2022 SelectHealth Veteran Advantage (HMO)

SelectHealth Veteran Advantage (HMO) H1994-016 is a 2022 Medicare Advantage Plan or Part-C by SelectHealth available to residents in Utah. This plan does not provide additional prescription drug (Part-D) coverage. The SelectHealth Veteran Advantage (HMO) has a monthly premium of $0 and has an in-network maximum out-of-pocket limit of $5,400 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $5,400 out-of-pocket. This can be a extremely nice safety net.

SelectHealth Veteran Advantage (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.

SelectHealth works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for SelectHealth Veteran Advantage (HMO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from SelectHealth 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 SelectHealth except hospice care. Original Medicare still provides you with hospice care even if you sign up for Medicare Advantage.

2022 SelectHealth Medicare Advantage Plan Costs

CMS Star Ratings for SelectHealth Veteran Advantage (HMO) H1994

Staying Healthy, Screening, Testing, & Vaccines

Managing Chronic And Long Term Care for Older Adults

Member Experience with Health Plan

Member Complaints and Changes in SelectHealth Veteran Advantage (HMO) Plans Performance

Health Plan Customer Service Rating for SelectHealth Veteran Advantage (HMO)

SelectHealth Veteran Advantage (HMO) Drug Plan Customer Service Ratings

Ratings For Member Complaints and Changes in the Drug Plans Performance

Member Experience with the Drug Plan

Drug Safety and Accuracy of Drug Pricing

Coverage Area for SelectHealth Veteran Advantage (HMO)

(Click county to compare all available Advantage plans)

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.