2020 Ascension Complete St. Vincent's Secure (HMO) H8225-003 By Ascension Complete.

2020 Medicare Advantage Plan Services for
Ascension Complete St. Vincent's Secure (HMO)


Ascension Complete St. Vincent's Secure (HMO) H8225-003 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by Ascension Complete available to residents in Florida. This plan includes additional Medicare prescription drug (Part-D) coverage. The Ascension Complete St. Vincent's Secure (HMO) has a monthly premium of $- and has an in-network Maximum Out-of-Pocket limit of $3,400 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $3,400 out of pocket. This can be a extremely nice safety net.

Ascension Complete St. Vincent's Secure (HMO) is a Local HMO. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you require specialized care or a physician specialist, your primary care physician will make the arrangements and inform you where you can go in the network. You will need your PCPs okay, called a referral. Services received from an out-of-network provider are not typically covered by the plan.

Ascension Complete works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for Ascension Complete St. Vincent's Secure (HMO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Ascension Complete and not Original Medicare. With Medicare Advantage Plans you are always covered for urgently needed and emergency care. Plus you receive all of the benefits of Original Medicare from Ascension Complete except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.





2020 Ascension Complete Medicare Advantage Plan Details

Name:
Ascension Complete St. Vincent's Secure (HMO)
ID:
H8225-003
Provider:Ascension Complete
Year:2020
Type: Local HMO
Monthly Premium C+D: $-
Part C Premium:$0.00
MOOP: $3,400
Part D (Drug) Premium:$0.00
Part D Supplemental Premium$0.00
Total Part D Premium:$0.00
Drug Deductible:$150.00
Tiers with No Deductible:1
Gap Coverage:No
Benchmark:not below the regional benchmark
Type of Medicare Health:Enhanced Alternative
Drug Benefit Type:Enhanced




Part-C Premium

Ascension Complete plan charges a $0.00 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

Ascension Complete St. Vincent's Secure (HMO) has a monthly drug premium of $0.00 and a $150.00 drug deductible. This Ascension Complete plan offers a $0.00 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 $0.00 this Premium covers any enhanced plan benefits offered by Ascension Complete 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 $0.00. 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 Ascension Complete St. Vincent's Secure (HMO) medicare insurance offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $0.00 for 75% low income subsidy $0.00 for 50% and $0.00 for 25%.



Full LIS Premium:$0.00
75% LIS Premium:$0.00
50% LIS Premium:$0.00
25% LIS Premium:$0.00


Gap Coverage

In 2020 once you and your plan provider have spent $4020 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be required to pay 25% for prescription drugs unless your plan offers additional coverage. This Ascension Complete plan does not offer additional coverage through the gap.



Ascension Complete Drug Coverage and Formulary

A formulary is divided into tiers or levels of coverage based on the type or usage of your medication or benefit categories, according to drug costs. Each tier will have a defined out-of-pocket cost that you must pay before receiving the drug. You can see complete 2020 Ascension Complete St. Vincent's Secure (HMO) H8225-003 Formulary here.

Drug Tier Copay
Preferred
Copay
Nonpreferred
1 NA $0
2 NA $8
3 NA $47
4 NA $100
5 NA 30%
6 NA $0
*Initial Coverage Phase and 30 day supply

See the 2020 Ascension Complete Formulary





Coverage Area for Ascension Complete St. Vincent's Secure (HMO)

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Source: CMS.
Data as of September 4, 2019.
Star Rating as of October 10, 2019.
Plan Services are 2019 information as reference. 2020 information will be added when released.
Notes: Data are subject to change as contracts are finalized. For 2020, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit. Includes 2020 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.

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