2022 MercyOne North Iowa Senior Plan (Cost)


MercyOne North Iowa Senior Plan (Cost) H1651-015 is a 2022 Medicare Advantage Plan or Part-C by Medical Associates Health Plan, Inc. available to residents in Iowa. This plan does not provide additional prescription drug (Part-D) coverage. The MercyOne North Iowa Senior Plan (Cost) has a monthly premium of $147.00 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.

MercyOne North Iowa Senior 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 MercyOne North Iowa Senior 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 you are always covered for urgently needed and emergency care. Plus you receive all 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 Medicare Advantage.




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2022 Medical Associates Health Plan, Inc. Medicare Advantage Plan Costs

Name:
MercyOne North Iowa Senior Plan (Cost)
Plan ID:
H1651-015
Provider:Medical Associates Health Plan, Inc.
Year:2022
Type: Cost *
Monthly Premium C+D: $147.00
Part C Premium:
MOOP: $-
Similar Plan: H1651-016
New Plan: 2023 H1651-016




2021 MercyOne North Iowa Senior Plan (Cost) Summary of Benefits

*This will be updated with 2022 data when available.



Additional Benefits


Yes



Comprehensive Dental


Diagnostic services Not covered
Endodontics Not covered
Extractions Not covered
Non-routine services Not covered
Periodontics Not covered
Prosthodontics, other oral/maxillofacial surgery, other services Not covered
Restorative services Not covered



Deductible


$0



Diagnostic Tests and Procedures


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



Doctor Visits


Primary $0 copay
Specialist $0 copay



Emergency care/Urgent Care


Emergency $0 copay
Urgent care $0 copay



Foot Care (podiatry services)


Foot exams and treatment $0 copay
Routine foot care $0 copay



Ground Ambulance


$0 copay



Hearing


Fitting/evaluation Not covered
Hearing aids - inner ear Not covered
Hearing aids - outer ear Not covered
Hearing aids - over the ear Not covered
Hearing exam $0 copay



Inpatient Hospital Coverage


$0 copay



Medical Equipment/Supplies


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



Medicare Part B Drugs


Chemotherapy $0 copay
Other Part B drugs $0 copay



Mental Health Services


Inpatient hospital - psychiatric $0 copay
Outpatient group therapy visit $0 copay
Outpatient group therapy visit with a psychiatrist $0 copay
Outpatient individual therapy visit $0 copay
Outpatient individual therapy visit with a psychiatrist $0 copay



MOOP


Not Applicable



Option


No



Optional supplemental benefits


No



Outpatient Hospital Coverage


$0 copay



Preventive Care


$0 copay



Preventive Dental


Cleaning Not covered
Dental x-ray(s) Not covered
Fluoride treatment Not covered
Oral exam Not covered



Rehabilitation Services


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



Skilled Nursing Facility


$0 copay



Transportation


Not covered



Vision


Contact lenses Not covered
Eyeglass frames Not covered
Eyeglass lenses Not covered
Eyeglasses (frames and lenses) Not covered
Other Not covered
Routine eye exam $0 copay
Upgrades Not covered



Wellness Programs (e.g. fitness nursing hotline)


Not covered





Ready to Enroll?

Click Here

Or Call
1-855-778-4180
Mon-Fri 8am-8pm EST
Sat 8am-8pm EST




Coverage Area for MercyOne North Iowa Senior Plan (Cost)

(Click county to compare all available Advantage plans)



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Source: CMS.
Data as of September 1, 2021.
Notes: Data are subject to change as contracts are finalized. For 2022, 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 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.

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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

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