Monthly premium

CMS Plan Rating
Contract ID
โ˜…โ˜…โ˜…โ˜…โ˜…
Medical deductible
Rx deductible
Medicare Part B Giveback

Monthly premium

Contract ID
CMS Plan Rating
โ˜…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

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

Plan documents

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