Council on Aging Answers 2017 - 92
COUNCIL ON AGING - SOUTHERN CALIFORNIA
Medicare Advantage Plans Comparison Chart
UNITEDHEALTHCARE
UNITEDHEALTHCARE
AETNA MEDICARE
AARP MedicareComplete
SecureHorizons Plan 2
H0543-138
AARP MedicareComplete
SecureHorizons Plan 3
H0543-153
Aetna Medicare
Choice Plan
In-Network
H5521-056
TELEPHONE NUMBERS
AND WEBSITE
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:
855-338-7027
Current Members:
800-282-5366
aetnamedicare.com
PLAN TYPE
MA-PD (HMO)
MA-PD (HMO)
Medi-Medi option offered
MA-PD (PPO)
TOTAL MONTHLY PREMIUM
& ANNUAL DEDUCTIBLES
$0 monthly premium
$26.70 monthly premium
$400 drug plan deductible
SIZE OF NETWORK
3501-4000 providers
20000 and above providers
5501-6000 providers
OUT OF POCKET MAXIMUM
$2,800 In-Network
$6,700 In-Network
$6,700 In-Network
$10,000 In&Out
DOCTOR/SPECIALIST VISIT
$0/$0 each visit
$0/20% of cost each visit
$10/$40 each visit
IN-PATIENT HOSPITALIZATION
$0 copay. Unlimited days each benefit period.
90 days each benefit period. 60 lifetime reserve
days. Contact plan for more details.
Days 1-6: $250/day, Days 7-90: $0/day. $0/day
after 90 days. Unlimited days each benefit period.
SKILLED NURSING FACILITY
Days 1-20: $0/day, Days 21-38: $160/day, Days
39-100: $0/day. 100 days each benefit period.
100 days each benefit period. Contact plan for
more details.
Days 1-20: $0/day, Days 21-100: $160/day. 100
days each benefit period.
AMBULANCE
$230 each service
20% of cost each service
$300 each service
CHEMOTHERAPY DRUGS
20% of cost for Part B chemotherapy drugs
20% of cost for Part B chemotherapy drugs
20% of cost for Part B chemotherapy drugs
CHIROPRACTIC
$0 for subluxation manipulation. $10 for routine
visit.
20% of cost for subluxation manipulation
$20 for subluxation manipulation
DIABETES
$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.
0-20% of cost for monitoring supplies. $0 for
self-management training. $0 for therapeutic
shoes or inserts.
DIAGNOSTIC TESTS, LAB & RADIOLOGY SERVICES,
AND X-RAYS
$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.
DURABLE MEDICAL EQUIPMENT
20% of cost of Medicare- covered items
20% of cost of Medicare- covered items
20% of cost of Medicare- covered items
EMERGENCY ROOM VISIT
$75 each visit, waived if admitted within 24
hours.
$75 each visit, waived if admitted within 24
hours.
$75 each visit, waived if admitted immediately.
OUTPATIENT HOSPITAL SERVICES
$0 each visit
20% of cost each visit
$250 each visit
OUTPATIENT REHAB SERVICES
$0 each visit
20% of cost each visit
$40 each visit
TRANSPORTATION
$0 copay
$0 copay
Not covered
DENTAL SERVICES
(SEE NOTES FOR *)
Not covered*
Dental Services copay not available
$40 for limited dental
$0 for diagnostic exam. $0 for routine hearing
exam. $0 for hearing aid.
$40 for diagnostic exam. $0 for routine hearing
exam. $40 for hearing aid fitting or evaluation.
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 lenses and frames.
$0-$40 for diagnostic exam. $0 for routine eye
exam. $0 for eyewear after cataract surgery.
HEARING SERVICES
(SEE NOTES FOR **)
VISION SERVICES
(SEE NOTES FOR ***)
$0 for diagnostic exam. $0 for routine hearing
exam. $330-$380 for hearing aid.
$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.
$107 monthly premium
$750 health plan deductible
20% of cost for diagnostic radiology services.
$40 for diagnostic tests and procedures. $40
each lab service. $40 each x-ray. 20% of cost for
therapeutic radiology services.
Confused by Medicare? Call the Council on Aging - Southern California HICAP experts at (800) 434-0222
92
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.aarpmedicareplans.com
http://www.aarpmedicareplans.com
http://www.aetnamedicare.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
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Council on Aging Answers 2017 - 2a
Council on Aging Answers 2017 - 2b
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Council on Aging Answers 2017 - 3a
Council on Aging Answers 2017 - 3b
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Council on Aging Answers 2017 - Cover3
Council on Aging Answers 2017 - Cover4
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