0/day, Days 21-100: $50/day.
100 days covered each benefit period.
$200 each service
20% of cost for Part B chemotherapy
drugs

$0 for subluxation manipulation

$0 for subluxation manipulation

Days 1-20: $0/day, Days 21-100: $164.50/
day. 100 days each benefit period.
20% of cost each service
20% of cost for Part B chemotherapy
drugs
20% of cost for subluxation
$0 for subluxation manipulation
manipulation. $0 for routine visit.
$0 for monitoring supplies. $0 for self- $0 for monitoring supplies. $0 for selfmanagement training. $0 for therapeutic management training. 20% of cost for
shoes or inserts.
therapeutic shoes or inserts.
20% of cost for diagnostic radiology
20% of cost for diagnostic radiology
services. 20% of cost for diagnostic tests services. $0 for diagnostic tests and
and procedures. 20% of cost for lab
procedures. $0 for lab services. $0
services. 20% of cost each x-ray. 20% of each x-ray. 20% of cost for therapeutic
cost for therapeutic radiology services. radiology services.
20% of cost of Medicare- covered items 20% of cost of Medicare- covered items
20% of cost each visit, waived if admitted $75 each visit, waived if admitted within
within 24 hours.
24 hours.
20% of cost each visit
20% of cost each visit
20% of cost each occupational or cardiac
visit.
20% of cost each visit
$0 each all other visits.
$0 copay
$0 copay
$0 for limited dental. $0 for cleaning.
20% of cost for limited dental. $0 for
$0 for x-rays. $0 for fluoride treatment. cleaning. $0 for x-rays. $0 for fluoride
$0 for oral exam. Contact plan for
treatment. $0 for oral exam. Contact plan
comprehensive services.
for comprehensive services
20% of cost for diagnostic exam. $0 for 20% of cost for diagnostic exam. $0 for
routine hearing exam. $0 for hearing aid routine hearing exam. $0 for hearing aid
fitting or evaluation. $0 for hearing aid. fitting or evaluation. $0 for hearing aid.
Plan pays up to $2,000 for hearing aids. Plan pays up to $1,000 for hearing aids.
20% of cost for diagnostic exam. $0 for
20% of cost for diagnostic exam. $0 for
routine eye exam. $0 for contact lenses.
routine eye exam. $0 for contact lenses.
$0 for eyeglasses. $0 for eyeglass frames.
$0 for eyeglasses. $0 for eyewear after
$0 for eyeglass lenses. $0 for eyewear
cataract surgery. Plan pays up to $300
after cataract surgery. Plan pays up to
for eyewear.
$350 for eyewear.

$0 for monitoring supplies.
$0 for monitoring supplies. $0 for self$0 for self-management training. 20% of management training. $0 for therapeutic
cost for therapeutic shoes or inserts.
shoes or inserts.
$0 for diagnostic radiology services. $0
for diagnostic tests and procedures. $0
for lab services. $0 each x-ray. 20% of
cost for therapeutic radiology services.

$0 for diagnostic radiology services. $0
for diagnostic tests and procedures. $0
for lab services. $0 each x-ray. $0 for
therapeutic radiology services.

20% of cost of Medicare- covered items
$75 each visit, waived if admitted within
24 hours.
$50 each visit

0-20% of cost of Medicare-covered items
$75 each visit, waived if admitted within
24 hours.
$100 each visit

$0 each visit

$0 each visit

$0 copay
$0 for limited dental. $10-$55 for
cleaning. $0-$30 for x-rays. $9-$20 for
fluoride treatment. $0-$40 for oral exam.
Contact plan for comprehensive services.
$0 for diagnostic exam. $0 for routine
hearing exam. $0 for hearing aid fitting
or evaluation. $0 for hearing aid. Plan
pays up to $1,000 for hearing aids.
$0 for diagnostic exam.
$0 for routine eye exam. $0 for contact
lenses. $0 for eyeglasses. $0 for eyeglass
frames. $0 for eyeglass lenses. $0 for
eyewear after cataract surgery. Plan pays
up to $200 for eyewear.

$0 copay
$0 for limited dental. $8 for cleaning.
$8 for x-rays. $8 for fluoride treatment.
$8 for oral exam. Contact plan for
comprehensive services.
$0 for diagnostic exam. $0 for routine
hearing exam. $0 for hearing aid fitting
or evaluation. $0 for hearing aid. Plan
pays up to $400 for hearing aids.
$0 for diagnostic exam. $0 for routine
eye exam. $0 for contact lenses. $0
for eyeglasses. $0 for eyewear after
cataract surgery. Plan pays up to $150
for eyewear.

