Get more benefits with HMSA Akamai Advantage® Dual Care (PPO SNP).
A Medicare plan that works with Medicaid (追求集成).
HMSA can help you live 你的 best life.
- 每年200美元的眼镜费. 改进的
- 银&Fit® fitness center membership and home fitness program. 新
- $180 every three months for health and wellness products.
- 友好的本地客户服务.
- Care you need from providers you choose.
- Convenience of 远程医疗, including HMSA的在线护理®, at no cost.
- 卫生协调员的支持.
- Benefits that go beyond Original Medicare.
网投十大信誉网站.
| wcagcolheader | HMSA Akamai Advantage Dual Care (PPO SNP) |
|---|---|
| 每月的保费 (你每月支付的金额.) You must continue to pay 你的 Part B premium (if Medicaid or another source doesn’t already pay for it). | $0 |
| 网络内自付最大值 (The most you pay each year for Medicare-covered services from in-network providers.) | $6,700 |
| 2023星级评价 |  3.5分(满分5星 |
| 全国信誉第一的网投平台目录 | |
| 医疗福利* * | |
| 你支付 | |
| 年度扣除 | $0 |
| 住院治疗* | 90天内0美元 |
| 熟练护理机构* | 100天内0美元 |
| 初级保健提供者办公室访问 | $0 |
| 专业护理提供者办公室访问 | $0 |
| 年度健康访视 | $0 |
| Outpatient hospital facility and ambulatory surgical center services* | $0 |
| 救护车服务 包括地面和空中. | $0 |
| 急救护理 | $0 |
| 紧急护理 | $0 |
| Diagnostic tests and procedures, lab services, and outpatient X-rays* | $0 |
| 化疗和其他B部分药物* | $0 |
| 医疗设备和用品* | $0 |
| 视觉的好处 | |
| 你支付 | |
| 常规眼科检查 | 每日历年$0/1考试 |
| 眼镜(补充) | 框架、镜片或隐形眼镜的费用为0美元. Plan pays up to $200 every calendar year. |
| 健康的好处 | |
| 非处方邮购 $180 quarterly benefit to order over-the-counter health and wellness products available through mail order. 订购物品，请访问 在英国.medline.com / hmsa 或打电话 833-569-2335. | 该计划每季度支付180美元 |
| Over-the-Counter (OTC) Item Catalog [PDF] | |
| 银&健康老龄化 & 运动项目 A membership to a participating fitness center, 每年一个家庭健身包, 健康老年辅导 sessions and more. | 健身会员: $0/month for standard fitness center, $30-$200/month for premium fitness center 家庭健身套件 $0 每个日历年1个家庭健身工具包 健康老年辅导 $0 数字健身视频$0 |
| 健康教育 | 了解更多关于 健康教育 |
| 远程医疗 包括 HMSA的在线护理 | $0 |
| 药物的好处 | |
| 你支付 | |
| 年度扣除 | If you qualify for a low-income subsidy, you pay $0. If you don't qualify for a low-income subsidy, you pay a $505 deductible for 你的 drugs. |
| 零售药房30天的供应量 | |
| 通用的 | $0, $1.45, or $4.15 |
| 所有其他药物 | $0, $4.30, or $10.35 |
| 药店 | 找药店 |
| 处方药清单[PDF] See if 你的 prescription drugs are covered and search for lower-cost alternatives. | 索取硬拷贝 |
| 资源及计划资料 | |
| 福利摘要[PDF] | |
This is a short description of the 2023 plan benefits and amount you’d pay. There may be some exceptions, so check 你的 利益摘要 or 承保证明 浏览计划详情. Costs may be different, depending on how much you receive 处方药的额外帮助. Please contact us if you have questions.
* For some services, 你的 doctor or other network provider may request prior authorization. Please contact us for more information.
** Because you get Medicaid assistance, you pay nothing for 你的 premium or covered services as long as you follow the plans' rules for getting care.