Council on Aging Answers 2016 - 99

COUNCIL ON AGING - ORANGE COUNTY

Medicare Advantage Plans Comparison Chart
CARE1ST HEALTH PLAN

CAREMORE HEALTH PLAN

CENTRAL HEALTH
MEDICARE PL.

Coordinated Choice Plan
H5928-037

CareMore Value Plus
H0544-002

CareMore StartSmart Plus
H0544-007

CareMore Connect Plus
H0544-049

Central Health Medicare
Plan H5649-001

New enrollment: 800-847-1222
Current Members: 800-544-0088
care1stmedicare.com

New enrollment: 866-622-2820
Current Members: 800-822-6991
caremore.com

New enrollment: 866-622-2820
Current Members: 800-822-8720
caremore.com

New enrollment: 866-622-2820
Current Members: 888-426-5985
caremore.com

New enrollment: 866-314-2427
Current Members: 866-314-2427
centralhealthplan.com

MA-PD (HMO)
Medi-Medi option

MA-PD (HMO)

MA-PD (HMO)
Medi-Medi option

MA-PD (HMO)

$31.10 monthly premium
$360 drug plan deductible

$0 monthly premium

$0 monthly Premium

$22.00 monthly premium health plan
deduct.: unavail.
$360 drug plan deductible

$0 monthly premium

13001-14000 providers

1001-1500 providers

251-500 providers

4501-5000 providers

$6,700 In-Network

$3,000 In-Network

$5,000 In-Network

$6,700 In-Network

$3,400 In-Network

$0/$0 each visit

$5/$0-$20 each visit

20%/20% of cost each visit

$0/$0 each visit

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

$0 copay. 120 days each benefit period.
60 lifetime reserve days.

Days 1-5: $125/day, Days 6190: $0/day. 190 days each benefit
period. 60 lifetime reserve days.

90 days each benefit period. 60 lifetime $0 copay. Unlimited days each benefit
reserve days. Contact plan for more
period.
details.

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

Days 1-20: $0/day, Days 21100: $25/day. 100 days each benefit
period.

Days 1-20: $0/day, Days 21100: $100/day. 100 days each benefit
period.

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

Days 1-20: $0/day, Days 21-65:
$75/day, Days 66-100: $0/day. 100 days
each benefit period.

20% of cost each service

$100 each service

20% of cost each service

$50 each service

20% of the cost for Part B chemotherapy 20% of cost for Part B chemotherapy
drugs
drugs

20% of cost for Part B chemotherapy
drugs

20% of cost for subluxation
manipulation

$0 for subluxation manipulation

$20 for subluxation manipulation. $20
for routine visit.

20% of cost for subluxation
manipulation. $0 for routine visit.

$0 for subluxation manipulation

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

20% of cost for monitoring supplies. $0
for self- management training. $50 for
therapeutic shoes or inserts.

20% of cost for monitoring supplies. $0
for self- management training. 20% of
cost for therapeutic shoes or inserts.

20% of cost for monitoring supplies.
20% of cost for self- management
training. 20% of cost for therapeutic
shoes or inserts.

$0 for monitoring supplies. $0 for selfmanagement training.
$0 for therapeutic shoes or inserts.

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

$0-$75 for diagnostic radiology services.
$0 for diagnostic tests and procedures.
$0 for lab services. $0 each x-ray. $60 for
therapeutic radiology services.

$0-$150 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.

20% of the cost for diagnostic radiology
services. 20% of cost for diagnostic tests
and procedures. $0 for lab services.
20% of cost 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. 20% of
cost for therapeutic radiology services.

20% of cost each visit

$65 each visit, waived if admitted
within 24 hours.

20% of cost each visit, waived if
admitted within 24 hours.

$50 each visit, waived if admitted
within 24 hours.

20% of cost each visit

$0 each visit

$100 each visit

20% of cost each visit

$0 each visit

20% of cost each visit

$0 each visit

$20 each occupational or cardiac visit.
$0-$20 each all other visits.

20% of cost each visit

$0 each visit

$0 copay

Not covered

$0 copay

$0 for limited dental. $0 for cleaning. $0 $0 for limited dental. $35 for cleaning.
for x-rays. $0 for fluoride treatment. $0 $0-$10 for x-rays. $5 for fluoride
for oral exam.
treatment. $5-$15 for oral exam.

$5-$20 for limited dental. $35 for
cleaning. $0-$10 for x-rays.
$5 for fluoride treatment. $5$15 for oral exam.

20% of cost for limited dental.
$0 for cleaning. $0 for x-rays. $0 for
oral exam.

$0 for limited dental. $0 for cleaning. $0
for x-rays. $0 for fluoride treatment. $0
for oral exam.

20% of cost for diagnostic exam.
$0 for routine hearing exam. $0 for
hearing aid fitting or evaluation. $0 for
hearing aid.
Plan pays up to $1,500 for hearing aids.

$0 for diagnostic exam. $0 for routine
hearing exam. $0 for hearing aid fitting
or evaluation.
$0 for hearing aid. Plan pays up to $250
for hearing aids.

$0 for diagnostic exam. $0 for routine
hearing exam. $0 for hearing aid fitting
or evaluation.

20% of cost for diagnostic exam.
$0 for routine hearing exam. $0 for
hearing aid fitting or evaluation. $0 for
hearing aid.
Plan pays up to $2,000 for hearing aids.

$0 for diagnostic exam. $0 for routine
hearing exam. $0 for hearing aid fitting
or evaluation.
$0 for hearing aid. Plan pays up to $500
for hearing aids.

20% of cost 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
$500 for eyewear.

$0 for diagnostic exam. $0 for routine
eye exam. $0 for contact lenses. $0 for
eyeglass frames.
$20 for eyeglass lenses. $0 for eyewear
after cataract surgery. Plan pays up
to $100 each for contact lenses and
eyeglass frames.

$5-$20 for diagnostic exam. $0 for
routine eye exam. $0 for contact lenses.
$0 for eyeglass frames. $20 for eyeglass
lenses.
$0 for eyewear after cataract surgery.
Plan pays up to $100 each for contact
lenses and eyeglass frames.

20% of cost for diagnostic exam.
$0 for routine eye exam. $0 for contact
lenses. $0 for eyeglass frames. $20 for
eyeglass lenses. 20% of cost for eyewear
after cataract surgery. Plan pays up
to $100 each for contact lenses and
eyeglass frames.

$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.

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.

http://www.care1stmedicare.com http://www.centralhealthplan.com http://www.caremore.com http://www.caremore.com http://www.caremore.com

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