Monthly premium
CMS Plan Rating
Contract ID
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Medical deductible
Rx deductible
Medicare Part B Giveback
Monthly premium
Contract ID
CMS Plan Rating
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โ
โ
โ
โ
Medical deductible
Rx deductible
Medicare Part B Giveback
Medicare Advantage, also known as Medicare Part C, is a health plan option that provides Medicare Part A and Part B coverage. Medicare Advantage plans areย offered by private insurance companies that are approved by Medicare. These plans provide benefits similar to Original Medicare Part A and Part B, but often include additional benefits such as dental, hearing and vision.
Medical benefits
In-network
What you pay
Primary doctor
Specialist
Outpatient diagnostic tests/Lab and X-Rays
Urgent care
Maximum Out-of-Pocket (Annually)
Ambulance services
Emergency room (waived if admitted to hospital within 24 hours)
Inpatient hospital care
Skilled nursing facility
- Important Notice
For full plan details, see the Evidence of Coverage or Summary of Benefitsย in the Plan Documents.ย
Rx benefits
Tier 1 - Preferred generic
Tier 2 - Generic
Tier 3 - Preferred brand
Tier 4 - Non-preferred brand
Tier 5 - Specialty
Additional Benefits
- Vision
- Dental
- Hearing
- SilverSneakers Gym Membership
- Worldwide Emergency Coverage
Plan documents
- Evidence of Coverage
- CMS Plan Rating
- Summary of Benefits