Confused by Medicare? Call the Council on Aging - Southern California HICAP experts at (800) 434-0222
88

Answers Guide 2017	

THE INFORMATION ON THESE CHARTS IS SUBJECT TO CHANGE. Contact the plan to verify information.

COUNCIL ON AGING - SOUTHERN CALIFORNIA IS A 501 (C)3 NONPROFIT CORPORATION.
TO DISTRIBUTE
ANSWERS FREE OFResource
COST, WE MUST SELL
ADVERTISING SPACE.| WHILE
WE APPRECIATE THE PAID
LISTINGS IN ANSWERS, THEIR
Aging
Disability
Connection
800-510-2020
| 1-800-434-0222.
www.adrcoc.org
HICAPDOES
is not
missing or incorrect
information,
canand
help
with
accessing
mostBEcurrent
information
via our
HICAP
program
INCLUSION
NOTliable
IMPLYfor
A RECOMMENDATION
OR ENDORSEMENT
OF but
PRODUCTS
OR SERVICES
BY COASC.the
ALWAYS
A VIGILANT
CONSUMER. VERIFY
INFORMATION
AND SEEKat
REFERENCES
WHERE APPROPRIATE.


http://www.centralhealthplan.com http://www.easychoicehealthplan.com http://www.easychoicehealthplan.com http://www.gsmhp.com

