Medica Prime Solution Core (Cost)
Medicare Plan Details
2020 Plan
Monthly Premium
| (select county for price) |
by Medica
Additional Coverage
Hearing
Vision
Dental
Overall Government Star Rating
4.0out of 5 stars
State: Nebraska
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
Medical Benefits
Doctor Services
$10 per visit
$20 per visit
Tests, labs, & imaging
$10
$0 copay
$30
$10
$50 per visit (always covered)
$10-20 per visit (always covered)
Hospital Services
$350 per stay
$100 per visit
Skilled nursing facility
$0 per day for days 1 through 20
$50 per day for days 21 through 100
$50 per day for days 21 through 100
Preventive services
$0 copay
Ambulance
$50
Therapy services
$20
$20
Mental health services
$20
$20
$20
$20
Opioid treatment services
Covered
Other services
20% per item
20% per item
20% per item
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
20%
20%
Extra Benefits
Hearing
$10-20
$0 copay
$0 copay
Preventive Dental
$0 copay
$0 copay
$0 copay
$0 copay
Comprehensive dental
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
Vision
$0 copay
$0 copay
$0 copay
Not covered
Not covered
Not covered
Other benefits
Limited coverage
Not covered
Not covered
Not covered
Not covered
Limited coverage
Not covered
Health Plan Star Ratings
(government star ratings are out of 5 stars)
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