2014 SeniorCare Sr Preferred - Enhanced Rx (Cost) H4564-005 By Scott and White Health Plan SeniorCare

SeniorCare Sr Preferred - Enhanced Rx (Cost) By Scott and White Health Plan SeniorCare



SeniorCare Sr Preferred - Enhanced Rx (Cost) is a 2014 Medicare Advantage ("Part C" or "MA Plan") plan by Scott and White Health Plan SeniorCare. This plan from Scott and White Health Plan SeniorCare works with Medicare to give you significant coverage beyond Part A and Part B benefits. If you decide to sign up for SeniorCare Sr Preferred - Enhanced Rx (Cost) you still retain Original Medicare. But you will get additional Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from Scott and White Health Plan SeniorCare 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:
SeniorCare Sr Preferred - Enhanced Rx (Cost)
Plan ID:
H4564-005
Provider: Scott and White Health Plan SeniorCare
Plan Year:2014
Plan Type: Cost
Monthly Premium C+D: $168.40
MOOP:


Coverage Area for SeniorCare Sr Preferred - Enhanced Rx (Cost)

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COMPARE AND SAVE ON MEDICARE INSURANCE




The SeniorCare Sr Preferred - Enhanced Rx (Cost) H4564-005 is available to residents in Texas, 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 SeniorCare Sr Preferred - Enhanced Rx (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 includes additional Medicare prescription drug (Part-D) coverage.

SeniorCare Sr Preferred - Enhanced Rx (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 SeniorCare Sr Preferred - Enhanced Rx (Cost) H4564

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 SeniorCare Sr Preferred - Enhanced Rx (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 SeniorCare Sr Preferred - Enhanced Rx (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


Part-C Premium

Scott and White Health Plan SeniorCare plan charges a Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.



Part-D Deductible and Premium

The SeniorCare Sr Preferred - Enhanced Rx (Cost) plan has a monthly drug premium of $54.50 and a $0.00 drug deductible. This Scott and White Health Plan SeniorCare plan offers a $54.50 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $26.90 this Premium covers any enhanced plan benefits offered by Scott and White Health Plan SeniorCare above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $81.40. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.



Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The SeniorCare Sr Preferred - Enhanced Rx (Cost) medicare insurance plan offers a $53.70 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $60.60 for 75% low income subsidy $67.50 for 50% and $74.50 for 25%.



Part C Premium:
Part D (Drug) Premium: $54.50
Part D Supplemental Premium $26.90
Total Part D Premium: $81.40
Drug Deductible: $0.00
Tiers with No Deductible: 0
Benchmark: not below the regional benchmark
Type of Medicare Health Plan: Enhanced Alternative
Drug Benefit Type: Enhanced
Full LIS Premium: $53.70
75% LIS Premium: $60.60
50% LIS Premium: $67.50
25% LIS Premium: $74.50
Inital Coverage Limit:$2850
Gap Coverage: Some Generics


Gap Coverage

In 2014 once you and your plan provider have spent $2,850 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be require to pay 47.5% of the plan's cost for covered brand-name prescription drugs and 72% of the cost for generic drugs unless your plan offers additional coverage. This Scott and White Health Plan SeniorCare plan offers Some Generics through the gap. Some means 10% to 65% of the formulary drugs are covered if you are in the gap.



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.