Table of Contents for the Digital Edition of Council on Aging Answers 2017

Contents
Council on Aging Answers 2017 - Intro
Council on Aging Answers 2017 - Cover1
Council on Aging Answers 2017 - Cover2
Council on Aging Answers 2017 - 1
Council on Aging Answers 2017 - Contents
Council on Aging Answers 2017 - 3
Council on Aging Answers 2017 - 4
Council on Aging Answers 2017 - 5
Council on Aging Answers 2017 - 6
Council on Aging Answers 2017 - 7
Council on Aging Answers 2017 - 8
Council on Aging Answers 2017 - 9
Council on Aging Answers 2017 - 10
Council on Aging Answers 2017 - 11
Council on Aging Answers 2017 - 12
Council on Aging Answers 2017 - 13
Council on Aging Answers 2017 - 14
Council on Aging Answers 2017 - 15
Council on Aging Answers 2017 - 16
Council on Aging Answers 2017 - 17
Council on Aging Answers 2017 - 18
Council on Aging Answers 2017 - 19
Council on Aging Answers 2017 - 20
Council on Aging Answers 2017 - 21
Council on Aging Answers 2017 - 22
Council on Aging Answers 2017 - 23
Council on Aging Answers 2017 - 24
Council on Aging Answers 2017 - 25
Council on Aging Answers 2017 - 26
Council on Aging Answers 2017 - 27
Council on Aging Answers 2017 - 28
Council on Aging Answers 2017 - 29
Council on Aging Answers 2017 - 30
Council on Aging Answers 2017 - 1a
Council on Aging Answers 2017 - 1b
Council on Aging Answers 2017 - 31
Council on Aging Answers 2017 - 32
Council on Aging Answers 2017 - 33
Council on Aging Answers 2017 - 34
Council on Aging Answers 2017 - 35
Council on Aging Answers 2017 - 36
Council on Aging Answers 2017 - 37
Council on Aging Answers 2017 - 38
Council on Aging Answers 2017 - 39
Council on Aging Answers 2017 - 40
Council on Aging Answers 2017 - 41
Council on Aging Answers 2017 - 42
Council on Aging Answers 2017 - 43
Council on Aging Answers 2017 - 44
Council on Aging Answers 2017 - 45
Council on Aging Answers 2017 - 46
Council on Aging Answers 2017 - 47
Council on Aging Answers 2017 - 48
Council on Aging Answers 2017 - 49
Council on Aging Answers 2017 - 50
Council on Aging Answers 2017 - 51
Council on Aging Answers 2017 - 52
Council on Aging Answers 2017 - 53
Council on Aging Answers 2017 - 54
Council on Aging Answers 2017 - 55
Council on Aging Answers 2017 - 56
Council on Aging Answers 2017 - 57
Council on Aging Answers 2017 - 58
Council on Aging Answers 2017 - 59
Council on Aging Answers 2017 - 60
Council on Aging Answers 2017 - 61
Council on Aging Answers 2017 - 62
Council on Aging Answers 2017 - 63
Council on Aging Answers 2017 - 64
Council on Aging Answers 2017 - 65
Council on Aging Answers 2017 - 66
Council on Aging Answers 2017 - 67
Council on Aging Answers 2017 - 68
Council on Aging Answers 2017 - 69
Council on Aging Answers 2017 - 70
Council on Aging Answers 2017 - 71
Council on Aging Answers 2017 - 72
Council on Aging Answers 2017 - 73
Council on Aging Answers 2017 - 74
Council on Aging Answers 2017 - 75
Council on Aging Answers 2017 - 76
Council on Aging Answers 2017 - 77
Council on Aging Answers 2017 - 78
Council on Aging Answers 2017 - 2a
Council on Aging Answers 2017 - 2b
Council on Aging Answers 2017 - 79
Council on Aging Answers 2017 - 80
Council on Aging Answers 2017 - 81
Council on Aging Answers 2017 - 82
Council on Aging Answers 2017 - 83
Council on Aging Answers 2017 - 84
Council on Aging Answers 2017 - 85
Council on Aging Answers 2017 - 86
Council on Aging Answers 2017 - 87
Council on Aging Answers 2017 - 88
Council on Aging Answers 2017 - 89
Council on Aging Answers 2017 - 90
Council on Aging Answers 2017 - 91
Council on Aging Answers 2017 - 92
Council on Aging Answers 2017 - 93
Council on Aging Answers 2017 - 94
Council on Aging Answers 2017 - 3a
Council on Aging Answers 2017 - 3b
Council on Aging Answers 2017 - 95
Council on Aging Answers 2017 - 96
Council on Aging Answers 2017 - 97
Council on Aging Answers 2017 - 98
Council on Aging Answers 2017 - 99
Council on Aging Answers 2017 - 100
Council on Aging Answers 2017 - 101
Council on Aging Answers 2017 - 102
Council on Aging Answers 2017 - 103
Council on Aging Answers 2017 - 104
Council on Aging Answers 2017 - 105
Council on Aging Answers 2017 - 106
Council on Aging Answers 2017 - 107
Council on Aging Answers 2017 - 108
Council on Aging Answers 2017 - 109
Council on Aging Answers 2017 - 110
Council on Aging Answers 2017 - 111
Council on Aging Answers 2017 - 112
Council on Aging Answers 2017 - 113
Council on Aging Answers 2017 - 114
Council on Aging Answers 2017 - 115
Council on Aging Answers 2017 - 116
Council on Aging Answers 2017 - 117
Council on Aging Answers 2017 - 118
Council on Aging Answers 2017 - 119
Council on Aging Answers 2017 - 120
Council on Aging Answers 2017 - 121
Council on Aging Answers 2017 - 122
Council on Aging Answers 2017 - 123
Council on Aging Answers 2017 - 124
Council on Aging Answers 2017 - 125
Council on Aging Answers 2017 - 126
Council on Aging Answers 2017 - 127
Council on Aging Answers 2017 - 128
Council on Aging Answers 2017 - 129
Council on Aging Answers 2017 - 130
Council on Aging Answers 2017 - 131
Council on Aging Answers 2017 - 132
Council on Aging Answers 2017 - 133
Council on Aging Answers 2017 - 134
Council on Aging Answers 2017 - 135
Council on Aging Answers 2017 - 136
Council on Aging Answers 2017 - 137
Council on Aging Answers 2017 - 138
Council on Aging Answers 2017 - 139
Council on Aging Answers 2017 - 140
Council on Aging Answers 2017 - 141
Council on Aging Answers 2017 - 142
Council on Aging Answers 2017 - 143
Council on Aging Answers 2017 - 144
Council on Aging Answers 2017 - 145
Council on Aging Answers 2017 - 146
Council on Aging Answers 2017 - Cover3
Council on Aging Answers 2017 - Cover4
http://www.nxtbook.com/nxtbooks/coaoc/coa_answers2017
http://www.nxtbook.com/nxtbooks/coaoc/coa_answers2016
http://www.nxtbook.com/nxtbooks/coaoc/coa_answers2015
http://www.nxtbook.com/nxtbooks/freedom/coa_answers2014
http://www.nxtbook.com/nxtbooks/freedom/seniorguide2013
http://www.nxtbook.com/nxtbooks/freedom/seniorguide2012
http://www.nxtbook.com/nxtbooks/freedom/seniorguide2011
http://www.nxtbookMEDIA.com