UnitedHealthcare Medicare Advantage Assure (PPO) in Chaves, New Mexico (2023)
UnitedHealthcare Medicare Advantage Assure (PPO) in Chaves County, New Mexico costs $17/mo. This affordable Regional PPO plan (H0271-010) is a top choice for those living in Chaves County with a $445 prescription deductible and out-of-pocket limits at $7,550. Learn more about Medicare Part C by AARP in Chaves County, New Mexico below.
Read moreUPDATED: Sep 21, 2023
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5 out of 5 stars* for plan year 2024
Plan ID: H0271-010
What You Need to Know:
- UnitedHealthcare Medicare Advantage Assure (PPO) is a Medicare Advantage Health Maintenance Organization Local PPO plan.
- It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
- It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
- The plan's monthly premium is $18, which does not include your monthly Medicare Part B premium.
- The annual deductible for this health plan is .
- The plan includes an out-of-pocket maximum of $7,550 per year (in-network).
- UnitedHealthcare Medicare Advantage Assure (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
- This plan's Part D Initial Coverage Limit is $18.
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$18
Monthly Premium
Medicare Plan Features | |||||||||
---|---|---|---|---|---|---|---|---|---|
Monthly Premium: | $17.90 | ||||||||
Part C Premium: | $0 | ||||||||
Monthly Premium: | Part C Premium: | Part D Drug Premium: | Part D Supplemental Premium: | Total Part D Premium: | Drug Deductible: | Tiers with No Deductible: | |||
$17.90 | $0 | $17.90 | $0 | $17.90 | $445.0 | 0.0 | |||
Gap Coverage: | No | ||||||||
Benchmark: | below the regional benchmark | ||||||||
Type of Medicare Health: | Defined Standard Benefit | ||||||||
Health Plan Type: | Local PPO | ||||||||
Similar Plan: | H0271-011 | ||||||||
Special Needs Type: | NULL | ||||||||
Chronic Condition: | NULL | ||||||||
Additional Gap Coverage: | No additional gap coverage, only the Donut Hole Discount | ||||||||
Maximum Out-of-Pocket Limit for Parts A & B (Moop): | $7,550 | ||||||||
Annual Deductible: | NULL | ||||||||
Annual Initial Coverage Limit ICL: | $4,130 | ||||||||
Number of Members enrolled in this plan in Chaves, New Mexico: | Plans Summary Star Rating: | Customer Service Rating: | Drug Cost Rating: | ||||||
412 members | New plan - No summary rating as of yet. | 5 out of 5 Stars. | 4 out of 5 Stars. | ||||||
Plan Offers Mail Order: | Yes | ||||||||
Plan Health Benefits | |||||||||
Total # of Formulary Drugs: | 3,668 drugs | ||||||||
Number of Members Enrolled in this Plan in Chaves, New Mexico: | 7,244 members | ||||||||
Number of Drugs Per Tier: | NULL | ||||||||
Preferred Pharmacy Cost Sharing During Initial Coverage Phase: | NULL | ||||||||
Special Needs Plan SNP Eligibility Requirement: | NULL | ||||||||
Monthly Premium Split as Follows: | |||||||||
Part C Premium | Part D Base Premium | Part D Supplemental Premium | Total Premium | ||||||
$0.00 | $17.90 | $0.00 | $17.90 | ||||||
Monthly Premium with Extra Help Low Income Subsidy: | |||||||||
LIS100 Subsidy Total Monthly Premium with LIS Parts CD | LIS25 Subsidy Monthly PartD Premium with LIS | LIS25 Subsidy Total Monthly Premium with LIS Parts CD | LIS50 Monthly PartD Premium with LIS | LIS50 Subsidy Total Monthly Premium with LIS Parts CD | LIS75 Monthly PartD Premium with LIS | LIS75 Subsidy Total Monthly Premium with LIS Parts CD | |||
$0.00 | $13.40 | $13.40 | $8.90 | $8.90 | $4.50 | $4.50 | |||
Formulary Drug Details: | |||||||||
Tier 1 # of Drugs per Tier | Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 2 # of Drugs per Tier | Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 3 # of Drugs per Tier | Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 4 # of Drugs per Tier | Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 5 # of Drugs per Tier | Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase) |
303 | 25% | 679 | 25% | 870 | 25% | 1015 | 25% | 801 | 25% |
Other Medicare Advantage Plans in Chaves, New Mexico
Plan Name | Type | Premium MOOP | Rx Deduct. | Rating |
---|---|---|---|---|
Lasso Healthcare Growth (MSA) (2023) | MSA * | $- | $- | |
HumanaChoice H5216-077 (PPO) (2023) | Local PPO * | $4,000 | $- | |
HumanaChoice H5216-137 (PPO) (2023) | Local PPO | $6,700 | $445 | |
HumanaChoice H5216-196 (PPO) (2023) | Local PPO | $5,500 | $0 | |
Lasso Healthcare Growth Plus (MSA) (2023) | MSA * | $- | $- | |
Humana Value Plus H5216-199 (PPO) (2023) | Local PPO | $7,550 | $435 | |
Humana Honor (PPO) (2023) | Local PPO * | $4,400 | $- | |
Presbyterian MediCare PPO Plan 2 with Rx (PPO) (2023) | Local PPO | $6,700 | $335 | |
Presbyterian MediCare PPO Plan 1 (PPO) (2023) | Local PPO * | $6,700 | $- | |
Molina Medicare Choice Care (HMO) (2023) | Local HMO | $7,550 | $445 |