Gundersen Senior Preferred Elite (no Rx) (HMO)


Medicare Plan Details

2020 Plan
Monthly Premium
(select county for price)

 

by Senior Preferred
Additional Coverage
Hearing Vision Dental
Overall Government Star Rating
 5.0
out of 5 stars

State: Iowa

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B

 

$110
$110
$0
$0
$3,000 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

$10 per visit
$10 per visit

Tests, labs, & imaging

$0 copay
$0 copay
$0 copay
$0 copay
$100 per visit (always covered)
$10 per visit (always covered)

Hospital Services

$250 per stay
$0 copay

Skilled nursing facility

$0 per day for days 1 through 20
$125 per day for days 21 through 100

Preventive services

$0 copay

Ambulance

$150

Therapy services

$10
$10

Mental health services

$10
$10
$10
$10

Opioid treatment services

Covered

Other services

10% per item
10% per item
0-25% per item

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

10%
10%

Extra Benefits

Hearing

$15
Not covered
$675-2,025

Preventive Dental

$0 copay
$0 copay
Not covered
$0 copay

Comprehensive dental

Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered

Vision

$0-10
Not covered
$0 copay
$0 copay
$0 copay
$0 copay

Other benefits

Not covered
Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Not covered
 4.5
 5
 4
 5
 4
 4

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