Sentara Medicare Value (HMO)
Virginia Medicare Advantage Plan (2024 Plan)
Overall Government Star Rating3.0
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Sentara Medicare Value (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Virginia and offered by the health insurance company Sentara Medicare. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Sentara Medicare Value (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 $3,300 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 Sentara Medicare Value (HMO) are defined below.
Additional Benefits and Coverage
Sentara Medicare Value (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. Sentara Medicare Value (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Sentara Medicare Value (HMO) includes coverage for the following additional benefits:
Comparing the Quality Score of Sentara Medicare Value (HMO) to Other Plans in Virginia
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, Sentara Medicare Value (HMO) received an overall government quality rating of 3.0 stars out of 5 stars.
Sentara Medicare Value (HMO) performed worse than Virginia’s State average overall quality score of 3.9 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.
Sentara Medicare Value (HMO) received 3 stars for its health plan quality score which is worse than the Virginia State average health plan quality score of 3.9 stars.
Sentara Medicare Value (HMO) received 3 stars for its drug plan quality score which is worse than the Virginia State average drug plan quality score of 3.8 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
$0 per day for days 7 through 90
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||$5.00 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 Virginia 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 Virginia 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 Virginia.