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Medica Prime Solution Thrift (Cost)

Medicare Plan Details (2023 Plan)

Monthly Premium

 

by Medica
Additional Coverage
Hearing
Overall Government Star Rating
 4.5
out 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

$40
$40
$0
$50 In-network
$6,700 In-network
No
Yes
No
No
http://medica.com/Members
http://medica.com

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
20% coinsurance per visit

Skilled nursing facility

In 2023 the amounts for each benefit period are:
$0 copay for days 1 through 20
$200 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)
 4.5
 4
 3
 5
 4
 5

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

 

 

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