2022 MediGold Medical Only (HMO)
MediGold Medical Only (HMO) H9827-003 is a 2022 Medicare Advantage Plan or Part-C by MediGold available to residents in New York. This plan does not provide additional prescription drug (Part-D) coverage. The MediGold Medical Only (HMO) has a monthly premium of $19.00 and has an in-network maximum out-of-pocket limit of $4,800 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $4,800 out-of-pocket. This can be a extremely nice safety net.
MediGold Medical Only (HMO) is a Local HMO *. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you require specialized care or a physician specialist, your primary care physician will make the arrangements and inform you where you can go in the network. You will need your PCPs okay, called a referral. Services received from an out-of-network provider are not typically covered.
MediGold works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for MediGold Medical Only (HMO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from MediGold and not Original Medicare. With Medicare Advantage you are always covered for urgently needed and emergency care. Plus you receive all the benefits of Original Medicare from MediGold except hospice care. Original Medicare still provides you with hospice care even if you sign up for Medicare Advantage.
2022 MediGold Medicare Advantage Plan Costs
| Name: | MediGold Medical Only (HMO) |
|---|---|
| Plan ID: | H9827-003 |
| Provider: | MediGold |
| Year: | 2022 |
| Type: | Local HMO * |
| Monthly Premium C+D: | $19.00 |
| Part C Premium: | |
| MOOP: | $4,800 |
| Similar Plan: | H9827-001 |
| New Plan: | 2023 H9827-001 |
Coverage Area for MediGold Medical Only (HMO)
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Source: CMS.
Data as of September 1, 2021.
Notes: Data are subject to change as contracts are finalized. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit.
Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.