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CareAdvantage

Preferred (HMO)

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 and no in-network referrals.

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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

$6,700

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

$15 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

$0 - $5

X-Rays

$0 - $10

Diagnostic Procedures

$0 - $30

Diagnostic Radiology Services

$60 - $250

Outpatient Surgery

$350 per day

Unforeseen Care, Emergency Services, and Hospital Stays

Urgent Care

$0 - $45 per visit

Ambulance Rides and Services

$300 per day

Emergency Room Visits

$90 per visit

Inpatient Hospital Coverage

$475 per day for days 1-4; $0 per day for day 5 and beyond

Drugs and Drug Deductibles

Drug Deductible

$0

Tier 1

Preferred Generic Drugs
$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
During Catastrophic Coverage Stage
The greater of $3.60 generic, $8.95 brand or 5% of cost

Tier 2

Non-Preferred Generic Drugs
$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
During Catastrophic Coverage Stage
The greater of $3.60 generic, $8.95 brand or 5% of cost

Tier 3

Preferred Brand Name Drugs
$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
During Catastrophic Coverage Stage
The greater of $3.60 generic, $8.95 brand 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
During Coverage Gap Stage
25% of the cost of the brand name drugs; 25% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of $3.60 generic, $8.95 brand or 5% of cost

Tier 5

Specialty Drugs
33% of cost
During Coverage Gap Stage
25% of the cost of the brand name drugs; 25% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of $3.60 generic, $8.95 brand or 5% of cost

Tier 6

$0

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.
$200 Wellness Benefit towards nutritional counseling, fitness programs, and other wellness programs.

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.

Preventive Dental Allowance

$0 copay for preventive visits.

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 and $1,150 Premier Level

Deductible

$0

Maximum Out of Pocket Cost

$6,700

Doctor Co-Pay

$0 per visit

Cardiovascular Screening

$0 per annual visit

Cancer Screening (Colorectal, Prostate, Breast)

$0 per annual visit

Routine Vision Exam

$15 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

$0 - $5

X-Rays

$0 - $10

Diagnostic Procedures

$0 - $30

Diagnostic Radiology Services

$60 - $250

Outpatient Surgery

$350 per day

Urgent Care

$0 - $45 per visit

Ambulance Rides and Services

$300 per day

Emergency Room Visits

$90 per visit

Inpatient Hospital Coverage

$475 per day for days 1-4; $0 per day for day 5 and beyond

Drug Deductible

$0

Tier 1

Preferred Generic Drugs
$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
During Catastrophic Coverage Stage
The greater of $3.60 generic, $8.95 brand or 5% of cost

Tier 2

Non-Preferred Generic Drugs
$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
During Catastrophic Coverage Stage
The greater of $3.60 generic, $8.95 brand or 5% of cost

Tier 3

Preferred Brand Name Drugs
$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
During Catastrophic Coverage Stage
The greater of $3.60 generic, $8.95 brand 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
During Coverage Gap Stage
25% of the cost of the brand name drugs; 25% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of $3.60 generic, $8.95 brand or 5% of cost

Tier 5

Specialty Drugs
33% of cost
During Coverage Gap Stage
25% of the cost of the brand name drugs; 25% of the cost of the generic drugs
During Catastrophic Coverage Stage
The greater of $3.60 generic, $8.95 brand or 5% of cost

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.
$200 Wellness Benefit towards nutritional counseling, fitness programs, and other wellness programs.

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.

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
$475 Superior Level
$650 Advanced Level
$850 Advanced Plus Level and $1,150 Premier Level