Council on Aging Answers 2016 - 103

COUNCIL ON AGING - ORANGE COUNTY

Medicare Advantage Plans Comparison Chart
UNITEDHEALTHCARE

UNITEDHEALTHCARE

UNITEDHEALTHCARE

AARP MedicareComplete
SecureHorizons Essential
H0543-121

AARP MedicareComplete
SecureHorizons Plan 2
H0543-138

AARP MedicareComplete
SecureHorizons Plan 3
H0543-153

New enrollment: 800-555-5757
Current Members: 800-950-9355
aarpmedicareplans.com

New enrollment: 800-555-5757
Current Members: 800-950-9355
aarpmedicareplans.com

New enrollment: 800-555-5757
Current Members: 800-950-9355
aarpmedicareplans.com

MA ONLY (HMO)

MA-PD (HMO)

MA-PD (HMO)

$0 monthly premium

$0 monthly premium

$27.40 monthly premium
$360 drug plan deductible

4501-5000 providers

3501-4000 providers

20000 and above providers

$4,900 In-Network

$3,400 In-Network

$6,700 In-Network

$5/$10 each visit

$0/$0 each visit

$0/20% of cost each visit

$50 each stay. $0/day after 90 days.
Unlimited days each benefit period.
Contact plan for more details.

Days 1-90: $0/day. $0/day after 90 days.
Unlimited days each benefit period.

90 days each benefit period. 60 lifetime
reserve days. Contact plan for more
details.

Days 1-20: $0/day, Days 21-51:
$160/day, Days 52-100:
$0/day. 100 days each benefit period.

Days 1-20: $0/day, Days 21-42:
$160/day, Days 43-100:
$0/day. 100 days each benefit period.

100 days each benefit period. Contact
plan for more details.

$250 each service

$295 each service

20% of cost each service

20% of cost for Part B chemotherapy
drugs

20% of cost for Part B chemotherapy
drugs

20% of cost for Part B chemotherapy
drugs

$10 for subluxation manipulation. $10 for $0 for subluxation manipulation. $10 for 20% of cost for subluxation manipulation
routine visit.
routine visit.
$0 for monitoring supplies. $0 for selfmanagement training. 20% of cost for
therapeutic shoes or inserts.

$0 for monitoring supplies. $0 for selfmanagement training. 20% of cost for
therapeutic shoes or inserts.

$0 for monitoring supplies. $0 for selfmanagement training. 20% of cost for
therapeutic shoes or inserts.

20% of cost 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.

$50 for diagnostic radiology services. $0
for diagnostic tests and procedures. $0
for lab services. $0 each x-ray. $50 for
therapeutic radiology services.

20% of cost for diagnostic radiology
services. $0 for diagnostic tests and
procedures.
$0 for lab services. 20% of cost each
x-ray. 20% of cost for therapeutic
radiology services.

$75 each visit, waived if admitted within $75 each visit, waived if admitted within $75 each visit, waived if admitted within
24 hours.
24 hours.
24 hours.
$0 each visit

$0 each visit

20% of cost each visit

$10 each visit

$0 each visit

20% of cost each visit

Not covered

$0 copay

$0 copay

$10 for limited dental

$0 for limited dental

20% of cost for limited dental

$5 for diagnostic exam. $5 for routine
hearing exam. $330$380 for hearing aid.

$0 for diagnostic exam. $0 for routine
hearing exam. $390$450 for hearing aid.

$0 for diagnostic exam. $0 for routine
hearing exam. $0 for hearing aid. Plan
pays up to
$2,000 for hearing aids.

$0-$10 for diagnostic exam. $10 for
routine eye exam. $0 for contact lenses.
$0 for eyeglass frames. $0 for eyeglass
lenses.
$0 for eyewear after cataract surgery.
Plan pays up to $125 for contacts & up to
$130 for frames.

$0 for diagnostic exam. $0 for routine
eye exam. $0 for contact lenses. $0 for
eyeglass frames.
$0 for eyeglass lenses. $0 for eyewear
after cataract surgery.
Plan pays up to $105 for contacts & up to
$70 for frames.

20% of cost for diagnostic exam.
$0 for routine eye exam. $0 for contact
lenses. $0 for eyeglass frames. $0 for
eyeglass lenses.
$0 for eyewear after cataract surgery.
Plan pays up to $105 for contacts & up to
$70 for frames.

Notes
Plans may limit the frequency of coverage of a benefit during one or more plan years. Please contact
the plan for further details and to verify all information in the chart with the respective plan. Plans may
limit coverage to select Orange County zip codes.
Dental Coverage: Medicare does not cover most
dental care, dental procedures, or supplies, like
cleanings, fillings, tooth extractions, dentures, dental plates or other dental devices.
Medicare Part A (Hospital Insurance) will pay for
certain dental services that you get when you're
in a hospital. Part A can pay for inpatient hospital
care if you need to have emergency or complicated
dental procedures, even though the dental care is
not covered. The dental coverage benefit section of
this chart details the standard dental coverage from
each plan. Standard coverage does not require an
additional premium.
Durable Medical Equipment: Copays for durable
medical equipment (DME) are 20% of cost or less for
Medicare-covered items.
Medi-Medi Option: Specified plans have an option
for beneficiaries who have Medicare and Medi-Cal
benefits. Benefits may include zero or reduced
costs.
Medicare Advantage Plans: These plans are also
called Medicare Health Plans and are offered by private companies that contract with Medicare to provide Part A and Part B benefits to people with Medicare. There are several different types of Medicare
Advantage Plans including HMO's and PPO's. In this
chart you will find the type of plan, offered by each
company, in the "Plan Type" row. Enrollees must
utilize plan physicians, providers and hospitals.
Out-of-Pocket Maximum:  All local MA plans must
establish a mandatory maximum out-of-pocket
(MOOP) amount for all Medicare Parts A and B
services to mirror the same out-of-pocket costs
an average beneficiary would have under Original
Medicare's fee-for-service program.
After meeting the MOOP, a beneficiary's MA plan
will cover his/her remaining Medicare-covered
costs for the rest of the calendar year. The mandatory MOOP is $6,700, but plans can voluntarily set a
lower MOOP at $3,400 in exchange for more flexibility in setting their cost-sharing amounts.
Vision Coverage: "Eyewear" as used in this chart
includes contact lenses and eyeglasses. "Eyeglasses"
as used in this chart includes frames and lenses.

Confused by Medicare? Call the Council on Aging Orange County HICAP experts at (800) 434-0222
THE INFORMATION ON THESE CHARTS IS SUBJECT TO CHANGE. Contact the plan to verify information.

Council On
County
| 714-479-0107
| www.coaoc.org	
Answers Guide 2016
HICAPAging-Orange
is not liable for missing
or incorrect
information, but can
help with accessing the most current information via our HICAP program at 1-800-434-0222.

103


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Table of Contents for the Digital Edition of Council on Aging Answers 2016

Contents
Council on Aging Answers 2016 - Intro
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Council on Aging Answers 2016 - Cover3
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