Council on Aging Answers 2017 - 87

COUNCIL ON AGING - SOUTHERN CALIFORNIA

Medicare Advantage Plans Comparison Chart
CARE1ST HEALTH PLAN

CAREMORE HEALTH PLAN

Coordinated Choice Plan
H5928-037

CareMore Value Plus
H0544-002

CareMore StartSmart Plus
H0544-007

CareMore Connect Plus
H0544-049

New enrollment:
800-847-1222
Current Members:
800-544-0088
care1stmedicare.com
MA-PD (HMO)
Medi-Medi option offered

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

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

MA-PD (HMO)

$0 monthly premium

$0 monthly Premium

13001-14000 providers
$6,700 In-Network
$0/$0 each visit
90 days each benefit period. 60 lifetime
reserve days. Contact plan for more
details.

1001-1500 providers
$1,900 In-Network
$0/$0 each visit

1001-1500 providers
$5,000 In-Network
$5/$0-$20 each visit

$0 copay. 270 days each benefit period.

Days 1-5: $125/day, Days 6-190: $0/day.
345 days each benefit period.

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

Days 1-20: $0/day, Days 21-100: $25/day. Days 1-20: $0/day, Days 21-100: $100/
100 days each benefit period.
day. 100 days each benefit period.

20% of cost each service
20% of cost for Part B chemotherapy
drugs
20% of cost for subluxation
manipulation

$100 each service
20% of cost for Part B chemotherapy
drugs

$36.20 monthly premium
$400 drug plan deductible

$100 each service
20% of cost for Part B chemotherapy
drugs
$20 for subluxation manipulation. $20
for routine visit.

CENTRAL HEALTH
MEDICARE PL.
Central Health
Medicare Plan
H5649-001

New enrollment:
866-622-2820
Current Members:
888-426-5985
caremore.com
MA-PD (HMO)
Medi-Medi option offered
$36 monthly premium
health plan deduct.: unavail.
$400 drug plan deductible
251-500 providers
$6,700 In-Network
20%/20% of cost each visit

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

Contact plan for details.

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

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.
20% of cost for monitoring supplies.
$0 for monitoring supplies. $0 for self- 20% of cost for monitoring supplies. $0 20% of cost for monitoring supplies. $0
20% of cost for self-management
management training. 20% of cost for for self-management training. $50 for for self-management training. 20% of
training. 20% of cost for therapeutic
therapeutic shoes or inserts.
therapeutic shoes or inserts.
cost for therapeutic shoes or inserts.
shoes or inserts.
20% of cost for diagnostic radiology
20% of cost for diagnostic radiology
$75 for diagnostic radiology services. $0 $150 for diagnostic radiology services.
services. 20% of cost for diagnostic tests
services. 20% of cost for diagnostic tests
for diagnostic tests and procedures. $0 $0 for diagnostic tests and procedures.
and procedures. $0 for lab services.
and procedures. $0 for lab services.
for lab services. $0 each x-ray. $60 for
$0 for lab services. $0 each x-ray. 20% of
20% of cost each x-ray. 20% of cost for
20% of cost each x-ray. 20% of cost for
therapeutic radiology services.
cost for therapeutic radiology services.
therapeutic radiology services.
therapeutic radiology services.
0-20% of cost of Medicare-covered
0-20% of cost of Medicare-covered
20% of cost of Medicare- covered items
20% of cost of Medicare- covered items
items
items
$75 each visit, waived if admitted within $75 each visit, waived if admitted within 20% of cost each visit, waived if
20% of cost each visit
24 hours.
24 hours.
admitted within 24 hours.
20% of cost each visit
$0 each visit
$100 each visit
20% of cost each visit
$20 each occupational or cardiac visit.
20% of cost each visit
$0 each visit
20% of cost each visit
$0-$20 each all other visits.
$0 copay
$0 copay
$0 copay
$0 copay
20% of cost for limited dental. $0 for
$0 for limited dental. $0 for cleaning.
$0 for limited dental. $35 for cleaning. $20 for limited dental. $35 for cleaning.
cleaning. $0 for x-rays. $5 for fluoride
$0 for x-rays. $0 for fluoride treatment.
$0-$10 for x-rays. $5 for fluoride
$0-$10 for x-rays. $5 for fluoride
treatment. $0 for oral exam. Contact
$0 for oral exam. Contact plan for
treatment. $5-$15 for oral exam.*
treatment. $5-$15 for oral exam.*
plan for comprehensive services.
comprehensive services.
20% of cost for diagnostic exam. $0 for
20% of cost for diagnostic exam. $0 for $0 for diagnostic exam. $0 for routine
$0 for diagnostic exam. $0 for routine
routine hearing exam. $0 for hearing aid
routine hearing exam. $0 for hearing aid hearing exam. $0 for hearing aid fitting
hearing exam. $0 for hearing aid fitting
fitting or evaluation. $0 for hearing aid.
fitting or evaluation. $0 for hearing aid. or evaluation. $0 for hearing aid. Plan
or evaluation.
Plan pays up to $2,000 for hearing aids.
Plan pays up to $1,500 for hearing aids. pays up to $250 for hearing aids.
20% of cost for diagnostic exam. $0 for
$0 for diagnostic exam. $0 for routine
$5-$20 for diagnostic exam. $0 for
20% of cost for diagnostic exam. $0 for
routine eye exam. $0 for contact lenses.
eye exam. $0 for contact lenses. $0 for routine eye exam. $0 for contact lenses.
routine eye exam. $0 for contact lenses.
$0 for eyeglass frames. $20 for eyeglass
eyeglass frames. $20 for eyeglass lenses. $0 for eyeglass frames. $20 for eyeglass
$0 for eyeglasses. $0 for eyewear after
lenses. 20% of cost for eyewear after
$0 for eyewear after cataract surgery.
lenses. $0 for eyewear after cataract
cataract surgery. Plan pays up to $500
cataract surgery. Plan pays up to $100
Plan pays up to $100 each for contact
surgery. Plan pays up to $100 each for
for eyewear.
each for contact lenses and eyeglass
lenses and eyeglass frames.
contact lenses and eyeglass frames.
frames.

MA-PD (HMO)
$0 monthly premium
4501-5000 providers
$3,400 In-Network
$0/$0 each visit

Days 1-20: $0/day, Days 21-65: $75/day,
Days 66-100: $0/day. 100 days each
benefit period.
$50 each service
20% of cost for Part B chemotherapy
drugs
$0 for subluxation manipulation
$0 for monitoring supplies. $0 for
self-management training. $0 for
therapeutic 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.
0-20% of cost of Medicare-covered
items
$50 each visit, waived if admitted
within 24 hours.
$0 each visit
$0 each visit
$0 copay
$0 for limited dental. $0 for cleaning.
$0 for x-rays. $0 for fluoride treatment.
$0 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 $500 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 $300
for eyewear.

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

Council On
| 714-479-0107
Answers Guide 2017
HICAPAging-Southern
is not liable for missingCalifornia
or incorrect information,
but can help| www.coasc.org
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

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