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Medica Prime Solution Thrift (Cost)
Medicare Plan Details (2022 Plan)
Monthly Premium
by Medica
Additional Coverage
Hearing
Overall Government Star Rating
4.0out of 5 stars
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Plan Type
Medicare Advantage (Part C)
Medicare Advantage combines Part A and Part B. This plan = Part A + Part B
Plan Details
Medical Benefits
Doctor Services
20% coinsurance per visit
20% coinsurance per visit
Tests, labs, & imaging
20% coinsurance
$0 copay
20% coinsurance
20% coinsurance
$50 copay per visit (always covered)
$25 copay per visit (always covered)
Hospital Services
$300 per day for days 1 through 4
$0 per day for days 5 through 90
$0 per day for days 5 through 90
20% coinsurance per visit
Skilled nursing facility
In 2022 the amounts for each benefit period are:
$0 copay for days 1 through 20
$194.50 copay per day for days 21 through 100
$0 copay for days 1 through 20
$194.50 copay per day for days 21 through 100
Preventive services
$0 copay
Ambulance
20% coinsurance
Therapy services
20% coinsurance
20% coinsurance
Mental health services
20% coinsurance
20% coinsurance
20% coinsurance
20% coinsurance
Opioid treatment services
Covered
Other services
20% coinsurance per item
20% coinsurance per item
20% coinsurance per item
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
20% coinsurance
20% coinsurance
Extra Benefits
Hearing
20% coinsurance
Not covered
Not covered
Not covered
Not covered
Preventive Dental
Not covered
Not covered
Not covered
Not covered
Comprehensive dental
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Vision
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Other benefits
Not covered
Not covered
Not covered
Not covered
Not covered
Not covered
Limited coverage
Health Plan Star Ratings
(government star ratings are out of 5 stars)
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