|Part D Benefit:||No|
|Rx Gap Coverage:|
HumanaChoice R4182-001 is a Preferred Provider Organization Medicare Advantage Plan, by Humana, available in Coke County, TX. It gives you freedom to choose your doctors, specialists and hospital facilities. Plus, you can keep your out of pocket costs as low as possible when you use the Humana network. You get predictable copayments and coinsurance, making it easier to keep your healthcare costs in check.
This plan has a zero dollar premium!
If you enroll in the HumanaChoice R4182-001 plan you will continue to pay your Medicare Part B premium. However, there's no additional monthly premium to be in this plan. Be aware that some people pay a higher Part B premium due to their annual income level (over $85,000 per year for singles or $170,000 for married couples) or due to a late enrollment penalty.
What you pay in premiums is independent of the health care services you use. You also have copayments and/or coinsurances (cost sharing) that you pay out of pocket when you use health care services or fill prescriptions.
Maximum Out-of-Pocket Limit
2018 Medicare Advantage plans have an annual maximum out-of-pocket (MOOP) limit that protects you from financial disaster. The MOOP limit is $6,700, but plans can go as low as $3,400.
The most you will pay out-of-pocket if you enroll in this plan is $5,400. This amount does not include your monthly premium or the copayments. This is only the amount that you pay out of pocket.
Don't forget to look at the co-payments and co-insurance with Original Medicare (no out-of-pocket limits). If you stay on Original Medicare you'll need a Medicare Supplement to pay the gaps or pay it yourself.
Coverage, Copayments & Coinsurance
The HumanaChoice R4182-001 plan offers the same basic benefits as Original Medicare. The big difference is copayments and coinsurances. Below you will find (where available) what you will pay for common health care services.
Most plans have copayments when you see your primary care doctor or a specialist. Here's how this plan works:
|Primary Care Doctor:||$15 co-payment|
|Physician Specialist:||$35 co-payment|
|Occupational Therapist:||$25 co-payment|
|Physical Therapist:||$35 co-payment|
|Speech Terapist:||$35 co-payment|
If you are admitted to a hospital or clinic for treatment and stay overnight, you are an inpatient. Most plans have tiered costs for inpatient treatment. Here's how this plan covers you:
- Day 1 to 5: $295
- Day 6 to 90: $0
The following preventative healthcare services are covered at no cost:
- Abdominal aortic aneurysm screening
- Alcohol misuse counseling
- Bone mass measurement
- Breast cancer screening (mammogram)
- Cardiovascular disease (behavioral therapy)
- Cardiovascular screenings
- Cervical and vaginal cancer screening
- Colorectal cancer screenings
- Depression screening
- Diabetes screenings
- HIV screening
- Medical nutrition therapy services
- Obesity screening and counseling
- Prostate cancer screenings (PSA)
- Sexually transmitted infections screening and counseling
- Tobacco use cessation counseling
- Vaccines including Flu shots Hepatitis B shots Pneumococcal shots
- Welcome to Medicare preventive visit
- Yearly Wellness visit
Prescription Drug Coverage
This plan does not include Medicare Part D prescription drug coverage. If you enroll in this plan you will need to choose a stand-alone Part D plan. The following stand-alone plans are available in Texas:
Medicare Plan Rating
Medicare gave the HumanaChoice R4182-001 plan an average rating of -1.0 out of 5 stars. This rating is , by Medicare's definition.
Medicare evaluates the quality of all Medicare Advantage plans. Plans are rated using a one to five-star scale, with five stars being the highest quality. If a plan is rated less than 2.5 stars, Medicare will not allow new members to enroll.
Compare HumanaChoice R4182-001 with these top rated plans available in Coke County:
- SeniorCare Preferred
- SeniorCare Select
- SeniorCare Select - Value Rx
- SeniorCare VIP
- SeniorCare VIP - Basic Rx
HumanaChoice R4182-001 Availability
HumanaChoice R4182-001 is available in Robert Lee, Bronte, Tennyson, Silver, and all other areas of Coke County.
This page was last updated on 10/14/2017.
Plan data on Medicare-Plans.net comes from CMS.gov and is subject to change. The Centers for Medicare and Medicaid Services has neither reviewed nor endorsed the information on this site.
This page is a brief summary, not a complete description. Limitations, co-payments, and restrictions may apply. For more information contact the plan directly.
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