Medica Prime Solution Premier (Cost)


Medicare Plan Details

2022 Plan
Monthly Premium
(select county for price)

 

by Medica
Additional Coverage
HearingVisionDental
Overall Government Star Rating
 4.0
out of 5 stars

State: South Dakota

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

 

$189
$189
$0
$0
$3,000 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

$0 copay
$0 copay

Tests, labs, & imaging

$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay

Hospital Services

$0 copay
$0 copay

Skilled nursing facility

$0 per day for days 1 through 20
$25 per day for days 21 through 100

Preventive services

$0 copay

Ambulance

$0 copay

Therapy services

$0 copay
$0 copay

Mental health services

$0 copay
$0 copay
$0 copay
$0 copay

Opioid treatment services

Covered

Other services

$0 copay
$0 copay
$0 copay

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

$0 copay
$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
$0 copay
$0 copay
$0 copay

Other benefits

Limited coverage
Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Limited coverage
 4
 4
 3
 4
 5
 5

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