Combine the benefits of Medicare Advantage with prescription drug coverage, including:
Monthly Premium $74 |
Summary of Benefits Evidence of Coverage Formulary Step Therapy Prior Authorization Pharmacy/Provider Directory Compare |
CHOICE RX (HMO) IS THE RIGHT PREMIERCARE PLAN FOR YOU WHEN:
YOU WANT MEDICAL COVERAGE STARTING WITH YOUR FIRST VISIT TO THE DOCTOR
PremierCare Choice Rx (HMO) members pay no annual deductible for medical care; benefits begin the first time you see your doctor. Compare that to the $162 annual medical deductible with Original Medicare and Part B alone.*
And if you’re hospitalized, your co-pay is $295 per day for the first six days. After that, your co-pay is $0 per day for as long as you remain in the hospital. Compare that to Original Medicare, which has a $1,100 hospital deductible and a co-pay of $275 for days 61 through 90.*
YOU NEED PART D PRESCRIPTION DRUG COVERAGE
Choice Rx (HMO) Part D prescription drug coverage has a $195 annual deductible and co-pays as little as $7 for a 30-day supply of generic drugs and $30 for preferred brand drugs.*
YOU WANT PROTECTION FROM HEALTHCARE COSTS
In today’s economy, you want a health plan that protects your assets from the rising costs of care. With PremierCare Choice Rx (HMO), your out-of-pocket costs for covered care are capped at $3,400 a year. With Original Medicare, there’s no limit on what you may pay out-of-pocket for medical care.*
YOU WANT TO FEEL SAFE WHEN YOU TRAVEL
As a Choice Rx (HMO) member, you’re covered anywhere in the world for emergency AND urgent care. Original Medicare coverage outside the US is available only in limited circumstances.*
*Premiums, co-payments and co-insurance, out-of-pocket limits, benefits and other details may change on January 1, 2013. For complete details, see the Evidence of Coverage. You must continue to pay your Part B premium. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.
PremierCare Choice Rx has formed a network of doctors, specialists and hospitals. You can use any of the providers, hospitals and pharmacies who participate in the FamilyCare network except under non-routine or emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor FamilyCare will be responsible for the costs.
FamilyCare Health Plans is a Medicare Advantage Organization with a Medicare contract.
