Health Alliance Medicare POS Basic (HMO-POS)

Medicare Plan Details (2022 Plan)

Monthly Premium

by Health Alliance Medicare

Additional Coverage

HearingVisionDental

Overall Government Star Rating

4.0

out of 5 stars

Ready to Enroll Online?

Plan Type

Medicare Advantage (Part C)

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

Monthly Premium

$23

Health Portion of Premium

$23

Drug Portion of Premium

Health Plan Deductible

Health Plan Max Out-of-Pocket

$11,300 In and Out-of-network
$6,700 In-network

Nationwide Coverage included

Hearing Coverage included

Yes

Vision Coverage included

Yes

Dental Coverage included

Yes

Doctor Lookup Link

http://www.healthalliancemedicare.org

Plan Link

http://www.healthalliancemedicare.org

Doctor Services

Primary doctor visit

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

Specialist visit

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

Tests, labs, & imaging

Diagnostic tests & procedures

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

Lab services

In-network: $0-40 copay
Out-of-network: $50 copay

Diagnostic radiology services (like MRI)

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

Outpatient x-rays

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

Emergency care

$90 copay per visit (always covered)

Urgent care

$65 copay per visit (always covered)

Hospital Services

Inpatient hospital coverage

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

Outpatient hospital coverage

In-network: 25% coinsurance per visit
Out-of-network: 25% coinsurance per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$188 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: $0 copay

Ambulance

Ground ambulance

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

Therapy services

Occupational therapy visit

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

Physical therapy & speech & language therapy visit

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

Mental health services

Outpatient group therapy with a psychiatrist

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

Outpatient individual therapy with a psychiatrist

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

Outpatient group therapy visit

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

Outpatient individual therapy visit

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

Opioid treatment services

Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)

In-network: 0-20% coinsurance per item
Out-of-network: 20% coinsurance per item

Prosthetics (like braces, artificial limbs)

In-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item

Diabetes supplies

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

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

Part B Drugs

Chemotherapy drugs

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

Other Part B drugs

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

Hearing

Hearing exam

In-network: $25 copay
Out-of-network: $40 copay

Fitting/evaluation

In-network: $0 copay
Out-of-network: No Data

Hearing aids - All types

In-network: $699-999 copay
Out-of-network: No Data

Preventive Dental

Oral exam

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

Cleaning

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

Fluoride treatment

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

Dental x-rays

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

Comprehensive dental

Non-routine services

In-network: 20% coinsurance
Out-of-network: 0-50% coinsurance

Diagnostic services

In-network: 20% coinsurance
Out-of-network: 0-50% coinsurance

Restorative services

In-network: 20% coinsurance
Out-of-network: 0-50% coinsurance

Endodontics

In-network: 20% coinsurance
Out-of-network: 0-50% coinsurance

Periodontics

In-network: 20% coinsurance
Out-of-network: 0-50% coinsurance

Extractions

In-network: 20% coinsurance
Out-of-network: 0-50% coinsurance

Prosthodontics, other oral/maxillofacial surgery, other services

In-network: 20-50% coinsurance
Out-of-network: 0-50% coinsurance

Vision

Routine eye exam

In-network: $0 copay
Out-of-network: No Data

Contact lenses

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

Eyeglasses (frames & lenses)

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

Eyeglass frames (only)

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

Eyeglass lenses (only)

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

Upgrades

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

Other benefits

Fitness benefit

Limited coverage

Over the counter drug benefits

Not covered

In-home support services

Not covered

Home and bathroom safety devices

Not covered

Meals for short duration

Limited coverage

Annual physical exams

Limited coverage

Telehealth

Limited coverage

Summary rating of health plan quality

Staying healthy: screenings, tests, & vaccines

Managing chronic (long term) conditions

Member experience with health plan

Member complaints & changes in the health plan's performance

Health plan customer service

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Health Alliance Medicare POS Basic (HMO-POS)

Medicare Plan Details (2022 Plan)

Monthly Premium

by Health Alliance Medicare

Additional Coverage

Overall Government Star Rating

Ready to Enroll Online?

Plan Type

Medicare Advantage (Part C)

Plan Details

Medical Benefits

Doctor Services

Tests, labs, & imaging

Hospital Services

Skilled nursing facility

Preventive services

Ambulance

Therapy services

Mental health services

Opioid treatment services

Other services

Prescription Drug Benefits

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

Part B Drugs

Extra Benefits

Hearing

Preventive Dental

Comprehensive dental

Vision

Other benefits

Health Plan Star Ratings

(government star ratings are out of 5 stars)

When Can I Sign Up for Medicare?

Ready to Enroll Online?

Medicare Health Plans

Get Advice & Sign Up Help