eternalHealth Valor Give Back (HMO-POS)
Arizona Medicare Advantage Plan (2025 Plan)
Additional Coverage
HearingVisionDental
Overall Government Star Rating
(coming soon)
Plan Name
eternalHealth Valor Give Back (HMO-POS)
Plan Type
Medicare Advantage Plan Without Prescription Drugs
eternalHealth Valor Give Back (HMO-POS) is a Medicare Advantage Plan Without Prescription Drugs, which is available in Arizona and offered by the health insurance company eternalHealth. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Annual Deductible
Coming soon
Primary doctor visit
$0 copay
Specialist visit
$0 copay
ER visit
20% coinsurance per visit (always covered)
Ambulance
20% coinsurance
eternalHealth Valor Give Back (HMO-POS) has a monthly premium cost of $0 per month, with an annual deductible of Coming soon and a maximum out of pocket cost sharing of $9,000 In and Out-of-network
$5,500 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for eternalHealth Valor Give Back (HMO-POS) are defined below.
No
Part D Prescription Drug Coverage
eternalHealth Valor Give Back (HMO-POS) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. eternalHealth Valor Give Back (HMO-POS) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. eternalHealth Valor Give Back (HMO-POS) includes coverage for the following additional benefits:
Other benefits
Over the counter drug benefits
Home and bathroom safety devices
Health Portion of Premium
Health Plan Max Out-of-Pocket
$9,000 In and Out-of-network
$5,500 In-network
Nationwide Coverage included
Hearing Coverage included
Doctor Services
Primary doctor visit
In-network: $0 copay
Out-of-network: $0 copay
Specialist visit
In-network: $0 copay
Out-of-network: $25 copay per visit
Tests, labs, & imaging
Diagnostic tests & procedures
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Lab services
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Diagnostic radiology services (like MRI)
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Outpatient x-rays
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Emergency care
20% coinsurance per visit (always covered)
Urgent care
20% coinsurance per visit (always covered)
Hospital Services
Inpatient hospital coverage
In-network: Coming soon
Out-of-network: Coming soon
Outpatient hospital coverage
In-network: 20% coinsurance per visit
Out-of-network: 50% coinsurance per visit
Skilled nursing facility
Skilled nursing facility
In-network: Coming soon
Out-of-network: Coming soon
Preventive services
Preventive services
In-network: $0 copay
Out-of-network: $0 copay
Ambulance
Ground ambulance
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Therapy services
Occupational therapy visit
In-network: $30 copay
Out-of-network: 50% coinsurance
Physical therapy & speech & language therapy visit
In-network: $30 copay
Out-of-network: 50% coinsurance
Mental health services
Outpatient group therapy with a psychiatrist
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Outpatient individual therapy with a psychiatrist
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Outpatient group therapy visit
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Outpatient individual therapy visit
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Opioid treatment services
Opioid treatment services
Other services
Durable medical equipment (like wheelchairs & oxygen)
In-network: 20% coinsurance per item
Out-of-network: 50% coinsurance per item
Prosthetics (like braces, artificial limbs)
In-network: 20% coinsurance per item
Out-of-network: 50% coinsurance per item
Diabetes supplies
In-network: 20% coinsurance per item
Out-of-network: 50% coinsurance per item
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
Chemotherapy drugs
In-network: 0-20% coinsurance
Out-of-network: 50% coinsurance
Other Part B drugs
In-network: 0-20% coinsurance
Out-of-network: 50% coinsurance
Hearing
Hearing exam
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Hearing aids - All types
In-network: $595-895 copay
Preventive Dental
Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Fluoride treatment
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Restorative services
In-network: $0 copay
Out-of-network: $0 copay
Endodontics
In-network: $0 copay
Out-of-network: $0 copay
Periodontics
In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, removable
In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, fixed
In-network: $0 copay
Out-of-network: $0 copay
Maxillofacial prosthetics
In-network: $0 copay
Out-of-network: $0 copay
Implant services
In-network: $0 copay
Out-of-network: $0 copay
Oral and maxillofacial surgery
In-network: $0 copay
Out-of-network: $0 copay
Orthodontics
In-network: $0 copay
Out-of-network: $0 copay
Adjunctive general services
In-network: $0 copay
Out-of-network: $0 copay
Vision
Eyeglasses (frames & lenses)
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