Community Blue Medicare HMO Signature (HMO)
Pennsylvania Medicare Advantage Plan (2024 Plan)
Overall Government Star Rating5.0
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Community Blue Medicare HMO Signature (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Pennsylvania and offered by the health insurance company Highmark Blue Cross Blue Shield or Highmark Blue Shield. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Community Blue Medicare HMO Signature (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $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 Community Blue Medicare HMO Signature (HMO) are defined below.
Additional Benefits and Coverage
Community Blue Medicare HMO Signature (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. Community Blue Medicare HMO Signature (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Community Blue Medicare HMO Signature (HMO) includes coverage for the following additional benefits:
Comparing the Quality Score of Community Blue Medicare HMO Signature (HMO) to Other Plans in Pennsylvania
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, Community Blue Medicare HMO Signature (HMO) received an overall government quality rating of 5.0 stars out of 5 stars.
Community Blue Medicare HMO Signature (HMO) performed better than Pennsylvania’s State average overall quality score of 4.2 stars.
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.
Community Blue Medicare HMO Signature (HMO) received 5 stars for its health plan quality score which is better than the Pennsylvania State average health plan quality score of 4.1 stars.
Community Blue Medicare HMO Signature (HMO) received 5 stars for its drug plan quality score which is better than the Pennsylvania State average drug plan quality score of 4.1 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
Skilled nursing facility
$203 per day for days 21 through 100
Mental health services
Opioid treatment services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
|Tiers||Initial coverage phase||Gap coverage phase||Catastrophic coverage phase|
|Preferred Generic||$7.00 copay|
Brand-name drugs :
Brand-name drugs :
|Preferred Brand||$47.00 copay|
|Non-Preferred Drug||$100.00 copay|
Part B Drugs
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In this article we rank Pennsylvania 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 Pennsylvania 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 Pennsylvania.