2014 Today's Options Premier 500 (PFFS) H6169-001 By Universal American Corp.

Today's Options Premier 500 (PFFS) By Universal American Corp.



Today's Options Premier 500 (PFFS) is a 2014 Medicare Advantage ("Part C" or "MA Plan") plan by Universal American Corp.. This plan from Universal American Corp. works with Medicare to give you significant coverage beyond Part A and Part B benefits. If you decide to sign up for Today's Options Premier 500 (PFFS) you still retain Original Medicare. But you will get additional Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from Universal American Corp. 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:
Today's Options Premier 500 (PFFS)
Plan ID:
H6169-001
Provider: Universal American Corp.
Plan Year:2014
Plan Type: PFFS *
Monthly Premium C+D: $20.00
MOOP: $5,000


Coverage Area for Today's Options Premier 500 (PFFS)

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The Today's Options Premier 500 (PFFS) H6169-001 is available to residents in Arkansas, Georgia, Illinois, Indiana, Iowa, Mississippi, North Carolina, Texas, Virginia, Wisconsin, and has a in-network Maximum Out-of-Pocket limit of $5,000 MOOP. This means that if you get sick or need a high cost procedure your co-pays are capped. If you enroll in Today's Options Premier 500 (PFFS) plan you will stop paying co-pays for the rest of the year once you pay out of pocket $5,000 This is a very nice safety net. This plan does not provide additional Medicare prescription drug (Part-D) coverage.

Today's Options Premier 500 (PFFS) is a PFFS *. A Private Fee-For-Service (PFFS) plan is a Medicare Advantage (MA) health plan offered by a contract with the Centers for Medicare & Medicaid Services (CMS) to provide you with benefits. Universal American Corp. (instead of Medicare) will decide on how much it will cover and how much you will pay for the services you get. You may go to any Medicare approved doctor or hospital or any other health care provider that accepts both Medicare and your plans payment. A PFFS plan has no provider network, and you dont need a referral or a primary care physician for any health care or services. PFFS plans are the most flexible but a doctor will make a visit-by-visit decisions on whether to accept your provider.



Ratings for Today's Options Premier 500 (PFFS) H6169

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 Today's Options Premier 500 (PFFS)

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 Today's Options Premier 500 (PFFS)

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.