Summit ElderCare (PACE) H2219-002-000 is a 2021 Medicare Advantage plan provided by Summit ElderCare or Fallon Health.

This plan is a national National PACE plan. Program of All-Inclusive Care for the Elderly (PACE) plans are designed for specific populations who qualify for Medicare and Medicaid. These plans help people meet their health care needs in the community instead of going to a nursing home or other care facility.

Plan Basics
Contract Year 2021
Medicare Type Medicare Advantage Plan (Part C)
CMS Plan ID H2219-002-000
Plan Organization Summit ElderCare or Fallon Health
Plan Type National PACE
Plan Name Summit ElderCare (PACE)
Plan Organization Type National PACE
Drugs Covered Yes
Doctors Choice Plan Doctors for Most Services
Special Needs Plan No
Plan Cost Sharing
Premium $Not Available
Total Premium (Includes Part B) $649.10
Monthly Part C Premium $0.00
Monthly Part D Basic Premium $65.90
Monthly Part D Supplemental Premium $447.70
Monthly Part D Total Premium $513.60
Monthly Part D Premium Full Assistance $478.40
Monthly Part D Premium 75% Assistance $487.20
Monthly Part D Premium 50% Assistance $496.00
Monthly Part D Premium 25% Assistance $504.80
Part D Catastrophic Coverage Threshold $6550.00
Plan Drug Info
Formulary Link Drug Formulary Directory
Official Medicare Contact
Medicare Phone 1-800-MEDICARE (1-800-633-4227)
Medicare TTY User 1-877-486-2048

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