Monthly Premium
If you get extra help from Medicare, your monthly plan premium will be lower, or you might pay nothing.
$0-$32.70*
Max out of pocket
$6,700
Deductible
$1,484
Copays (PCP/Specialist)
$0/$0
Dental
Over-the-counter (OTC) benefit
Vision
Hearing / Hearing Aids
Inpatient Hospital
Preventive Care
Outpatient Diagnostic Labs, Procedures, Tests
Emergency Room / Urgent Care
Physical, Occupational and Speech Therapy
Flex Card
Transportation
Is Recommended
False
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Plan Documents