A non-government entity
Centra PACE
Plan ID: H8096-2-0
Centra PACE - Medicare only (PACE)
2024 Centra PACE - Medicare only (PACE) H8096 — 002 — 0 is a Medicare Advantage plan with drug coverage.
Learn more about Centra PACE - Medicare only (PACE) H8096 - 002 - 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.
$991.10 /mo
Monthly premium
$0
Health deductible
$0
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 Centra PACE - Medicare only (PACE) H8096 — 002 — 0 is a National PACE offered in Centra PACE - Lynchburg, Farmville, & Gretna VA by Centra PACE. It has a monthly premium of $991.10.
Premium Breakdown
Standard Part B Premium
$174.70
Part B premium reduction
- $0
Monthly Plan Premium
$991.10
Total Premium:
$1165.80
Note:
The standard Part B premium for 2024 is $174.70. Your Part B premium may differ based on factors including late enrollment, income, and disability status. Higher-income beneficiaries may pay an income-related monthly adjustment amount (IRMAA). The Part B premium is required to be paid by everyone enrolled in Medicare Part B.
Special needs plan type
No
Out-of-pocket maximum
$0
Plan Organization:
Centra PACE
Plan Type:
National PACE
Location:
Centra PACE - Lynchburg, Farmville, & Gretna VA
Drugs Covered:
Yes
Drug Formulary:
Pharmacies:
Doctor Choice:
Plan Doctors for Most Services
Doctors Link:
Not yet released
Deductibles
The amount you must pay each year before your plan starts to pay for covered services or drugs.
Health deductible
$0
Drug deductible
$0
Sign up for Centra PACE - Medicare only (PACE)
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
Centra PACE - Medicare only (PACE) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
Drug Benefit Type
Prescription drug deductible
$0
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 |
|---|---|---|---|---|
$991.10 | $991.10 | $991.10 | $991.10 | $952.60 |
Initial Coverage Phase
After you pay your $0.00 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 | - | - | - | - |
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
Centra PACE - Medicare only (PACE) also provides the following benefits.
Note:
Limits, Authorizations, and Referrals may apply for the benefits below. Contact the plan for details.
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
Optional benefits
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)
Plan Providers
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
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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Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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