MDwise Medicare Inspire (HMO)
Indiana Medicare Advantage Plan (2024 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
MDwise Medicare Inspire (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Indiana and offered by the health insurance company MDwise Medicare. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
MDwise Medicare Inspire (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $3,900 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 MDwise Medicare Inspire (HMO) are defined below.
Additional Benefits and Coverage
MDwise Medicare Inspire (HMO) 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. MDwise Medicare Inspire (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. MDwise Medicare Inspire (HMO) includes coverage for the following additional benefits:
Other benefits
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Tests, labs, & imaging
Hospital Services
$0 per day for days 8 through 90
Skilled nursing facility
$203 per day for days 21 through 100
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
| Tiers | Initial coverage phase | Gap coverage phase1 | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic | $0.00 copay | $0.00 copay |
Brand-name drugs :
|
| Generic | $12.00 copay | ||
| Preferred Brand | $47.00 copay | ||
| Non-Preferred Drug | |||
| Specialty Tier | 33% | ||
| 1 For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. | |||
Part B Drugs
Extra Benefits
Hearing
Preventive Dental
Comprehensive dental
Vision
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