Accepted Health Plans | Medicare Plan Comparison
Mercy Your Choice Program | Mercy Choice PPO
Valuable information to help you
make the right choice for your
Medicare Plan
Be Sure to Compare Costs and Access to Hospitals
Updated November 2009 from the Medicare Website
Plan Comparison |
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Medicare Plans with Prescription Drug Coverage |
Plan Name and ID Numbers | Plan Type | Monthly Premium | Drug Cost | Doctor Choice | Vision Services | Dental Services | RX GAP | Max Out Of Pocket | Customer Service Phone Numbers |
| AARP MedicareComplete Plan 1 (H3659 - 003) SecureHorizons by UnitedHealthcare | HMO | $0 | $5 $40 $75 |
Plan Doctors Only | Covered | Covered (for an extra cost) | Many Generics | 2940 | 1-800-547-5514 |
| AARP MedicareComplete Plan 2 (H3659 - 031) SecureHorizons by UnitedHealthcare | HMO | $0 | $5 $38 $72 |
Plan Doctors Only | Covered | Covered (for an extra cost) | No | 3400 | 1-800-547-5514 |
| Advantage Plan Optimumx (H9313 - 012) Advantage Plans from Medical Mutual of Ohio | HMO with POS Option | $170.00 | $4 $15 $50 |
Plan Doctors Only (some exceptions) | Covered | Not Covered | Some with gap | 3400 | 1-800-613-2583 |
| Advantage Plan Securex (H9313 - 007) Advantage Plans from Medical Mutual of Ohio | HMO with POS Option | $58 | $4 $15 $50 |
Plan Doctors Only (some exceptions) | Not Covered | Not Covered | No | 3400 $500 Deductable | 1-800-613-2583 |
| Blue Medicare Access Value Standard (R5941 - 008) Anthem Blue Cross and Blue Shield | Regional Preferred Provider Organization | $0 | $7 $43 $85 33% |
Any Doctor | Covered | Covered | Many generics | 6000 | 1-800-797-0560 |
| Anthem Senior Advantage Basic (H3655 - 013) Anthem Blue Cross and Blue Shield | HMO | $0 | $7 $43 $85 33% |
Plan Doctors Only | Covered | Not Covered | Many generics | 3400 | 1-800-797-5957 |
| Anthem Senior Advantage Plus (H3655 - 030) Anthem Blue Cross and Blue Shield | HMO | $22.00 | $7 $43 $85 33% |
Plan Doctors Only | Covered | Covered | Many generics | 3000 | 1-800-797-5957 |
| Anthem Medicare Preferred Select (5529 - 004) Anthem Blue Cross and Blue Shield | Preferred Provider Organization | $49 | $7 $43 $85 33% |
Any Doctor | Covered | Covered | Many generics | 3850 | 1-800-797-1765 |
| Blue Medicare Access Standard (R5941 - 001) Anthem Blue Cross and Blue Shield | Regional Preferred Provider Organization | $30.00 | $7 $43 $85 33% |
Any Doctor | Covered | Covered | Many generics | 4500 | 1-800-797-0560 |
| Humana Gold Choice PFFS (H2944-121) Humana Insurance Company | Private Fee for Service | $40 | $9 $40 $80 33% |
Any Willing Doctor | Extra | Extra | Some Generic Brands | 5000 | 1-800-833-2312 |
| Humana Gold Choice PFFS (H2944-129) Humana Insurance Company | Private Fee for Service | $67 | $9 $41 $80 33% |
Any Willing Doctor | Extra | Extra | Some Generic Brands | 7500 | 1-800-833-2312 |
| HumanaChoice PPO PPO R5826-007 (R5826 - 007) Humana Insurance Company | Preferred Provider Organization | $69.00 | $10 $40 $82 33% |
Any Doctor | Extra | Covered | Few Generic Few Brand | 6000 | 1-800-833-2312 |
| HumanaChoice PPO (H3619 - 014) Humana Insurance Company | Local Preferred Provider Organization | $20 | $7 $40 $80 33% |
Any Doctor | Covered | Covered | Some Generics Some Brand Name | 3900 | 1-800-833-2364 |
| HumanaChoice PPO (R5826 - 080) Humana Insurance Company | Preferred Provider Organization | $61.00 | $310 Deductible 25% up to $2850 | Any Doctor | Extra | Covered | No | 6000 | 1-800-833-2364 |
| Health Plan SecureCare (H3672 - 013) The Health Plan | HMO | $99 | $10 |
Plan Doctors Only | Covered | Not Covered | All generic | 3400 | 1-877-236-2290 |
| Health Plan SecureChoice (H8604 - 001) Health Plan SecureChoice | Local Preferred Provider Organization | $119 | $10 $35 50% |
Any Doctor | Covered | Not Covered | All generic | 3400 | 1-877-236-2290 |
| PrimeTime Health Plan Plus (H3664 - 017) PrimeTime Health Plan | HMO with POS Option | $53.00 | $4 $25 $45 25% |
Plan Doctors Only (some exceptions) | Covered | Covered | No | 3400 | 1-800-577-5084 |
| PrimeTime Health Plan Premier (H3664 - 012) PrimeTime Health Plan | HMO with POS Option | $128 | $4 $25 $45 25% |
Plan Doctors Only (some exceptions) | Covered | Covered | All generic | 3400 | 1-800-577-5084 |
| PrimeTime Health Plan Prime PPO (H3620 - 001) PrimeTime Health Plan | Local Preferred Provider Organization | $140.00 | $4 $25 $45 25% |
