Health Alliance Medicare POS Basic (HMO-POS)
Medicare Plan Details
2021 Plan
Monthly Premium
(select county for price) |

by Health Alliance Medicare
Additional Coverage
Hearing
Vision
Dental
Overall Government Star Rating
4.0out 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
Plan Details
$23
$23
$0
$0
$11,300 In and Out-of-network
$6,700 In-network
$6,700 In-network
No
Yes
Yes
Yes
Medical Benefits
Doctor Services
In-network: $35 copay per visit
Out-of-network: $50 copay per visit
Out-of-network: $50 copay per visit
In-network: $50 copay per visit
Out-of-network: $65 copay per visit
Out-of-network: $65 copay per visit
Tests, labs, & imaging
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $0-40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
$90 copay per visit (always covered)
$65 copay 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
$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% coinsurance per visit
Out-of-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
$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
$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: $0 copay
Out-of-network: $0 copay
Ambulance
In-network: $350 copay
Out-of-network: No Data
Out-of-network: No Data
Therapy services
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
Mental health services
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
Opioid treatment services
Covered
Other services
In-network: 0-20% coinsurance per item
Out-of-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
In-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
In-network: $0 copay
Out-of-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Extra Benefits
Hearing
In-network: $25 copay
Out-of-network: $40 copay
Out-of-network: $40 copay
In-network: $0 copay
Out-of-network: No Data
Out-of-network: No Data
In-network: $699-999 copay
Out-of-network: No Data
Out-of-network: No Data
Preventive Dental
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Vision
In-network: $0 copay
Out-of-network: No Data
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
Health Plan Star Ratings
(government star ratings are out of 5 stars)
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