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CareAdvantage

Premier

The CareAdvantage Premier Plan is designed for people who want greater coverage and financial security without having to pay the cost of a Medicare Supplement plan. This plan features an $89 monthly premium, which includes prescription drug coverage, a $0 medical deductible, and our lowest copays for specialists and urgent care visits. Primary care provider visits will cost you $0 and you'll receive our lowest out-of-pocket max.

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

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$89.00 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

$3,700

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

$30 per annual visit

Eyewear Benefit

$150 annual allowance

Routine Hearing Exam

$30 per annual visit

Specialty Visits, Surgery, and Exams

Specialist Co-Pay

$30

Physical, Occupational, and Speech Therapy

$30

Laboratory Services

$5

X-Rays

$15

Diagnostic Procedures

$10

Diagnostic Radiology Services

$150

Outpatient Surgery

$250

Unforeseen Care, Emergency Services, and Hospital Stays

Urgent Care

$30 per visit

Ambulance Rides and Services

$200 per day

Emergency Room Visits

$90 per visit

Inpatient Hospital Coverage

$250 per day for days 1-5; $0 per day for day 6 and beyond

Drugs and Drug Deductibles

Drug Deductible

$0

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 name or 5% of the cost

Tier 5

Specialty Drugs
33% 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 name or 5% of the cost

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.

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
$475 Superior Level
$650 Advanced Level
$850 Advanced Plus Level

Deductible

$0

Maximum Out of Pocket Cost

$3,700

Doctor Co-Pay

$0 per visit

Cardiovascular Screening

$0 per annual visit

Cancer Screening (Colorectal, Prostate, Breast)

$0 per annual visit

Routine Vision Exam

$30 per annual visit

Eyewear Benefit

$150 annual allowance

Routine Hearing Exam

$30 per annual visit

Specialist Co-Pay

$30

Physical, Occupational, and Speech Therapy

$30

Laboratory Services

$5

X-Rays

$15

Diagnostic Procedures

$10

Diagnostic Radiology Services

$150

Outpatient Surgery

$250

Urgent Care

$30 per visit

Ambulance Rides and Services

$200 per day

Emergency Room Visits

$90 per visit

Inpatient Hospital Coverage

$250 per day for days 1-5; $0 per day for day 6 and beyond

Drug Deductible

$0

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 name or 5% of the cost

Tier 5

Specialty Drugs
33% 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 name or 5% of the 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.

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
$475 Superior Level
$650 Advanced Level
$850 Advanced Plus Level