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2013 MyPlan E

MyPlan E is our best protection against runaway hospital and healthcare costs. Members pay just $15 for a routine primary care visit and $10 for lab tests and diagnostic procedures. And if you are hospitalized for more than six days, your co-pay is $0 per day for as long as you remain in the hospital.  MyPlan E Part D prescription drug coverage has co-pays as little as $7 for a 30-day supply of generic drugs and $30 for preferred brand drugs.  Members of MyPlan E have access to a network of providers, specialists, pharmacies and hospitals  who participate in the FamilyCare network. 

MyPlan E (HMO)

  • Low hospital co-pays $0 per day after six days
  • Low co-pays for routine office visits

  • Low co-pays for routine office visits
  • Routine vision coverage

  • $50 annual deductible for medical care

If you have questions concerning your plan or your coverage, please contact us. We are here to assist you Monday through Friday, 8 AM-8PM, so please don't hesitate to call us at (866) 798-CARE (2273), TTY (800) 735-2900.

 

$136 monthly premium

ENROLL NOW

SUMMARY

EVIDENCE OF COVERAGE

DRUG FORMULARY

STEP THERAPY

PRIOR AUTHORIZATION

2012 PLAN INFORMATION

PLAN RATING INFORMATION

LOW-INCOME SUBSIDY (LIS) PREMIUMS

 

 


  • The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan.
  • Limitations, co-payments and restrictions may apply.
  • Benefits, formulary, pharmacy network, premiums and/or co-payments/co-insurance may change on January 1 of each year.
  • You must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries may also enroll in MyPlan Medicare option plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
     

 

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10/01/2013
H3818_WEB_00248v2 CMS Pending