Texarkana Community Care Plus HMO Review

Texarkana Community Care Plus is offered by Arcadian Health plan which offers Medicare Health and Prescription drug plans in several states.  Texarkana Community Care Plus is an HMO Medicare Advantage plan available in select counties in none other than Texas and Arkansas!  Recently Arcadian Health plan became part of Humana which may add additional network options for you.  It is only available to residence of Columbia, Hempstead, Howard, Lafayette, Little River, Miller, Nevada, Ouachita, and Sevier counties in Arkansas; and only Bowie, Cass, Red River, and Titus counties in Texas.  Below is a summary of the benefits offered by the plan:

Texarkana Community Care Plus (HMO)

  • Premium – $0/monthly
  • Maximum Out of Pocket – $4,400
  • Referral required for specialists
  • Hospital copay – $165/day Days 1-5
  • Doctors visits – $0 = Primary; $25 = Specialists
  • Outpatient Surgery – $200
  • Labs – $0
  • Diagnostic Procedures and Tests – $0
  • X-rays – 20%
  • Part D Deductible – $0
  • Part D Drugs – Tier 1 = $4; Tier 2 = $15; Tier 3 = $45; Tier 4 = $89; Tier 5 = 33%
  • Dental cleanings and x-rays covered up to $1,000 for comprehensive dental benefits
  • Routine hearing exam = $25; hearing covered up to $1,200
  • Eye exam and glasses covered up to $150

NOTE:  the dental, vision, and hearing befits are very similar to those offered in the Plus Dual plans that Arcadian Health plan has.  My guess is since they are not offering a Texarkana Dual Plus plan, they are incorporating the extra benefits that are found in the Dual Plus plan.  This is a nice benefit for those living in this area that need the extra services that this plan offers.  Since it is an HMO you will want to verify that your providers are in the plan’s network before joining.

Medicare Part D

5 Tips For Shopping Your Medicare Coverage

As your well aware by now, the Medicare AEP, Annual Election Period, is in full force.  The AEP runs from October 15 – December 7 and allows you to make changes to your current Medicare Advantage and Prescription Drug coverage.  Any changes that you make during this time will go into effect January 1st.  Making these […]

Loving, Handsome Senior Couple

Shop Your Medicare Plan During The 2015 Open Enrollment

Nobody likes change and that holds especially true when it comes to insurance.  The worst thing you can do, however is nothing!  That’s because Medicare coverage is changing every year, and that holds true in 2015 as well.  So even if you do nothing, your coverage is changing without you whether you like it or […]

2015 Medicare Annual Election Period (AEP) Underway

Every year the Medicare AEP or Annual Election Period arrives with much anticipation.  You may not know when it starts or what you can do, but you will definitely know it’s here when you start seeing the plethora of television, print ads, and billboards touting the latest and greatest coverage. 2015 Medicare AEP The 2015 […]

2015 Medicare Advantage And PDP Plans Now Available

You are now able to find every Medicare Advantage and Prescription Drug Plan available for 2015.  When I started the Medicare Plans site, my goal was to be able to bring you the ability to search and find any Medicare plan that was available.  This process was a long and difficult one, but now the […]

Medicine-pills

Formulary List Do’s and Don’ts

When it comes to Medicare, the one thing you can NOT overlook is the Formulary list that is provided by the insurance company.  Many times we find ourselves caught up in copays and provider networks that we forget to do one of the most important things.  Check the plan’s formulary list to make sure your […]

Leave a Reply

Your email address will not be published. Required fields are marked *