2014 Medical Associates Community Plan (Cost) H5256-002 By Medical Associates Clinic Health Plan of Wisconsi

Medical Associates Community Plan (Cost) By Medical Associates Clinic Health Plan of Wisconsi



Medical Associates Community Plan (Cost) is a 2014 Medicare Advantage ("Part C" or "MA Plan") plan by Medical Associates Clinic Health Plan of Wisconsi. This plan from Medical Associates Clinic Health Plan of Wisconsi works with Medicare to give you significant coverage beyond Part A and Part B benefits. If you decide to sign up for Medical Associates Community Plan (Cost) you still retain Original Medicare. But you will get additional Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from Medical Associates Clinic Health Plan of Wisconsi and not Original Medicare. With Medicare Advantage plans your always covered for urgently needed and emergency care and you receive all of the benefits of Original Medicare from this plan except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.



2014 Medicare Advantage Plan Details

Plan Name:
Medical Associates Community Plan (Cost)
Plan ID:
H5256-002
Provider: Medical Associates Clinic Health Plan of Wisconsi
Plan Year:2014
Plan Type: Cost *
Monthly Premium C+D: $129.00
MOOP:


Coverage Area for Medical Associates Community Plan (Cost)

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COMPARE AND SAVE ON MEDICARE INSURANCE




The Medical Associates Community Plan (Cost) H5256-002 is available to residents in Wisconsin, and has a in-network Maximum Out-of-Pocket limit of MOOP. This means that if you get sick or need a high cost procedure your co-pays are capped. If you enroll in Medical Associates Community Plan (Cost) plan you will stop paying co-pays for the rest of the year once you pay out of pocket This is a very nice safety net. This plan does not provide additional Medicare prescription drug (Part-D) coverage.

Medical Associates Community Plan (Cost) is a Cost * plan. A Cost plan is operated by a Health Maintenance Organization (HMO) in accordance with a cost reimbursement contract. A Medicare Cost Plan is a type of HMO. These plans may work in much the same way, and have some of the same rules, as Medicare Advantage Plans. You may use the cost plans network of providers or receive their health care services through Original Medicare. With a Cost Plan, if you go to a non-network provider, the services are covered under Original Medicare. You would pay the Medicare Part A and Part B coinsurance and deductibles.



Ratings for Medical Associates Community Plan (Cost) H5256

2014 Overall Rating
Part C Summary Rating
Total Experience Rating
Complaints, Improvements
Total Customer Service Rating
Total Preventative Rating
Chronic And Long Term Care


Member Experience Rating for Medical Associates Community Plan (Cost)

Total Experience Rating
Getting Needed Care
Timely Care and Appointments
Customer Service
Health Care Quality
Rating of Health Plan
Care Coordination


Member Complaints, Problems Getting Service and Improvements in Health Plans

Total Rating
Members Leaving the Plan
Complaints about Health Plan
Access to Service
Performance Problems
Health Plan Quality Improvement


Customer Service Rating for Medical Associates Community Plan (Cost)

Total Customer Service Rating
Timely Decisions About Appeals
Reviewing Appeals Decisions
Call Center


Staying Healthy, Screening, Testing, & Vaccines

Total Preventative Rating
Breast Cancer Screening
Colorectal Cancel Screening
Cardiovascular Screening
Diabetes Care
Glaucoma Testing
Annual Flu Vaccine
Improving Physical
Improving Mental Health
Monitoring Physical Activity
Adult BMI Assessment


Ratings For Managing Chronic And Long Term Care

Total Rating
Medication Review
Functional Status Assessment
Pain Screening
Osteoporosis Management
Diabetes Care - Eye Exam
Diabetes Care - Kidney Disease
Diabetes Care - Blood Sugar
Diabetes Care - Cholesterol
Controlling Blood Pressure
Rheumatoid Arthritis
Improving Bladder Control
Reducing Risk of Falling
Plan - Cause Readmissions


Source: CMS.
Plans as of September 3, 2013.
Star Rating as of September 27, 2013.
For More Information on Ratings Please See the CMS Tech Notes Here.
Plans are subject to change as contracts are finalized.
Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.