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Medica Advantage Salute (HMO-POS)
Illinois Medicare Advantage Plan (2024 Plan)
Monthly Premium
Your Cost
$0
by Medica
Additional Coverage
HearingVisionDental
Overall Government Star Rating
4.5
out of 5 stars
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Plan Overview
Plan Name
Medica Advantage Salute (HMO-POS)
Insurance Carrier
Medica
Plan Type
Medicare Advantage Plan Without Prescription Drugs
Network Type
HMO
Medica Advantage Salute (HMO-POS) is a Medicare Advantage Plan Without Prescription Drugs, which is available in Illinois and offered by the health insurance company Medica. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Monthly Premium
$0
Annual Deductible
$0
Max Out-of-Pocket
$5,500
Primary doctor visit
$0 copay
Specialist visit
$0-40 copay per visit
ER visit
$120 copay per visit (always covered)
Ambulance
$300 copay
Medica Advantage Salute (HMO-POS) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $10,000 In and Out-of-network
$5,500 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Medica Advantage Salute (HMO-POS) are defined below.
Additional Benefits and Coverage
No
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing
Medica Advantage Salute (HMO-POS) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Medica Advantage Salute (HMO-POS) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Medica Advantage Salute (HMO-POS) includes coverage for the following additional benefits:
Other benefits
Fitness benefit
Limited coverage
Over the counter drug benefits
Limited coverage
In-home support services
Not covered
Home and bathroom safety devices
Not covered
Meals for short duration
Limited coverage
Annual physical exams
Limited coverage
Telehealth
Limited coverage
Comparing the Quality Score of Medica Advantage Salute (HMO-POS) to Other Plans in Illinois
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, Medica Advantage Salute (HMO-POS) received an overall government quality rating of 4.5 stars out of 5 stars.
Medica Advantage Salute (HMO-POS) performed better than Illinois’s State average overall quality score of 3.9 stars.
This Plan’s 5-star Gov’t Quality Score
Illinois State Average Score
Overall Government 5 Star Quality Rating
4.5
3.9
Summary rating of health plan quality
5
3.8
Staying healthy: screenings, tests, & vaccines
4
3.7
Managing chronic (long term) conditions
No Rating (new plan)
3.3
Member experience with health plan
5
3.8
Member complaints & changes in the health plan's performance
No Rating (new plan)
4.0
Health plan customer service
5
4.2
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Medica Advantage Salute (HMO-POS) received 5 stars for its health plan quality score which is better than the Illinois State average health plan quality score of 3.8 stars.
In-network: $325 per day for days 1 through 7
$0 per day for days 8 through 90
Out-of-network: 40% per day for days 1 through 7
0% per day for days 8 through 90
Outpatient hospital coverage
In-network: $0-325 copay per visit
Out-of-network: 40% coinsurance per visit
Skilled nursing facility
Skilled nursing facility
In-network: $0 per day for days 1 through 20
$203 per day for days 21 through 100
Out-of-network: 40% per day for days 1 through 100
In this article we rank Illinois Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
The Medicare landscape in Illinois is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Illinois.