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Additional Plan Information

Over-the-Counter Items

Members of our FamilyCare Community (HMO SNP) Medicare Advantage plan receive a debit card to buy non-prescription medicines and over-the-counter (OTC) health supplies. FamilyCare Community (HMO SNP) members get a monthly dollar amount to spend on OTC items.  
Learn more about the Over-the-Counter Benefit.

Gym Reimbursement

Both of our Medicare Advantage plans include up to a $40 monthly credit or up to $480 per year to pay dues to a fitness/health club. 
Learn more about Gym Reimbursement. 

Low-Income Subsidy

Many people who qualify for a Low-Income Subsidy (LIS) for prescription drug coverage (also called “Extra Help”) may not know it. People with limited income and resources who qualify for this extra financial assistance will receive help paying the monthly prescription drug premiums, annual deductibles, and coinsurance.  
Learn more about Low-Income Subsidy.

Out-of-Network Coverage

You must receive your care from a network provider. In most cases, care you receive from an out-of-network provider (a provider who is not part of our plan’s network) will not be covered.
Learn more about Out-of-Network Coverage.

FamilyCare Health is an HMO with a Medicare and Oregon Health Plan (Medicaid) contract. Enrollment in FamilyCare Health Medicare Advantage plans depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums, and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. If you enroll in FamilyCare Community (HMO SNP), the Oregon Health Plan will pay your Part B premium for you. FamilyCare Community (HMO SNP) is available to people who qualify for Medicare and the Oregon Health Plan (Medicaid). Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.

Y0103_WEB_00354 — Approved (Updated 10/05/2017)

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