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Our commitment is to provide you with the best health coverage possible. Compare your plan options side-by-side to find the one that fits your lifestyle and your budget. 

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CarePartners Plans Compare

CareAdvantage Premier (HMO) $89.00/mo Enroll in this Plan CareAdvantage Preferred (HMO) $0.00/mo Enroll in this Plan CareAdvantage Prime (HMO) $29.00/mo Enroll in this Plan

Plan Essentials

Plan Essentials Description
Deductible $0 $0 $0
Maximum Out of Pocket $3,700 $6,700 $4,900

Drugs and Drug Deductibles

Drugs Description
Drug Deductible $0 $0 $0
Tier 1
Preferred Generic Drugs $0 for 30 day preferred retail supply; $0 for 90 day mail order supply $0 for 30 day retail supply; $0 for 90 day mail order supply $0 for 30 day retail supply; $0 for 90 day mail order supply
During Coverage Gap Stage 25% of the cost of the brand name drugs; 25% of the cost of the generic drugs 25% of the cost of the brand name drugs; 25% of the cost of the generic drugs 25% of the cost of the brand name drugs; 25% of the cost of the generic name drugs
During Catastrophic Coverage Stage The greater of $3.60 generic, $8.95 brand name or 5% of the cost The greater of $3.60 generic, $8.95 brand or 5% of cost The greater of $3.60 generic, $8.95 brand name or 5% of cost
Tier 2
Non-Preferred Generic Drugs $10 for 30 day preferred retail supply; $20 for 90 day mail order supply $10 for 30 day retail supply; $20 for 90 day mail order supply $10 for 30 day retail supply; $20 for 90 day mail order supply
During Coverage Gap Stage 25% of the cost of the brand name drugs; 25% of the cost of the generic drugs 25% of the cost of the brand name drugs; 25% of the cost of the generic drugs 25% of the cost of the brand name drugs; 25% of the cost of the generic name drugs
During Catastrophic Coverage Stage The greater of $3.60 generic, $8.95 brand name or 5% of the cost The greater of $3.60 generic, $8.95 brand or 5% of cost The greater of $3.60 generic, $8.95 brand name or 5% of cost
Tier 3
Preferred Brand Name Drugs $47 for 30 day retail supply; $94 for 90 day mail order supply $47 for 30 day retail supply; $94 for 90 day mail order supply $47 for 30 day retail supply; $94 for 90 day mail order supply
During Coverage Gap Stage 25% of the cost of the brand name drugs; 25% of the cost of the generic drugs 25% of the cost of the brand name drugs; 25% of the cost of the generic drugs 25% of the cost of the brand name drugs; 25% of the cost of the generic name drugs
During Catastrophic Coverage Stage The greater of $3.60 generic, $8.95 brand name or 5% of the cost The greater of $3.60 generic, $8.95 brand or 5% of cost The greater of $3.60 generic, $8.95 brand name or 5% of cost
Tier 4
Non-Preferred Drugs (includes Brand Name and Generic) $100 for 30 day retail supply; $200 for 90 day mail order supply $100 for 30 day retail supply; $200 for 90 day mail order supply $100 for 30 day retail supply; $200 for 90 day mail order supply
During Coverage Gap Stage 25% of the cost of the brand name drugs; 25% of the cost of the generic drugs 25% of the cost of the brand name drugs; 25% of the cost of the generic drugs 25% of the cost of the brand name drugs; 25% of the cost of the generic name drugs
During Catastrophic Coverage Stage The greater of $3.60 generic, $8.95 brand name or 5% of the cost The greater of $3.60 generic, $8.95 brand or 5% of cost The greater of $3.60 generic, $8.95 brand name or 5% of cost
Tier 5
Specialty Drugs 33% of cost 33% of cost 33% of cost
During Coverage Gap Stage 25% of the cost of the brand name drugs; 25% of the cost of the generic drugs 25% of the cost of the brand name drugs; 25% of the cost of the generic drugs 25% of the cost of the brand name drugs; 25% of the cost of the generic name drugs
During Catastrophic Coverage Stage The greater of $3.60 generic, $8.95 brand name or 5% of the cost The greater of $3.60 generic, $8.95 brand or 5% of cost The greater of $3.60 generic, $8.95 brand name or 5% of cost
Tier 6
Vaccines $0 $0 $0

