0 2020 Medical Associates Basic Plan (Cost) H1651-002 By Medical Associates Health Plan, Inc..
2020 Medical Associates Basic Plan (Cost) H1651-002 By Medical Associates Health Plan, Inc..

2020 Medicare Advantage Plan Services for
Medical Associates Basic Plan (Cost)


Medical Associates Basic Plan (Cost) H1651-002 is a 2020 Medicare Advantage Plan or Medicare Part-C plan by Medical Associates Health Plan, Inc. available to residents in Iowa. This plan does not provide additional Medicare prescription drug (Part-D) coverage. The Medical Associates Basic Plan (Cost) has a monthly premium of $117.00 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.

Medical Associates Basic 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.

Medical Associates Health Plan, Inc. works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for Medical Associates Basic Plan (Cost) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Medical Associates Health Plan, Inc. 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 Medical Associates Health Plan, Inc. except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.





2020 Medical Associates Health Plan, Inc. Medicare Advantage Plan Details

Name:
Medical Associates Basic Plan (Cost)
ID:
H1651-002
Provider:Medical Associates Health Plan, Inc.
Year:2020
Type: Cost *
Monthly Premium C+D: $117.00
Part C Premium:
MOOP: $-






2019 Plan Services

(*2020 Plan services will be added when available)




Health plan deductible


$0



Emergency care/Urgent care


Emergency $0 copay
Urgent care $0 copay



Diagnostic procedures/lab services/imaging


Diagnostic tests and procedures $0 copay
Lab services $0 copay
Diagnostic radiology services (e.g., MRI) $0 copay
Outpatient x-rays $0 copay



Hearing


Hearing exam $0 copay
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
Outpatient group therapy visit with a psychiatrist $0 copay
Outpatient individual therapy visit with a psychiatrist $0 copay
Outpatient group therapy visit $0 copay
Outpatient individual therapy visit $0 copay



Skilled Nursing Facility


$0 copay



Rehabilitation services


Occupational therapy visit $0 copay
Physical therapy and speech and language therapy visit $0 copay



Ground ambulance


$0 copay



Other health plan deductibles?


In-Network No



Transportation


Not covered



Foot care (podiatry services)


Foot exams and treatment $0 copay
Routine foot care Not covered



Medical equipment/supplies


Durable medical equipment (e.g., wheelchairs, oxygen) $0 copay
Prosthetics (e.g., braces, artificial limbs) $0 copay
Diabetes supplies $0 copay



Wellness programs (e.g., fitness, nursing hotline)


Not covered



Medicare Part B drugs


Chemotherapy Not Applicable
Other Part B drugs Not Applicable



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



Outpatient hospital coverage


$0 copay



Doctor visits


Primary $0 copay
Specialist $0 copay



Preventive care


$0 copay




Coverage Area for Medical Associates Basic Plan (Cost)

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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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