Health Partners Medicare Prime (HMO-POS)

Health Plans Medicare Prime (HMO-POS)

Health Partners Medicare Prime (HMO-POS) provides comprehensive medical and prescription coverage and lots of extra benefits too with a $35.60 monthly premium (may be covered 100% by PACE).  

$35.60 Monthly Plan Premium

  • $6,700 Maximum annual out-of-pocket (in-network medical services) 
  • $0 Deductible for in-network medical services 
  • $0 Deductible for generic drugs  

Copays

  • Doctor’s Office Visits: $0 copay 
  • Specialist Visits: $45 copay in network; 20% out-of-network 
  • Inpatient Hospital Care: $200/day, days 1-10; $0/day, days 11-90  
  • Emergency Care: $90/visit (waived if admitted) 
  • Urgent Care: $55/visit  

Copays

  • Doctor’s Office Visits: $0 copay 
  • Specialist Visits: $45 copay in network, 20% (out-of-network) 
  • Inpatient Hospital Care: $200/day, days 1-10; $0/day, days 11-90  
  • Emergency Care: $90/visit (waived if admitted) 
  • Urgent Care: $55/visit  

Benefits

Part D prescriptions

$0 annual vision exam and eyewear ($120 limit) 

$0 dental exams* and up to $1,000 supplemental

$0 annual hearing exam and hearing aid benefit*

24/7 customer service

$0 access to over 15,000 fitness centers with SilverSneakers®

$0 routine transportation (30 one-way trips)

$0 phone or video access to doctors 24/7

Over-the-counter items ($25/month)

Worldwide emergency care

Benefits

Part D prescriptions

$0 annual vision exam and eyewear ($120 limit)

$0 dental exams* and up to $1,000 supplemental

$0 annual hearing exam and hearing aid benefit*

24/7 customer service

$0 access to over 15,000 fitness centers with SilverSneakers®*

$0 tranportation for medical appointments and pharmacy

$0 phone or video access to doctors 24/7

Over-the-counter items ($25/month)

Worldwide emergency care

COMPARE PRIME
AND  SIMPLE