Any Doctor | Covered | Covered | No | 3400 | 1-800-577-5084 |
| SummaCare Secure Gold Plus (H3660 - 028) SummaCare | HMO with POS Option | $80 | $3 $30 $60 33% |
Plan Doctors Only (some exceptions) | Covered | Not Covered | All generics | 2500 | 1-888-464-8440 |
| SummaCare Secure Platinum (H3660 - 032) SummaCare | HMO with POS Option | $180 | $3 $35 $70 33% |
Plan Doctors Only (some exceptions) | Covered | Not Covered | All generics | 2000 | 1-888-464-8440 |
| SummaCare Secure Silver Plus (H3660 - 029) SummaCare | HMO with POS Option | $0.00 | $3 $35 $70 33% |
Plan Doctors Only (some exceptions) | Covered | Not Covered | All generics | 3400 | 1-888-464-8440 |
| WellCare Value (H0117 - 005) WellCare | HMO | $0 | $3 $39 $69 33% |
Plan Doctors Only | Covered | Covered | None | 3400 | 1-866-360-8153 |
Medicare Special Needs Plans in STARK, Ohio |
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| Plan Name and ID Numbers | Company Name | Plan Type | Monthly Premium | Drug Cost | Special Rules for Enrolling | Doctor Choice | Vision Services | Dental Services | Routine Physical exams | RX GAP | Max Out Of Pocket |
| Buckeye Community Health Plan (H0908 - 001) Advantage by Buckeye Community Health Plan | Advantage by Buckeye Community Health Plan | SNP: Dual Eligible | 0 / or $30.00 | $0 Generics | For people who are eligible for both Medicare and Medicaid. | Plan Doctors Only | Not Covered | Not Covered | 1-866-389-7690 | ||
| CareSource Advantage (H6178 - 001) CareSource | CareSource | SNP: Dual Eligible | 0 / or $30.40 | $0 Generics | For people who are eligible for both Medicare and Medicaid. | Plan Doctors Only | Covered | Not Covered | 1-800-708-8729 | ||
| Evercare Plan DH (H3659 - 056) SecureHorizons by UnitedHealthcare | SecureHorizons by UnitedHealthcare | SNP: Dual Eligible | 0 / or $20.70 | 25% | For people who are eligible for both Medicare and Medicaid. | Plan Doctors Only | Covered | Covered | 1-888-834-3721 | ||
| Evercare Plan IP (H2406 - 001) Evercare® Health Plans | Evercare® Health Plans | SNP: Institutional | 0 / or $30.50 | $310 Deductible and 25% up to $2830 | For people in certain long-term care facilities. | Any Doctor | Covered | Not Covered | No | No limit | 1-888-834-3721 |
| Evercare Plan MH (H3659 - 059) SecureHorizons by UnitedHealthcare | SecureHorizons by UnitedHealthcare | SNP: Chronic or disabling condition | $25 | $5 $45 $85 33% | For people with certain chronic or disabling conditions. | Plan Doctors Only | Covered | Extra Cost | Yes | 3750 | 1-800-547-5514 |
| WellCare Access (H0117 - 007) WellCare | WellCare | SNP: Dual Eligible | 0 / or $30.50 | $0 Generics | For people who are eligible for both Medicare and Medicaid. | Plan Doctors Only | Covered | Covered | 1-866-360-8153 | ||
Medicare Health Plans - Hospital Access |
Insurance Company | Mercy Medical Center | Affinity Medical | Alliance Community | Dunlap Memorial | Joel Pomerene | Union Hospital | Wooster Community | Akron General | Metro Health | Summa Health System | Twin City | Cleveland Clinic | University Hospitals | Robinson Memorial |
| Anthem Blue Cross and Blue Shield Senior Advantage | x | x | x | x | x | x | x | x | x | x | x | |||
| The Health Plan HomeTown Region | x | x | x | x | x | x | x | x | BCH WRH | x | PPO | PPO | x | |
| Humana Insurance Company | x | x | x | x | x | x | x | x | x | x | ||||
| Medical Mutual | x | x | x | x | x | |||||||||
| PrimeTime Health Plan | x | x | x | x | x | x | x | |||||||
| AARP Medical Complete | x | x | x | x | x | x | x | |||||||
| SummaCare | x | x | x | x | x | x | x | x | x | |||||
| Well Care | x | x | x | x | ||||||||||
While Mercy Medical Center has made every effort to provide complete information in this matrix, it is subject to change without our knowledge and we are therefore not responsible for its accuracy. This information is provided for educational use and comparison purposes, and individuals interested in specific plans or programs should contact the respective representative for the most recent information. Mercy Medical Center makes no claims, promises or guarantees about the accuracy, completeness, or adequacy of the contents of this matrix and expressly disclaims liability for errors and omissions in its contents.
A service of Mercy Medical Center.
Questions? Call Terri Gursky at 330-489-1215 or 1-800-223-8662