Amerivantage Classic (HMO) - 2022
H2593-022-000 - Amerigroup - Local HMO
Amerivantage Classic (HMO) is a Medicare Advantage plan with drug coverage provided by Amerigroup.
The drug plan portion of this plan provides Enhanced Alternative (EA) benefits, which are benefits that exceed the required standard.Check out the premium and drug details below for more information, or reach out to a licensed Medicare agent for help using the call number on this page. Alternatively, if you know what plan you want, you can enroll online yourself using our site as well.
Plan Basics
Contract Year | 2022 |
Medicare Type | Medicare Advantage Plan (Part C) |
CMS Plan ID | H2593-022-000 |
Plan Organization | Amerigroup |
Plan Type | Local HMO |
Plan Name | Amerivantage Classic (HMO) |
Plan Organization Type | Local CCP |
Benefit Type | Enhanced Alternative |
Special Needs Plan | No |
Overall Star Rating | 3.5 |
Plan Cost Sharing
Monthly Part C Premium | $0.00 |
Monthly Part D Basic Premium | $15.00 |
Monthly Part D Supplemental Premium | $0.00 |
Monthly Part D Total Premium | $15.00 |
Monthly Part D Premium Full Assistance | $0.00 |
Monthly Part D Premium 75% Assistance | $3.70 |
Monthly Part D Premium 50% Assistance | $7.50 |
Monthly Part D Premium 25% Assistance | $11.20 |
Part D Drug Deductible | $0.00 |
Annual Drug Deductible | $0.00 |
Maximum Out-of-Pocket Limit for Parts A & B (MOOP) | $6500.00 |
Gap Coverage | Yes |
Official Medicare Contact
Medicare Phone | 1-800-MEDICARE (1-800-633-4227) |
---|---|
Medicare TTY User | 1-877-486-2048 |
Plan Available in these Counties
Benton County, Tennessee, Cannon County, Tennessee, Carroll County, Tennessee, Cheatham County, Tennessee, Chester County, Tennessee, Claiborne County, Tennessee, Clay County, Tennessee, Crockett County, Tennessee, Davidson County, Tennessee, Decatur County, Tennessee, Dekalb County, Tennessee, Dickson County, Tennessee, Dyer County, Tennessee, Fayette County, Tennessee, Fentress County, Tennessee, Gibson County, Tennessee, Giles County, Tennessee, Hamilton County, Tennessee, Hardeman County, Tennessee, Hardin County, Tennessee, Haywood County, Tennessee, Henderson County, Tennessee, Henry County, Tennessee, Hickman County, Tennessee, Houston County, Tennessee, Jackson County, Tennessee, Jefferson County, Tennessee, Knox County, Tennessee, Lawrence County, Tennessee, Lewis County, Tennessee, Lincoln County, Tennessee, Macon County, Tennessee, Madison County, Tennessee, Marshall County, Tennessee, Maury County, Tennessee, Mcnairy County, Tennessee, Meigs County, Tennessee, Montgomery County, Tennessee, Overton County, Tennessee, Perry County, Tennessee, Polk County, Tennessee, Robertson County, Tennessee, Rutherford County, Tennessee, Shelby County, Tennessee, Stewart County, Tennessee, Sumner County, Tennessee, Tipton County, Tennessee, Van Buren County, Tennessee, Warren County, Tennessee, Wayne County, Tennessee, White County, Tennessee, Williamson County, Tennessee, Wilson County, TennesseeNOTE: Information on MedicarePolicyHelper.com is for educational purposes only. We are not affiliated with Medicare, or CMS. Medicare has not reviewed or endorsed the information on our site. All plan data on our site comes directly from medicare.gov and is subject to change.