Now’s the time to enroll. The Annual Enrollment Period for Medicare Advantage and prescription drug plans goes through December 7.
Close Announcement BannerPlan G - You pay | Plan G + wellness extras - You pay | Plan F - You pay | Plan F + wellness extras - You pay | Plan N - You pay | Plan N + wellness extras - You pay | Plan K + wellness extras - You pay | Plan L + wellness extras - You pay | Select Plan G + wellness extras - You pay | Select Plan N + wellness extras - You pay | Plan A - You pay | Plan A + wellness extras - You pay | Plan B + wellness extras - You pay | Plan C + wellness extras - You pay | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Doctor Visits | |||||||||||||||
Doctor Visits
|
$0
(after $240 Annual Part B Deductible) |
$0
(after $240 Annual Part B Deductible) |
$0
|
$0
|
Up to
$20 copay (after $240 Annual Part B Deductible) |
Up to
$20 copay (after $240 Annual Part B Deductible) |
10%
coinsurance (after $240 Annual Part B Deductible) |
5%
coinsurance (after $240 Annual Part B Deductible) |
$0
(after $240 Annual Part B Deductible) |
Up to
$20 copay (after $240 Annual Part B Deductible) |
$0
(after $240 Annual Part B Deductible) |
$0
(after $240 Annual Part B Deductible) |
$0
(after $240 Annual Part B Deductible) |
$0
| |
Inpatient Hospital Care (Days 1-90 per benefit period) View Plan Details for beyond 90 days |
|||||||||||||||
Inpatient Hospital Care (Days 1-90 per benefit period)
View Plan Details for beyond 90 days
|
$0
|
$0
|
$0
|
$0
|
$0
|
$0
|
$816
|
$408
|
$0
|
$0
|
$1,632
|
$1,632
|
$0
|
$0
| |
Out-of-Pocket Maximum This is the amount of money you pay for covered services per calendar year. |
|||||||||||||||
Out-of-Pocket Maximum This is the amount of money you pay for covered services per calendar year. |
$240
|
$240
|
$0
|
$0
|
N/A
|
N/A
|
$7,060
|
$3,530
|
$240
|
N/A
|
N/A
|
N/A
|
N/A
|
N/A
| |
See any doctor who accepts Medicare patients? | |||||||||||||||
See any doctor who accepts Medicare patients?
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
| |
Referral to Specialist Required? | |||||||||||||||
Referral to Specialist Required?
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
| |
Insurer | |||||||||||||||
Insurer |
UnitedHealthcare Insurance Company of America (UnitedHealthcare)
|
UnitedHealthcare Insurance Company (UnitedHealthcare)
|
UnitedHealthcare Insurance Company of America (UnitedHealthcare)
|
UnitedHealthcare Insurance Company (UnitedHealthcare)
|
UnitedHealthcare Insurance Company of America (UnitedHealthcare)
|
UnitedHealthcare Insurance Company (UnitedHealthcare)
|
UnitedHealthcare Insurance Company (UnitedHealthcare)
|
UnitedHealthcare Insurance Company (UnitedHealthcare)
|
UnitedHealthcare Insurance Company (UnitedHealthcare)
|
UnitedHealthcare Insurance Company (UnitedHealthcare)
|
UnitedHealthcare Insurance Company of America (UnitedHealthcare)
|
UnitedHealthcare Insurance Company (UnitedHealthcare)
|
UnitedHealthcare Insurance Company (UnitedHealthcare)
|
UnitedHealthcare Insurance Company (UnitedHealthcare)
|
Plan G You pay | Plan G + wellness extras You pay | Plan F You pay | Plan F + wellness extras You pay | Plan N You pay | Plan N + wellness extras You pay | Plan K + wellness extras You pay | Plan L + wellness extras You pay | Select Plan G + wellness extras You pay | Select Plan N + wellness extras You pay | Plan A You pay | Plan A + wellness extras You pay | Plan B + wellness extras You pay | Plan C + wellness extras You pay | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Monthly Premium Starting at | |||||||||||||||
Monthly Premium Starting at | |||||||||||||||
Part A Inpatient Hospital Deductible | |||||||||||||||
Part A Inpatient Hospital Deductible |
$0
|
$0
|
$0
|
$0
|
$0
|
$0
|
$816
|
$408
|
$0
|
$0
|
$1,632
|
$1,632
|
$0
|
$0
|
|
Annual Part B Deductible | |||||||||||||||
Annual Part B Deductible |
$240
|
$240
|
$0
|
$0
|
$240
|
$240
|
$240
|
$240
|
$240
|
$240
|
$240
|
$240
|
$240
|
$0
|
|
Out-of-Pocket Maximum
This is the amount of money you pay for covered services per calendar year. |
|||||||||||||||
Out-of-Pocket Maximum This is the amount of money you pay for covered services per calendar year. |
$240
|
$240
|
$0
|
$0
|
N/A
4
|
N/A
4
|
$7,060
5
|
$3,530
6
|
$240
|
N/A
4
|
N/A
|
N/A
|
N/A
|
N/A
|
|
Part B Excess Charges
If you have Original Medicare, and the amount a doctor or other health care provider is legally permitted to charge is higher than the Medicare-approved amount, the difference is called the excess charge. |
|||||||||||||||
Part B Excess Charges If you have Original Medicare, and the amount a doctor or other health care provider is legally permitted to charge is higher than the Medicare-approved amount, the difference is called the excess charge. |
Covered
14
|
Covered
14
|
Covered
14
|
Covered
14
|
Not covered
|
Not covered
|
Not covered
|
Not covered
|
Covered
14
|
Not covered
|
Not covered
|
Not covered
|
Not covered
|
Not covered
|
Plan G You pay | Plan G + wellness extras You pay | Plan F You pay | Plan F + wellness extras You pay | Plan N You pay | Plan N + wellness extras You pay | Plan K + wellness extras You pay | Plan L + wellness extras You pay | Select Plan G + wellness extras You pay | Select Plan N + wellness extras You pay | Plan A You pay | Plan A + wellness extras You pay | Plan B + wellness extras You pay | Plan C + wellness extras You pay | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Primary Care Visits | |||||||||||||||
Primary Care Visits |
$0
|
$0
|
$0
|
$0
|
Up to
$20 copay |
Up to
$20 copay |
10%
coinsurance |
5%
coinsurance |
$0
|
Up to
$20 copay |
$0
|
$0
|
$0
|
$0
|
|
Specialist Visits | |||||||||||||||
Specialist Visits |
$0
|
$0
|
$0
|
$0
|
Up to
$20 copay |
Up to
$20 copay |
10%
coinsurance |
5%
coinsurance |
$0
|
Up to
$20 copay |
$0
|
$0
|
$0
|
$0
|
|
Referral to Specialist Required? | |||||||||||||||
Referral to Specialist Required? |
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
No
|
|
See any doctor who accepts Medicare patients? | |||||||||||||||
See any doctor who accepts Medicare patients? |
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
Yes
|
|
Preventive Services | |||||||||||||||
Preventive Services |
$0
for Medicare covered services |
$0
for Medicare covered services |
$0
for Medicare covered services |
$0
for Medicare covered services |
$0
for Medicare covered services |
$0
for Medicare covered services |
All costs above Medicare approved amounts
|
All costs above Medicare approved amounts
|
$0
for Medicare covered services |
$0
for Medicare covered services |