Call now to get help signing up for plans from licensed insurance agents!
No obligation to enroll. Mon-Fri: 8am-9pm, Sat: 9am-8pm ET
 
Medicare65quote.com
TTY 711
Ready to Enroll Online?

eternalHealth Valor Give Back (HMO-POS)

Arizona Medicare Advantage Plan (2024 Plan)

Monthly Premium

Your Cost
$0
by eternalHealth

Additional Coverage

HearingVisionDental

Overall Government Star Rating

No Rating (new plan)

Ready to Enroll Online?

Plan Overview

Plan Name
eternalHealth Valor Give Back (HMO-POS)
Insurance Carrier
eternalHealth
Plan Type
Medicare Advantage Plan Without Prescription Drugs
Network Type
HMO

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.

Cost Summary

Monthly Premium
$0
Annual Deductible
$240 per year for in-network services.
Max Out-of-Pocket
$5,500
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 $240 per year for in-network services. 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.

Additional Benefits and Coverage

No
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing

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

Fitness benefit
Limited coverage
Over the counter drug benefits
Limited coverage
In-home support services
Limited coverage
Home and bathroom safety devices
Not covered
Meals for short duration
Not covered
Annual physical exams
Limited coverage
Telehealth
Limited coverage

Plan Benefits and Coverage Details

Monthly Premium
$0
Health Portion of Premium
$0
Drug Portion of Premium
$0
Health Plan Deductible
$240 per year for in-network services.
Health Plan Max Out-of-Pocket
$9,000 In and Out-of-network
$5,500 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
Yes
Doctor Lookup Link
http://www.eternalHealth.com
Plan Link
https://www.eternalhealth.com/

Medical Benefits

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: In 2024 the amounts for each benefit period are:
$1,632 deductible for days 1 through 60
$408 copay per day for days 61 through 90
Out-of-network: In 2024 the amounts for each benefit period are:
$1,632 deductible for days 1 through 60
$408 copay per day for days 61 through 90
Outpatient hospital coverage
In-network: 20% coinsurance per visit
Out-of-network: 50% coinsurance per visit

Skilled nursing facility

Skilled nursing facility
In-network: In 2024 the amounts for each benefit period are:
$0 copay for days 1 through 20
$204 copay per day for days 21 through 100
Out-of-network: In 2024 the amounts for each benefit period are:
$0 copay for days 1 through 20
$204 copay per day for days 21 through 100

Preventive services

Preventive services
In-network: $0 copay
Out-of-network: 50% coinsurance

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
Covered

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

Prescription Drug Benefits

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

Extra Benefits

Hearing

Hearing exam
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Fitting/evaluation
Not covered
Hearing aids - All types
In-network: $595-895 copay
Out-of-network: No Data

Preventive Dental

Oral exam
In-network: $0 copay
Out-of-network: No Data
Cleaning
In-network: $0 copay
Out-of-network: No Data
Fluoride treatment
In-network: $0 copay
Out-of-network: No Data
Dental x-rays
In-network: $0 copay
Out-of-network: No Data

Comprehensive dental

Non-routine services
In-network: $0 copay
Out-of-network: No Data
Diagnostic services
In-network: $0 copay
Out-of-network: No Data
Restorative services
In-network: $0 copay
Out-of-network: No Data
Endodontics
In-network: $0 copay
Out-of-network: No Data
Periodontics
In-network: $0 copay
Out-of-network: No Data
Extractions
In-network: $0 copay
Out-of-network: No Data
Prosthodontics, other oral/maxillofacial surgery, other services
In-network: $0 copay
Out-of-network: No Data

Vision

Routine eye exam
In-network: $0 copay
Out-of-network: No Data
Contact lenses
In-network: $0 copay
Out-of-network: No Data
Eyeglasses (frames & lenses)
In-network: $0 copay
Out-of-network: No Data
Eyeglass frames (only)
In-network: $0 copay
Out-of-network: No Data
Eyeglass lenses (only)
In-network: $0 copay
Out-of-network: No Data
Upgrades
In-network: $0 copay
Out-of-network: No Data

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

 

 

Ready to Enroll Online?

Please Support Our Sponsor

Advertisement

Medicare Health Plans

Get Advice & Sign Up Help

TTY 711

Speak with a Licensed Insurance Agent

Mon-Fri: 8am - 9pm ET
Sat: 9am - 8pm ET

Medicare65quote

  • Medicare Advantage Plans
  • Medicare Prescription Drug Plans
  • Medicare Supplement Insurance Plans

No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.

Related Articles
Best Arizona Medicare Advantage Health Insurance Companies for 2024
Health Plan Radar Health Plan Radar

In this article we rank Arizona Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.

Read more →