Council on Aging Answers 2015 - 105

COUNCIL ON AGING - ORANGE COUNTY

Medicare Advantage Plans Comparison Chart
care1st
care1st medicare
advantageoptimum plan

care1st
coordinated choice plan

caremore health plan
value plus

caremore health plan
startsmart plus

central health
medicare plan

New enrollment:
800-847-1222
Current members:
800-847-1222
care1stmedicare.com

New enrollment:
888-291-1358
Current members:
800-499-2793
caremore.com

New enrollment:
866-314-2427
Current members:
866-314-2427
centralhealthplan.com

ma-pd (hmo) medicare Advantage
plan with prescription Drug benefit.
must utilize plan physicians, providers
and hospitals.
$0 monthly premium

ma-pd (hmo) medicare Advantage
plan with prescription Drug benefit.
must utilize plan physicians, providers
and hospitals.
$28.80 monthly premium

ma-pd (hmo) medicare Advantage
plan with prescription Drug benefit.
must utilize plan physicians, providers
and hospitals.
$0 monthly premium

ma-pd (hmo)medicare Advantage
plan with prescription Drug benefit.
must utilize plan physicians, providers
and hospitals.
$0 monthly premium

ma-pd (hmo) medicare Advantage
plan with prescription Drug benefit.
must utilize plan physicians, providers
and hospitals.
$0 monthly premium

7501-8000 physicians and providers
$3,400 In-Network
$0 each visit
$0 each visit
$0 copay. Unlimited days each benefit
period.

13001-14000 physicians and providers
$6,700 In-Network
20% of the cost each visit
20% of the cost each visit
90 days each benefit period. 60
lifetime reserve days. Contact plan for
more details.
Days 1-20: $0/day, Days 21-100: $50/day. 100 days each benefit period. Contact
100 days each benefit period.
plan for more details.

1001-1500 physicians and providers
$3,000 In-Network
$0 each visit
$0 each visit
$0 copay. 270 days each benefit period.
60 lifetime reserve days.

Days 1-8: $50/day, Days 9-90, $0/day.
190-day psychiatric hospital lifetime
limit.
$15 each individual or group therapy
visit.
$50 each visit
$125 each service, waived if admitted.
$65 each visit, waived if admitted
within 1 day.
$10 each visit

190-day psychiatric hospital lifetime
limit. Contact plan for more details.

$0 copay. 150 days each benefit period.

20% of cost each individual or group
therapy visit.
20% of cost each visit
20% of cost each service.
20% of cost each visit.

$0 each individual or group therapy
visit.
$0 each visit
$100 each service.
$65 each visit, waived if admitted
within 24 hrs.
$0 each visit

0%-20% of cost for medicare-covered
items.
$0 for diagnostic procedures and tests.
$0 for diagnostic radiology services.

20% of cost for medicare-covered items. 0%-20% of cost for medicare-covered
items.
$0 for diagnostic procedures and tests. $0 for diagnostic procedures and
20% of the cost for diagnostic radiology tests. $0 - $75 for diagnostic radiology
services.
services.
20% of cost each x-ray
$0 each x-ray
$0 for lab services. 20% of cost for
$0 copay for lab services. $60 for
therapeutic radiology services.
therapeutic radiology services.

$0 each x-ray
$0 for lab services.
20% of cost for therapeutic radiology
services.
20% of the cost for part b chemotherapy
drugs
$0 for medicare-covered benefits.
$0 copay oral exams, $0 for up to 1
cleaning/6 mo., $5 for up to 1 fluoride
treatment/6 mo., $0 for up to 1 x-ray/2
yrs.
$10 copay for diagnostic exams. $10
copay for up to 1 routine exam/yr. $0
copay for up to 1 hearing aid fittingeval./yr., $0 copay hearing aid ($500
limit/yr. for hearing aids).
$0 copay to diagnose & treat eye
conditions. $0 copay for up to 1 routine
exam/yr. $0 for eyewear after cataract
surgery. $0 copay for up to 1 pair of
glasses or contacts/2 yrs. ($150 limit/2
yrs. for contacts and glasses).

20% of cost each visit.

20% of the cost for part b chemotherapy
drugs
$0-$415 for medicare-covered
benefits. $0 for oral exams. $0 for
up to 1 cleaning/6 mo. $0 for up to 1
fluoride treatment/6 mo. $0 for up to
1 x-ray/2 yrs.
20% of the cost for diagnostic exams.
$0 copay for up to 1 routine exam/yr.
$0 copay for up to 1 hearing aid fittingeval./yr. $0 copay for hearing aids
($1500 limit/yr. for hearing aids)
20% of cost to diagnose & treat eye
conditions. $0 copay for up to 1 routine
exam/yr. $0 for eyewear after cataract
surgery. $0 copay for up to 1 pair of
contacts, glasses/2 yrs. ($300 limit/2
yrs. for contacts and glasses).

