Health Alliance Medicare POS Basic (HMO-POS)


Medicare Plan Details

2020 Plan
Monthly Premium
(select county for price)

 

by Health Alliance Medicare
Additional Coverage
Hearing Vision Dental
Overall Government Star Rating
 3.5
out of 5 stars

State: Illinois

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

 

$23
$23
$0
$0
$10,000 In and Out-of-network
$6,700 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

In-network: $35 per visit
Out-of-network: $50 per visit
In-network: $50 per visit
Out-of-network: $65 per visit

Tests, labs, & imaging

In-network: $40
Out-of-network: $50
In-network: $40
Out-of-network: $50
In-network: $40
Out-of-network: $50
In-network: $40
Out-of-network: $50
$90 per visit (always covered)
$65 per visit (always covered)

Hospital Services

In-network: $450 per day for days 1 through 4
$0 per day for days 5 through 90
Out-of-network: $600 per day for days 1 through 6
$0 per day for days 7 through 90
In-network: 25% per visit
Out-of-network: 25% per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$178 per day for days 21 through 100
Out-of-network: $100 per day for days 1 through 20
$200 per day for days 21 through 100

Preventive services

In-network: $0 copay
Out-of-network: $50

Ambulance

In-network: $350
Out-of-network: No Data

Therapy services

In-network: $40
Out-of-network: $50
In-network: $40
Out-of-network: $50

Mental health services

In-network: $40
Out-of-network: $50
In-network: $40
Out-of-network: $50
In-network: $40
Out-of-network: $50
In-network: $40
Out-of-network: $50

Opioid treatment services

Covered

Other services

In-network: 0-20% per item
Out-of-network: 20% per item
In-network: 20% per item
Out-of-network: 20% per item
In-network: $0 copay
Out-of-network: 20% per item

Prescription Drug Benefits

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

Part B Drugs

In-network: 20%
Out-of-network: 20%
In-network: 20%
Out-of-network: 20%

Extra Benefits

Hearing

In-network: $25
Out-of-network: $40
Not covered
In-network: $699-999
Out-of-network: No Data

Preventive Dental

In-network: $0 copay
Out-of-network: $0-20
In-network: $0 copay
Out-of-network: $0-20
In-network: $0 copay
Out-of-network: $0-20
In-network: $0 copay
Out-of-network: $0-20

Comprehensive dental

In-network: $0 copay
Out-of-network: $0-20
In-network: $0 copay
Out-of-network: $0-20
In-network: $0 copay
Out-of-network: $0-20
In-network: $0 copay
Out-of-network: $0-20
In-network: $0 copay
Out-of-network: $0-20
In-network: $0 copay
Out-of-network: $0-20
In-network: $0 copay
Out-of-network: $0-20

Vision

In-network: $0 copay
Out-of-network: No Data
Not covered
Not covered
Not covered
Not covered
Not covered

Other benefits

Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Limited coverage
Limited coverage
 3.5
 4
 3
 5
 4
 3

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