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CareAdvantage

Preferred

The CareAdvantage Preferred Plan is designed for those who want a low cost Medicare option without compromising on coverage. This plan features a $0 monthly premium and includes supplemental health and wellness benefits like hearing aid and eyewear coverage—and prescription drug coverage. Primary care provider visits will cost you $0 and you can feel secure with a low out-of-pocket max.

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1-844-267-1361
(TTY: 711)

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$0.00 per month Enroll in this Plan
See what you can save:
Select a scenario on the right to see how your CareAdvantage Preferred plan can save you more than Original Medicare.

Plan Essentials

Deductible

$0

Maximum Out of Pocket Cost

$5,900

Routine Doctor Visits and Checkups

Doctor Co-Pay

$0 per visit

Cardiovascular Screening

$0 per annual visit

Cancer Screening (Colorectal, Prostate, Breast)

$0 per annual visit

Routine Vision Exam

$45 per annual visit

Eyewear Benefit

$150 annual allowance

Routine Hearing Exam

$45 per annual visit

Specialty Visits, Surgery, and Exams

Specialist Co-Pay

$45

Physical, Occupational, and Speech Therapy

$40

Laboratory Services

$5

X-Rays

$30

Diagnostic Procedures

$20

Diagnostic Radiology Services

$250

Outpatient Surgery

$300

Unforeseen Care, Emergency Services, and Hospital Stays

Urgent Care

$45 per visit

Ambulance Rides and Services

$325 per day

Emergency Room Visits

$90 per visit

Inpatient Hospital Coverage

$425 per day for days 1-4; $0 per day for day 5 and beyond

Drugs and Drug Deductibles

Drug Deductible

$200 (Tiers 3-5)

Tier 1

Preferred Generic Drugs
$3 for 30 day retail supply; $6 for 90 day mail order supply
During Coverage Gap Stage
37% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of 5% of the cost of the drug or $3.40

Tier 2

Non-Preferred Generic Drugs
$12 for 30 day retail supply; $24 for 90 day mail order supply
During Coverage Gap Stage
37% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of 5% of the cost of the drug or $3.40

Tier 3

Preferred Brand Name Drugs
$45 for 30 day retail supply; $90 for 90 day mail order supply
During Coverage Gap Stage
25% of the cost of the brand name drugs
During Catastrophic Coverage Stage
The greater of 5% of the cost of the drug or $8.50

Tier 4

Non-Preferred Drugs (includes Brand Name and Generic)
$95 for 30 day retail supply; $190 for 90 day mail order supply
During Coverage Gap Stage
25% of the cost of the brand name drugs; 37% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of $3.40 generic, $8.50 brand or 5% of cost

Tier 5

Specialty Drugs
29% of cost
During Coverage Gap Stage
25% of the cost of the brand name drugs; 37% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of $3.40 generic, $8.50 brand or 5% of cost

Benefits

Weight Management Programs

$150 Reimbursement
Your are reimbursed up to $150 toward for fees related to weight management programs like WeightWatchers, Jenny Craig, and hospital based programs.

SilverSneakers Membership

You receive SilverSneakers for FREE giving you access to 15,000+ gyms, trained instructors, classes and health and nutrition tips with exercise videos.

Preventive Dental Allowance

You are reimbursed up to $250 toward preventive dental services such as cleanings and X-Rays.

Hearing Aid Benefit

You are covered for up to 2 hearing aids per year, 1 aid per ear. Different copays apply.
$250 Standard Level
$425 Superior Level
$650 Advanced Level
$850 Advanced Plus Level

Deductible

$0

Maximum Out of Pocket Cost

$5,900

Doctor Co-Pay

$0 per visit

Cardiovascular Screening

$0 per annual visit

Cancer Screening (Colorectal, Prostate, Breast)

$0 per annual visit

Routine Vision Exam

$45 per annual visit

Eyewear Benefit

$150 annual allowance

Routine Hearing Exam

$45 per annual visit

Specialist Co-Pay

$45

Physical, Occupational, and Speech Therapy

$40

Laboratory Services

$5

X-Rays

$30

Diagnostic Procedures

$20

Diagnostic Radiology Services

$250

Outpatient Surgery

$300

Urgent Care

$45 per visit

Ambulance Rides and Services

$325 per day

Emergency Room Visits

$90 per visit

Inpatient Hospital Coverage

$425 per day for days 1-4; $0 per day for day 5 and beyond

Drug Deductible

$200 (Tiers 3-5)

Tier 1

Preferred Generic Drugs
$3 for 30 day retail supply; $6 for 90 day mail order supply
During Coverage Gap Stage
37% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of 5% of the cost of the drug or $3.40

Tier 2

Non-Preferred Generic Drugs
$12 for 30 day retail supply; $24 for 90 day mail order supply
During Coverage Gap Stage
37% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of 5% of the cost of the drug or $3.40

Tier 3

Preferred Brand Name Drugs
$45 for 30 day retail supply; $90 for 90 day mail order supply
During Coverage Gap Stage
25% of the cost of the brand name drugs
During Catastrophic Coverage Stage
The greater of 5% of the cost of the drug or $8.50

Tier 4

Non-Preferred Drugs (includes Brand Name and Generic)
$95 for 30 day retail supply; $190 for 90 day mail order supply
During Coverage Gap Stage
25% of the cost of the brand name drugs; 37% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of $3.40 generic, $8.50 brand or 5% of cost

Tier 5

Specialty Drugs
29% of cost
During Coverage Gap Stage
25% of the cost of the brand name drugs; 37% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of $3.40 generic, $8.50 brand or 5% of cost

Weight Management Programs

$150 Reimbursement
Your are reimbursed up to $150 toward for fees related to weight management programs like WeightWatchers, Jenny Craig, and hospital based programs.

SilverSneakers Membership

You receive SilverSneakers for FREE giving you access to 15,000+ gyms, trained instructors, classes and health and nutrition tips with exercise videos.

Preventive Dental Allowance

Hearing Aid Benefit

You are covered for up to 2 hearing aids per year, 1 aid per ear. Different copays apply.
$250 Standard Level
$425 Superior Level
$650 Advanced Level
$850 Advanced Plus Level