2020 Medicare Advantage Plan Services for
Lasso Healthcare (MSA)
Lasso Healthcare (MSA) H1924-002 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by Lasso Healthcare available to residents in South Carolina North Dakota Georgia North Carolina South Dakota Pennsylvania Texas Utah Kentucky Kansas Arkansas Illinois Hawaii Nevada. This plan does not provide additional Medicare prescription drug (Part-D) coverage. The Lasso Healthcare (MSA) has a monthly premium of and has an in-network Maximum Out-of-Pocket limit of $- (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $- out of pocket. This can be a extremely nice safety net.
Lasso Healthcare works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for Lasso Healthcare (MSA) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Lasso Healthcare 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 Lasso Healthcare except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.
2020 Lasso Healthcare Medicare Advantage Plan Details
| Name: | Lasso Healthcare (MSA) |
|---|---|
| ID: | H1924-002 |
| Provider: | Lasso Healthcare |
| Year: | 2020 |
| Type: | MSA * |
| Monthly Premium C+D: | |
| Part C Premium: | |
| MOOP: | $- |
2019 Plan Services
(*2020 Plan services will be added when available)
Health plan deductible
| $7,700 annual deductible |
|---|
Emergency care/Urgent care
| Emergency | $0 copay after you pay your deductible | |
|---|---|---|
| Urgent care | $0 copay after you pay your deductible |
Diagnostic procedures/lab services/imaging
| Diagnostic tests and procedures | $0 copay after you pay your deductible | |
|---|---|---|
| Lab services | $0 copay after you pay your deductible | |
| Diagnostic radiology services (e.g., MRI) | $0 copay after you pay your deductible | |
| Outpatient x-rays | $0 copay after you pay your deductible |
Hearing
| Hearing exam | $0 copay after you pay your deductible | |
|---|---|---|
| Fitting/evaluation | Not covered | |
| Hearing aids - inner ear | Not covered | |
| Hearing aids - outer ear | Not covered | |
| Hearing aids - over the ear | Not covered |
Preventive dental
| Oral exam | Not covered | |
|---|---|---|
| Cleaning | Not covered | |
| Fluoride treatment | Not covered | |
| Dental x-ray(s) | Not covered |
Comprehensive dental
| Non-routine services | Not covered | |
|---|---|---|
| Diagnostic services | Not covered | |
| Restorative services | Not covered | |
| Endodontics | Not covered | |
| Periodontics | Not covered | |
| Extractions | Not covered | |
| Prosthodontics, other oral/maxillofacial surgery, other services | Not covered |
Vision
| Routine eye exam | Not covered | |
|---|---|---|
| Other | Not covered | |
| Contact lenses | Not covered | |
| Eyeglasses (frames and lenses) | Not covered | |
| Eyeglass frames | Not covered | |
| Eyeglass lenses | Not covered | |
| Upgrades | Not covered |
Mental health services
| Inpatient hospital - psychiatric | $0 copay after you pay your deductible | |
|---|---|---|
| Outpatient group therapy visit with a psychiatrist | $0 copay after you pay your deductible | |
| Outpatient individual therapy visit with a psychiatrist | $0 copay after you pay your deductible | |
| Outpatient group therapy visit | $0 copay after you pay your deductible | |
| Outpatient individual therapy visit | $0 copay after you pay your deductible |
Skilled Nursing Facility
| $0 copay after you pay your deductible |
|---|
Rehabilitation services
| Occupational therapy visit | $0 copay after you pay your deductible | |
|---|---|---|
| Physical therapy and speech and language therapy visit | $0 copay after you pay your deductible |
Ground ambulance
| $0 copay after you pay your deductible |
|---|
Other health plan deductibles?
| In-Network | No |
|---|
Transportation
| Not covered |
|---|
Foot care (podiatry services)
| Foot exams and treatment | $0 copay after you pay your deductible | |
|---|---|---|
| Routine foot care | Not covered |
Medical equipment/supplies
| Durable medical equipment (e.g., wheelchairs, oxygen) | $0 copay after you pay your deductible | |
|---|---|---|
| Prosthetics (e.g., braces, artificial limbs) | $0 copay after you pay your deductible | |
| Diabetes supplies | $0 copay after you pay your deductible |
Wellness programs (e.g., fitness, nursing hotline)
| Not covered |
|---|
Medicare Part B drugs
| Chemotherapy | $0 copay after you pay your deductible | |
|---|---|---|
| Other Part B drugs | $0 copay after you pay your deductible |
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
| Not Applicable |
|---|
Optional supplemental benefits
| No |
|---|
Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?
| In-Network | No |
|---|
Inpatient hospital coverage
| $0 copay after you pay your deductible |
|---|
Outpatient hospital coverage
| $0 copay after you pay your deductible |
|---|
Doctor visits
| Primary | $0 copay after you pay your deductible | |
|---|---|---|
| Specialist | $0 copay after you pay your deductible |
Preventive care
| $0 copay |
|---|
Coverage Area for Lasso Healthcare (MSA)
(Click county to compare all available Advantage plans)
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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.