Routine Doctor Visits & Checkups

Routine Visits Description
Doctor Co-Pay $0 per visit $0 per visit $0 per visit
Cardiovascular Screening $0 per annual visit $0 per annual visit $0 per annual visit
Cancer Screening (Colorectal, Prostate, Breast) $0 per annual visit $0 per annual visit $0 per annual visit
Routine Vision Exam $15 per annual visit $15 per annual visit $15 per annual visit
Eyewear Benefit $150 annual allowance $150 annual allowance $150 annual allowance
Routine Hearing Exam $30 per annual visit $45 per annual visit $40 per annual visit

Specialty Visits, Surgery & Exams

Specialty Visits Description
Specialist Co-Pay $30 $45 $40
Physical/Occupational/Speech Therapy $30 $40 $40
Lab Services $0 - $5 $0 - $5 $0 - $5
X-rays $0 - $10 $0 - $10 $0 - $10
Diagnostic Procedures $0 - $10 $0 - $30 $0 - $15
Diagnostic Radiology Services $60 - $150 $60 - $250 $60 - $250
Outpatient Services $250 per day $350 per day $275 per day

Unforseen Care, Emergency Services & Hospital Stays

Unforeseen Care Description
Urgent Care $0 - $30 per visit $0 - $45 per visit $0 - $40 per visit
Ambulance Rides and Services $200 per day $300 per day $250 per day
Emergency Room Visits $90 per visit $90 per visit $90 per visit
Inpatient Hospital Coverage $250 per day for days 1-5; $0 per day for day 6 and beyond $475 per day for days 1-4; $0 per day for day 5 and beyond $375 per day for days 1-4; $0 per day for day 5 and beyond

Benefits

Weight Management Programs $150 Reimbursement, You are reimbursed up to $150 toward fees related to weight management programs like WeightWatchers, Jenny Craig, and hospital based programs., $40 per quarter over-the-counter (OTC) allowance. $150 Reimbursement, You are reimbursed up to $150 toward fees related to weight management programs like WeightWatchers, Jenny Craig, and hospital based programs., $200 Wellness Benefit towards nutritional counseling, fitness programs, and other wellness programs. $150 Reimbursement, You are reimbursed up to $150 toward fees related to weight management programs like WeightWatchers, Jenny Craig, and hospital based programs., $40 per quarter over-the-counter (OTC) allowance
SilverSneakers Membership You receive SilverSneakers for FREE giving you access to 16,000+ gyms, trained instructors, classes and health and nutrition tips with exercise videos. You receive SilverSneakers for FREE giving you access to 16,000+ gyms, trained instructors, classes and health and nutrition tips with exercise videos. You receive SilverSneakers for FREE giving you access to 16,000+ gyms, trained instructors, classes and health and nutrition tips with exercise videos.
Preventive Dental Allowance $25 Preventive. Learn more on our dental page. $0 copay for preventive visits. $25 Preventive. Learn more on our dental page.
Hearing Aid Benefit You are covered for up to 2 hearing aids per year, 1 aid per ear. Different copays apply. $250 Standard Level, $475 Superior Level, $650 Advanced Level, $850 Advanced Plus Level, $1,150 Premier Level You are covered for up to 2 hearing aids per year, 1 aid per ear. Different copays apply., $250 Standard Level, $475 Superior Level, $650 Advanced Level, $850 Advanced Plus Level and $1,150 Premier Level You are covered for up to 2 hearing aids per year, 1 aid per ear. Different copays apply. $250 Standard Level, $475 Superior Level, $650 Advanced Level, $850 Advanced Level, $1,150 Premier Level

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