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The coverage and benefits you deserve are just 3 simple steps away
- Call a local FamilyCare expert.
- Compare the coverage and benefits you already have or need.
- Choose the PremierCare Medicare Plan that gives you the benefits and affordability you want.
|
Plan Name |
Compare Your
Current Plan Info |
PremierCare
Advantage Rx |
PremierCare
Value Rx |
PremierCare
Choice Rx |
PremierCare
Choice |
PremierCare
Select Rx |
PremierCare
PLUS |
|
|
|
|
|
|
|
|
|
MONTHLY PREMIUM |
|
$99 |
$50 |
$35.60 |
$0 |
$129.60 |
$0 |
|
MEDICARE
COVERED BENEFITS |
You Pay: |
You Pay: |
You Pay: |
You Pay: |
You Pay: |
You Pay: |
Click for details |
|
Out-of-Pocket
Maximum |
|
$1,500 Out-of-Pocket
Maximum |
$1,500 Out-of-Pocket
Maximum |
$3,400 Out-of-Pocket
Maximum |
$3,400 Out-of-Pocket
Maximum |
$1,500 Out-of-Pocket
Maximum |
Click for details |
|
Inpatient
Hospital Care |
|
$160 / Day
(for 5 days) |
$160 / Day
(for 5 days) |
$225 / Day
(for 5 days) |
$250 / Day
(for 5 days) |
$100 / Day
(for 5 days) |
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|
Office Visit |
|
$15 / Visit |
$15 / Visit |
$20 / Visit |
$20 / Visit |
$15 / Visit |
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|
Specialist Visit |
|
$25 / Visit |
$25 / Visit |
$30 / Visit |
$30/Visit |
$25/Visit |
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|
Outpatient
Surgery |
|
No Co-payment |
No Co-payment |
20% of Cost |
20% of Cost |
No Co-payment |
Click for details |
|
Ambulance |
|
$50 / Trip |
$50 / Trip |
$50 / Trip |
$50 / Trip |
$50 / Trip |
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|
Emergency Visit |
|
$50 / Visit |
$50 / Visit |
$50 / Visit |
$50 / Visit |
$50 / Visit |
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|
Urgent Care Visit |
|
$20 / Visit |
$20 / Visit |
$30 / Visit |
$30 / Visit |
$20 / Visit |
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|
X-rays/Labs |
|
No Co-payment |
$0 |
20% of Cost / Visit |
20% of Cost / Visit |
No Co-payment |
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|
Prescription Drugs |
|
$100 Annual Deductible
$7 Generic
$30 Preferred
$70 Non-Preferred
30% coinsurance Specialty |
$100 Annual Deductible
$7 Generic
$30 Preferred
$70 Non-Preferred
30% coinsurance Specialty |
$250 Annual Deductible
$5 Generic
$30 Preferred
$65 Non-Preferred
26% coinsurance Specialty |
There is no Part D for this benefits package |
$0 annual Deductible
$0 Diabetic
$5 Generic
$30 Preferred
$60 Non-Preferred
33% coinsurance Specialty |
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|
Dental
(offered through
Willamette Dental)
|
|
$12 Visit / $35 Cleaning
$8-$40 X-rays
|
N / A
|
N / A
|
N / A
|
$12 Visit
$35 Cleaning
$8-$40 X-rays
|
Click for details
|
Hearing
|
|
$20 Exam
$0 Hearing Aid Fitting
$500 Benefit Max
Every 3 yrs.
|
N / A
|
N / A
|
N / A
|
$20 Exam
$0 Hearing Aid Fitting
$500 Benefit Max Every 3 yrs.
|
Click for details
|
Vision |
|
$25 Exam
1 pair glasses
every 2 yrs. |
N / A |
N / A |
N / A |
$0 Exam
Exam benefit every 12 months
1 pair glasses
every 1 yr. |
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|
|
Annual
Comprehensive Physical |
|
$0 |
$0 |
$0 |
$0 |
$0 |
Click for details |
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