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Best Medicare and Best Medicare Advantage

Guardian Healthcare is a Medicare Advantage Organization which offers Medicare plans throughout the State of South Carolina.  They offer a variety of four medicare plans, the Tribute Plan, the Tribute Enhanced Plan, the Tribute Pride Plan, and the Tribute Select Plan. Those who are eligible for these plans are entitled to Medicare Part A and who are enrolled in Medicare Part B.

 

Tribute Medicare Advantage Plan
There is a $0 monthly plan premium in addition to the beneficiary's Medicare Part B premium along with a $5,000 out-of-pocket limit.  The beneficiary is able to go to any doctor, specialist, or hospital that accepts the plan's payment.  There is a $200 co-pay per day from days 1-5 for Medicare-covered hospitals and $0 co-pay from days 6-90.  For mental health care, there is a $300 co-pay per day from days 1-5 and $0 co-pay per day from days 6-90.  For a skilled nursing facility, days 1-10 are covered while days 1-20 a beneficiary must pay a $50 co-pay per day and a $124 co-pay per day from days 21-100.  There is a $10 co-pay for each primary care doctor visit and a $35 co-pay for each specialist visit.

 

Tribute Enhanced Medicare Advantage Plan
There is a $28.50 monthly plan premium in addition to the beneficiary's Medicare Part B premium along with a $4,000 out-of-pocket limit.  The beneficiary is able to go to any doctor, specialist, or hospital that accepts the plan's payment.  There is a $100 co-pay per day from days 1-7 for Medicare-covered hospitals and $0 co-pay from days 8-90.  For mental health care, there is a $300 co-pay per day from days 1-5 and $0 co-pay per day from days 6-90.  For a skilled nursing facility, days 1-10 are covered while days 1-20 a beneficiary must pay a $50 co-pay per day and a $124 co-pay per day from days 21-100.  There is a $10 co-pay for each primary care doctor visit and a $30 co-pay for each specialist visit.

 

Tribute Pride Medicare Advantage Plan 
There is a $0 monthly plan premium in addition to the beneficiary's Medicare Part B premium along with a $3,400 out-of-pocket limit.  The beneficiary is able to go to any doctor, specialist, or hospital that accepts the plan's payment.  There is a $75 co-pay per day from days 1-3 for Medicare-covered hospitals and $0 co-pay from days 4-90.  For mental health care, there is a $75 co-pay per day from days 1-3 and $0 co-pay per day from days 6-90.  For a skilled nursing facility, there is a $0 co-pay.  There is a $5 co-pay for each primary care doctor visit and a $10 co-pay for each specialist visit.

 

Tribute Select (PPO) Medicare Advantage Plan
Tribute's Select Plan is available only for those who live in Greenville, South Carolina.  There is a $0 monthly plan premium in addition to the beneficiary's Medicare Part B premium along with a $3,400 out-of-pocket limit.  The beneficiary is able to go to any doctor, specialist, or hospital that accepts the plan's payment.  There is a $0 co-pay per day from days 1-2 for Medicare-covered hospital stays, $100 co-pay per day from days 3-6, and $0 co-pay from days 7-90.  For mental health care, there is a $200 co-pay per day from days 1-5 and $0 co-pay per day from days 6-90.  For a skilled nursing facility, days 1-10 are covered while days 1-20 a beneficiary must pay a $50 co-pay per day and a $124 co-pay per day from days 21-100. There is a $0 co-pay for each primary care doctor visit and a $20 co-pay for each specialist visit.

Guardian Healthcare Medicare and Medicare Advantage Plans

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