Georgia Institutional Special Needs I-SNP Plan (2025 Plan)
PruittHealth Premier Advantage (HMO I-SNP) is a Institutional Special Needs Plan (I-SNP), which is available in Georgia and offered by the health insurance company PruittHealth Premier. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
PruittHealth Premier Advantage (HMO I-SNP) has a monthly premium cost of $7 per month, with an annual deductible of Coming soon and a maximum out of pocket cost sharing of $5,900 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 PruittHealth Premier Advantage (HMO I-SNP) are defined below.
PruittHealth Premier Advantage (HMO I-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. PruittHealth Premier Advantage (HMO I-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. PruittHealth Premier Advantage (HMO I-SNP) includes coverage for the following additional benefits:
| Tiers | Initial coverage phase | Catastrophic coverage phase |
|---|---|---|
| Preferred Generic | $0.00 copay | $0 copay |
| Generic | $7.00 copay | $0 copay |
| Preferred Brand | $45.00 copay | $0 copay |
| Non-Preferred Drug | ||
| Specialty Tier | 33% coinsurance | $0 copay |
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Health Plan RadarIn this article we rank Georgia 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.
Health Plan RadarThe Medicare landscape in Georgia is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Georgia.
