Medicare Plan Details

2019 Plan
Monthly Premium
(select county for price)


by EnvisionRx Plus
Additional Coverage
Overall Government Star Rating
out of 5 stars

State: Georgia

Select your county to view the price for this plan


Plan Type

Prescription Drug (Part D)


Monthly Premium$15
Health Plan Deductible $185
Health Plan Max Out-of-Pocket Not Applicable
Nationwide Coverage includedYes
Hearing Coverage includedNo
Vision Coverage includedNo
Dental Coverage includedNo
Doctor Lookup Link
Plan Link http://EnvisionRxPlus.com

Benefits Highlights

Your Cost
Doctor visits Primary: 20% per visit

Specialist: 20% per visit
Transportation No
Preventive care $0 copay
Ground ambulance 20%
Medicare Part B drugs Chemotherapy: 20%

Other Part B drugs: 20%
Health plan deductible $185
Mental health services Inpatient hospital - psychiatric: In 2019 the amounts for each benefit period are:
$1,364 deductible for days 1 through 60
$341 copay per day for days 61 through 90

Outpatient group therapy visit with a psychiatrist: 20%

Outpatient individual therapy visit with a psychiatrist: 20%

Outpatient group therapy visit: 20%

Outpatient individual therapy visit: 20%
Rehabilitation services Occupational therapy visit: 20%

Physical therapy and speech and language therapy visit: 20%
Skilled Nursing Facility In 2019 the amounts for each benefit period are:
$0 copay for days 1 through 20
$170.50 copay per day for days 21 through 100
Emergency care/Urgent care Emergency: 20% per visit (always covered)

Urgent care: 20% per visit (always covered)
Medical equipment/supplies Durable medical equipment (e.g., wheelchairs, oxygen): 20% per item

Prosthetics (e.g., braces, artificial limbs): 20% per item

Diabetes supplies: 20% per item
Inpatient hospital coverage In 2019 the amounts for each benefit period are:
$1,364 deductible for days 1 through 60
$341 copay per day for days 61 through 90
Monthly health plan premium Not Applicable
Outpatient hospital coverage 20% per visit
Foot care (podiatry services) Foot exams and treatment: 20%

Routine foot care: No
Optional supplemental benefits No
Other health plan deductibles? Yes
Diagnostic procedures/lab services/imaging Diagnostic tests and procedures: 20%

Lab services: 20%

Diagnostic radiology services (e.g., MRI): 20%

Outpatient x-rays: 20%
Wellness programs (e.g., fitness, nursing hotline) No
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs) Not Applicable
Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions? No


Inpatient care $38.00
Dental services $42.00
All other services $111.00
Total Estimated Annual Costs $4,090
Outpatient prescription drugs $0.00
Total monthly estimated costs $341.00


Fixed Costs

Monthly Drug Plan Premium: $14.50
Monthly Health Plan Premium: Not Applicable

Estimated Costs

Estimated annual drug costs: $174.00


Drug Plan Customer Service  3.0
Member Experience with the Drug Plan  3.0
Drug Safety and Accuracy of Drug Pricing  2.0
Summary Rating of Prescription Drug Plan Quality  2.0
Member Complaints and Changes in the Drug Plan’s Performance  3.0


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.



Medicare Plans Help

Get extra benefits and coverage with Medicare Advantage or Supplement plans.

Our partner Medicare Solutions can help you understand your options and sign up. Help is free!


Medicare Solutions



or call

(888) 763-2752

TTY users 711


Mon-Fri 8:30am - 8:00pm
(Eastern Times)


*Our partners and their licensed insurance agents may not be able to enroll people in all plans shown on healthplanradar.com