Monthly Premium
You must continue to pay your Medicare Part B premium. If you have a late enrollment penalty, it will still apply.
$99*
Max out of pocket
$5,000
Deductible
$0
Copays (PCP/Specialist)
$15/$40
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