PacificSource Medicare Essentials 2 (HMO)
Medicare Plan Details (2022 Plan)
Monthly Premium
by PacificSource Medicare
Additional Coverage
Overall Government Star Rating
4.0Ready to Enroll Online?
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
Tests, labs, & imaging
Hospital Services
$0 per day for days 6 through 90
Skilled nursing facility
$188 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
Part B Drugs
Extra Benefits
Hearing
Preventive Dental
Comprehensive dental
Vision
Other benefits
Health Plan Star Ratings
(government star ratings are out of 5 stars)
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Medicare Health Plans
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