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2012 PremierCare Choice

PREMIERCARE Choice

Add the benefits of Medicare Advantage to an existing Part D plan or other prescription drug coverage.

Monthly Premium $49

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PREMIERCARE CHOICE (HMO) IS THE RIGHT PREMIERCARE PLAN FOR YOU WHEN:

YOU WANT A MEDICARE ADVANTAGE PLAN THAT WORKS WITH YOUR PART D COVERAGE

If you already have prescription drug coverage that you’re happy with, PremierCare Choice (HMO) was designed for you. You can keep your current Part D plan while adding the benefits of a low premium Medicare Advantage plan.

YOU WANT MEDICAL COVERAGE STARTING WITH YOUR FIRST VISIT TO THE DOCTOR

PremierCare Choice (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 WANT PROTECTION FROM HEALTHCARE COSTS

In today’s economy, you want a health plan that protects your assets from rising costs of care. With PremierCare Choice (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 (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 has formed a network of doctors, specialists and hospitals. You can use any of the providers or hospitals who participate in the FamilyCare netwrok except in 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.

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FamilyCare is a Medicare Advantage organization with a Medicare contract and a contract with the Oregon Medicaid program.
FamilyCare Health Plans
825 NE Multnomah, Suite 300
Portland, Oregon 97232 - 1.800.458.9518

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10/3/2012
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