Ohio Medicare Advantage Plan (2025 Plan)
CommuniCare Advantage Sapphire (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Ohio and offered by the health insurance company Communicare Advantage. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
CommuniCare Advantage Sapphire (HMO) has a monthly premium cost of $7 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $9,350 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 CommuniCare Advantage Sapphire (HMO) are defined below.
CommuniCare Advantage Sapphire (HMO) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. CommuniCare Advantage Sapphire (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. CommuniCare Advantage Sapphire (HMO) includes coverage for the following additional benefits:
| Tiers | Initial coverage phase | Catastrophic coverage phase |
|---|---|---|
| Preferred Generic | $3.00 copay | $0 copay |
| Generic | $8.00 copay | $0 copay |
| Preferred Brand | $45.00 copay | $0 copay |
| Non-Preferred Drug | $95.00 copay | $0 copay |
| Specialty Tier | 25% coinsurance | $0 copay |
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Health Plan RadarIn this article we rank Ohio 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.
Health Plan RadarThe Medicare landscape in Ohio 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 Ohio.
