How does the Priority Rewards sm Program work? Earn CashPoints sm for everyday purchases on your Priority Rewards Credit Card. Once you accumulate enough CashPoints, you can redeem your CashPoints for your choice of reward (cash back, gift cards from local and national merchants, and travel rewards).
.Health First Rewards Plan (HMO) H1099-014 is a 2019 Medicare Advantage or Medicare Part-C plan by Health First Health Plans, Inc. Available to residents in Florida. This plan includes additional Medicare prescription drug (Part-D) coverage. The Health First Rewards Plan (HMO) has a monthly premium of $- and has an in-network Maximum Out-of-Pocket limit of $5,500 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $5,500 out of pocket. This can be a extremely nice safety net.Health First Rewards Plan (HMO) is a Local HMO.
With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you require specialized care or a physician specialist, your primary care physician will make the arrangements and inform you where you can go in the network.
You will need your PCPs okay, called a referral. Services received from an out-of-network provider are not typically covered by the plan.Health First Health Plans, Inc. Works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for Health First Rewards Plan (HMO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Health First Health Plans, Inc.
And not Original Medicare. With Medicare Advantage Plans you are always covered for urgently needed and emergency care. Plus you receive all of the benefits of Original Medicare from Health First Health Plans, Inc.
Except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan. H1099-014Provider:Health First Health Plans, Inc.Year:2019Type:Local HMOMonthly Premium C+D:$-Part C Premium:$0.00MOOP:$5,500Part D (Drug) Premium:$0.00Part D Supplemental Premium$0.00Total Part D Premium:$0.00Drug Deductible:$0.00Tiers with No Deductible:0Gap Coverage:NoInitial Coverage Limit:$3820Benchmark:not below the regional benchmarkType of Medicare Health:Enhanced AlternativeDrug Benefit Type:EnhancedPart-C PremiumHealth First Health Plans, Inc.
Plan charges a $0.00 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.Part-D Deductible and PremiumHealth First Rewards Plan (HMO) has a monthly drug premium of $0.00 and a $0.00 drug deductible. This Health First Health Plans, Inc.
Plan offers a $0.00 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits.
The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by Health First Health Plans, Inc. Above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $0.00. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.Premium AssistanceDepending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The Health First Rewards Plan (HMO) medicare insurance offers a $0.00 premium obligation if you receive a full low-income subsidy (LIS) assistance.
And the payment is $0.00 for 75% low income subsidy $0.00 for 50% and $0.00 for 25%. Full LIS Premium:$0.0075% LIS Premium:$0.0050% LIS Premium:$0.0025% LIS Premium:$0.00Gap CoverageIn 2019 once you and your plan provider have spent $3820 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA 'donut hole') You will be required to pay 25% for brand-name drugs and 37% on generic drugs unless your plan offers additional coverage.
This Health First Health Plans, Inc.
Comments are closed.
|
AuthorWrite something about yourself. No need to be fancy, just an overview. Archives
February 2023
Categories |