SECTION 1 Changes to Benefits and Costs for Next Year Section 1.1 Changes to the Monthly Premium – Cost 2017 (this year) 2018 (next year) Monthly premium $33.20 $30.70 (You must also continue to pay your Medicare Part B premium.) Section 1.2 Changes to Your Maximum Out-of-Pocket Amount – To protect you, Medicare requires all health plans to limit how much you pay “out-of-pocket” during the year. This limit is called the out-of-pocket Once you reach this “maximum amount.” amount, you generally pay nothing for covered Part A and Part B services for the rest of the year. Cost 2017 (this year) 2018 (next year) Maximum out-of-pocket amount $6,700 $6,700 Your costs for covered medical Once you have paid $6,700 services (such as copays and out-of-pocket for covered deductibles) count toward your Part A and Part B services, maximum out-of-pocket amount. you will pay nothing for your covered Part A and Your plan premium and your costs Part B services for the rest for prescription drugs do not count of the calendar year. toward your maximum amount. Section 1.3 Changes to the Provider Network – There are changes to our network of providers for next year. An updated Provider Directory is located on our website at www.pphealthplan.com. You may also call Member Services for updated provider information or to ask us to mail you a Provider Directory. Please review the 2018 Provider Directory to see if your providers (primary care provider, specialists, hospitals, etc.) are in our network.
SECTION 1 Changes to Benefits and Costs for Next Year Section 1.1 – Changes to the Monthly Premium Cost 2017 (this year) 2018 (next year) Monthly premium (You must also continue to pay your Medicare Part B premium.) $33.20 $30.70 Section 1.2 – Changes to Your Maximum Out-of-Pocket Amount To protect you, Medicare requires all health plans to limit how much you pay “out-of-pocket” during the year. This limit is called the “maximum out-of-pocket amount.” Once you reach this amount, you generally pay nothing for covered Part A and Part B services for the rest of the year. Cost 2017 (this year) 2018 (next year) Maximum out-of-pocket amount Your costs for covered medical services (such as copays and deductibles) count toward your maximum out-of-pocket amount. Your plan premium and your costs for prescription drugs do not count toward your maximum amount. $6,700 $6,700 Once you have paid $6,700 out-of-pocket for covered Part A and Part B services, you will pay nothing for your covered Part A and Part B services for the rest of the calendar year. Section 1.3 – Changes to the Provider Network There are changes to our network of providers for next year. An updated Provider Directory is located on our website at www.pphealthplan.com. You may also call Member Services for updated provider information or to ask us to mail you a Provider Directory. Please review the 2018 Provider Directory to see if your providers (primary care provider, specialists, hospitals, etc.) are in our network.
H8067_ISNP_HMO_NONPOS_Model_wRx_v2-MD_EOC.docx