1001-1500 physicians and providers
$5,000 In-Network
$5 each visit
$0 - $20 each visit
Days 1-5: $125/day, Days 6-90: $0/day.
90 days each benefit period. 60 lifetime
reserve days.
Days 1-20: $0/day, Days 21-100: $25/day. Days 1-20: $0/day, Days 21-100: $100/
100 days each benefit period.
day. 100 days each benefit period.

20% of the cost for part b chemotherapy
drugs
$0 for medicare-covered benefits.
$5-$15 for oral exams. $35 for up to 2
cleanings/yr.
$5 for up to 2 fluoride treatments/yr.
$0-$10 copay for up to 1 x-ray/3 yrs.
$0 copay for diagnostic exams. $0 copay
for up to 1 routine exam/yr. $0 copay
for up to 1 fitting-eval./yr. $0 copay for
hearing aid ($250 limit/yr. for hearing
aids).
$0 copay to diagnose & treat eye
conditions. $0 copay for 1 routine
exam/yr. $0 for eyewear after cataract
surgery. $20 for 1 pair of lenses/2
yrs. $0 for 1 pair of contacts, frames/2
yrs. ($100 limit each for contacts and
frames/2 yrs.)

Days 1-5: $125/day, Days 6-90, $0/day,
Days 91-150: $0/day. 150 days each
benefit period.
$0-$20 each individual or group therapy
visit.
$100 each visit
$100 each service
$65 each visit, waived if admitted
within 24 hrs.
$20 each visit occup./cardiac
$0-$20 each visit all others
0%-20% of cost for medicare-covered
items.
$0 for diagnostic procedures and
tests. $0-$150 for diagnostic radiology
services.
$0 each x-ray
$0 for lab services. 20% of cost for
therapeutic radiology services.

4501-5000 physicians and providers
$3,400 In-Network
$0 each visit
$0 each visit
$0 copay. Unlimited days each benefit
period.
Days 1-20: $0/day, Days 21-65: $75/day,
Days 66-100: $0/day. 100 days each
benefit period.
$0 copay. 190-day psychiatric hospital
lifetime limit.
$5 each individual or group therapy
visit.
$0 each visit
$50 each service
$50 each visit, waived if admitted
within 24hrs.
$0 each visit
0%-20% of cost for medicare-covered
items.
$0 for diagnostic procedures and tests.
$0 for diagnostic radiology services.
$0 each x-ray
$0 for lab services. 20% of cost for
therapeutic radiology services.

20% of the cost for part b chemotherapy
drugs
$5-$20 for medicare-covered benefits.
$5-$15 for oral exams. $35 for up to 2
cleanings/yr.
$5 for up to 2 fluoride treatments/yr.
$0-$10 for up to 1 x-ray every 3 yrs.
$0 copay for diagnostic exams.
$0 copay for up to 1 routine exam and
1 hearing aid fitting-eval./yr.

20% of the cost for part b chemotherapy
drugs
$0 for medicare-covered benefits. $0
for oral exam. $0 for up to 2 fluoride
treatments and up to
2 cleanings/yr. $0 for up to
1 x-ray/6 mo.
$0 copay for diagnostic exams. $0 copay
for up to 1 routine exam and 1 hearing
aid fitting-eval./yr. $0 copay for hearing
aid ($500 limit/yr. for hearing aids)

$5-$20 copay to diagnose & treat eye
conditions. $0 for up to 1 routine exam/
yr. $0 for eyewear after cataract surgery.
$20 for up to 1 pair of lenses/2 yrs. $0
for up to 1 pair of contacts, frames/2
yrs. ($100 limit each for contacts and
frames/2 yrs.)

$0 copay to diagnose & treat eye
conditions. $0 copay for eyewear after
cataract surgery. $0 for up to 1 pair of
glasses, contacts, lenses and frames/yr.
($200 limit/yr. for eyewear)

Confused by Medicare? Call the Council on Aging Orange County HICAP experts at (800) 434-0222
Council On Aging-Orange County | 714-479-0107most current available from the Center for medicare and medicaid Services on the date of publication. Consumers need to verify
the information on these charts is subJect to change. This information is the | www.coaoc.org
this information at www.medicare.gov as updates are frequently made. COAOC is not responsible for these changes but can help with accessing the most current information via our HICAp program 1-800-434-0222.

Answers Guide 2015

105

http://www.care1stmedicare.com http://www.care1stmedicare.com http://www.centralhealthplan.com http://www.caremore.com http://www.caremore.com http://www.medicare.gov

Council on Aging Answers 2015

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