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Medicare Advantage Plans
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Medicare Advantage (MA) Plans are sold by private insurers approved by Medicare, and provide your Part A and B coverage, cover "medically necessary" benefits, and sometimes include Part D drug coverage.
The most common MA Plan types are:
- Health Maintenance Organization (HMO). HMOs require you to see doctors on their approved list, but also tend to offer greater benefits and lower costs.
- Preferred Provider Organization (PPO). PPOs let you see any doctor, but you pay less if you see plan-approved doctors.
- Private Fee For Service (PFFS). PFFS Plans let you see any doctor who accepts the plan’s payment. BE CAREFUL: Not all doctors accept all PFFS Plans.
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| 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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Toll - Free: 1-866-245-5360 |
TTY/ TDD Toll Free: 1-800-955-8771 |
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7 days a week: 8 am to 8 pm
Nov 15 - Mar 1 |
24 hours a day / 7 days a week. |
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8373 Northcliffe Blvd,
Springhill, FL 34606 |
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Tampa, FL 33614 |
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