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AgeRight Advantage
Plan ID: H1372-1-0
AgeRight Advantage Health Plan (HMO I-SNP)
2024 AgeRight Advantage Health Plan (HMO I-SNP) H1372 — 001— 0 is a Medicare Advantage plan with drug coverage. It has received a 5-out-of-5 star rating from CMS for 2024.
Learn more about AgeRight Advantage Health Plan (HMO I-SNP) H1372 - 001 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.
5 / 5 stars for 2024
$40.60 /mo
Monthly premium
Coming soon
Health deductible
$545.00
Drug deductible
$0
Out-of-pocket maximum
Enroll online
Call to enroll
OR
Get personalized help from a licensed insurance agent
1-877-649-2073 TTY 711. 8am-11pm EST. 7 days a week!
Plan Overview
2024 AgeRight Advantage Health Plan (HMO I-SNP) H1372 — 001— 0 is a HMO offered in Oregon (partial) by AgeRight Advantage. It has a monthly premium of $40.60.
Important:
2024 AgeRight Advantage Health Plan (HMO I-SNP) H1372 — 001 — 0 is a Institutional Special Needs Type plan. You can only enroll in this plan if you meet specific criteria.
Premium Breakdown
Standard Part B Premium
$174.80
Part B premium reduction
$0
Part C Premium
$0
Part D Basic Premium
$40.60
Part D Supplemental Premium
$0
Part D Total
$40.60
Monthly Premium (Parts C & D)
$40.60
Total Premium (Parts B, C, & D)
$205.50
Special needs plan type
Yes
Out-of-pocket maximum
$0
Conditions Covered
None
Plan Organization:
AgeRight Advantage
Plan Type:
HMO
Location:
Oregon (partial)
Drugs Covered:
Yes
Drug Formulary:
Pharmacies:
Doctor Choice:
Plan Doctors for Most Services
Doctors Link:
Deductibles
The amount you must pay each year before your plan starts to pay for covered services or drugs.
Health deductible
Coming soon
Drug deductible
$545
Note:
This plan does not charge an annual deductible for all drugs. The $545.00 annual deductible only applies to drugs in certain tiers.
Sign up for AgeRight Advantage Health Plan (HMO I-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
AgeRight Advantage Health Plan (HMO I-SNP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
Drug Benefit Type
Defined Standard Benefit
Prescription drug deductible
$545.00
Increased initial coverage limit
No
Additional gap coverage
No
Part D Premium Reduction
This plan's premium may be reduced for you if you qualify for the low-income subsidy (also known as LIS or "Extra help"). The following is what you'll pay for with LIS.
Part D | LIS 25% | LIS 50% | LIS 75% | LIS Full |
|---|---|---|---|---|
$40.60 | $40.60 | $40.60 | $40.60 | $40.60 |
Initial Coverage Phase
After you pay your $545.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $4,660.00. Once you reach that amount, you will enter the next coverage phase.
Tier | Preferred Pharmacy | Standard Pharmacy | Preferred Mail | Standard Mail |
|---|---|---|---|---|
1. Preferred Generic | - | 25% | - | - |
2. Standard Generic | - | - | - | - |
3. Preferred Brand | - | - | - | - |
4. Non-Preferred Drug | - | - | - | - |
5. Specialty Tier | - | - | - | - |
Catastrophic Coverage Phase
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $7,400.00, you will pay no more than the greater of the two amounts listed below for generic and brand-name drugs.
Generic Drugs
$4.15 copay or 5% (whichever costs more)
Brand-name
$10.35 copay or 5% (whichever costs more)
Additional Benefits
AgeRight Advantage Health Plan (HMO I-SNP) also provides the following benefits.
Comprehensive dental
Preventive dental
Diagnostic procedures/lab services/imaging
Doctor visits
Emergency care/Urgent care
Foot care (podiatry services)
Ground ambulance
Hearing
Inpatient hospital coverage
Outpatient hospital coverage
Outpatient prescription drugs
AgeRight Advantage Health Plan (HMO I-SNP) does not provide this type of benefit.
Optional benefits
AgeRight Advantage Health Plan (HMO I-SNP) does not provide this type of benefit.
Medical equipment/supplies
Medicare Part B drugs
Mental health services
Preventive care
Rehabilitation services
Skilled Nursing Facility
Transportation
Vision
Wellness programs (eg, fitness, nursing hotline)
Get Personalized Help from a licensed insurance agent
1-877-649-2073 TTY 711. 8am-11pm EST. 7 days a week
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