Optimum Healthcare
 
Optimum HealthCare Inc.is a health plan with a Medicare contract
 

Optimum HealthCare 2010 Medicare Advantage Plans

Not sure which plan best suits you? Since everyone’s health needs are different, we offer a variety of Medicare Advantage Health Plans so you can choose the one that fits you and your health needs just right.

Choose several ways to compare plans:

Looking for a specific health benefit?
The benefit information provided herein is a brief summary, not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage. Click Plan Finder above for more comprehensive information. Plans with Part B premium reductions
Optimum Gold (HMO)
Plan ID: 001, 018
  • $Up to 96.40 Part B Refund
  • $0 PCP Co-pay
  • $0 Generic Drug Co-pay
  • Transportation Benefit (4 trips: $0)
  • Vision, Dental, Hearing, Fitness and more…
Plans that reduce costs and still provide broad coverage
Optimum Platinum (HMO)
Plan ID: 002, 006, 019
  • $0 PCP Co-pay
  • $0 Generic Drug Co-pay
  • OTC ($30) & Transportation Benefits (4 trips: $0)
  • Vision, Dental, Hearing, Fitness and more…
Plans with prescription drug coverage
Optimum Gold (HMO)
Plan ID: 001, 018
  • $Up to 96.40 Part B Refund
  • $0 PCP Co-pay
  • $0 Generic Drug Co-pay
  • Transportation Benefit (4 trips: $0)
  • Vision, Dental, Hearing, Fitness and more…
Optimum Platinum (HMO)
Plan ID: 002, 006, 019
  • $0 PCP Co-pay
  • $0 Generic Drug Co-pay
  • OTC ($30) & Transportation Benefits (4 trips: $0)
  • Vision, Dental, Hearing, Fitness and more…
Plans for those on both Medicaid & Medicare
Optimum Emerald Full or Partial (HMO)
ID: 016 & 017
  • $0 PCP Co-pay
  • Drug Co-pays defined by LIS level
  • OTC ($35); Nutrition & Transportation Benefits
  • Vision, Dental, Hearing, Fitness and more…
  • Eligibility Requirements: Dual Eligibles
Know the name of the plan you are looking for?
Here are the plan names separated into 3 categories: Medicare Advantage Plans with drug coverage; Medicare Advantage Plans without drug coverage and Special Needs Plans:

Plans with drug coverage
Optimum Gold (HMO)
Optimum Platinum (HMO) $96.

Special Needs Plans
Optimum Emerald Full or Partial (HMO)

Why Medicare Advantage?
Original Medicare pays for many health care services and supplies, but it often leaves over 20% for you to pay. In addition, there is limited drug coverage. That's why most people with Original Medicare carry additional Medicare coverage from a private insurance company - at an added premium cost (call Medicare Supplement Policies or Medigap Policies). Many people instead choose to receive covered under a Medicare Advantage Health Plan. With a Medicare Advantage Plan, you receive more coverage than Original Medicare and don't need a Medicare Supplement policy.

Click here to learn more about Medicare Advantage »
Optimum HealthCare is a health Plan with a Medicare contract. Medicare approved MAPD HMO plans available to anyone entitled to Part A and enrolled in Part B of Medicare through age or disability (for MA plans, individuals must have both Part A and Part B). Medicare approved HMO Special Needs Plans (SNPs) available to anyone who meets the specific eligibility requirements of the SNP and is enrolled in both Part A and Part B of Medicare through age or disability. To qualify for a Dual Eligible SNP (DSNP), you must also be eligible for Medicaid assistance from the State. Premium for the DSP and copayments/co-insurance for Low Income Subsidy eligible beneficiaries may vary based on income. Enrollment period restrictions apply. Call the plan for details. You must continue to pay your Medicare applicable premiums if not otherwise paid for under Medicaid or by another third-party. Plans may be renewed annually. All plan types may not be available in all areas. Copayment and authorization rules may apply
H5594_OPT_Web_CMS_Dec09-02/10/2010                                                                                            Last Updated 06/14/2010
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Local Concierge Office
8373 Northcliffe Blvd,
Springhill, FL 34606
Corporate Headquarters
5403 N. Church Ave
Tampa, FL 33614
Optimum Healthcare