CDPHP $0 Medicare Rx

Could a Medicare Advantage HMO plan be right for you?

Typically HMO plans offer coverage for in-network providers only, with the exception of urgent and emergency care while out of the area. So if you don't receive routine care out of the area, an HMO plan might be a good fit. You'll also need to designate a primary care physician (PCP) to enroll in an HMO plan.

Check out the Medicare Advantage HMO plans listed below to see which one may best fit your needs.

Compare Plans


2027 CDPHP Medicare Advantage HMO New York county map

$0 Medicare Rx HMO1

Monthly Premium*

$0

Primary Care Physician Office Visit Copayment

$0

MD Live3

$0

Specialist Office Visit Copayment

$50

Routine Annual Physical Exam Copayment

$0

Urgent Care Copayment

$40 worldwide coverage

Emergency Room Copayment2

$115 worldwide coverage

Ambulance

$265

Outpatient Surgery

$315-$365

Physical Therapy

$30

Inpatient Hospitalization

Days 1-5: $460 per day

Dental allowance for all dental services: Routine cleaning/restorative/dentures to use at any dentist in the U.S.

$400

Vision: Annual Routine Eye Exam

$50

TruHearing® Hearing Aid Benefit (per ear)

$299 / $499 / $799

Silver&Fit® Included

Yes

Lab Services

$0 or $10

X-rays

$10

Advanced Imaging Studies (CT, MRI, etc.)

$260

Out-of-Pocket (OOP) Max

$9,850

Plan Documents

Evidence of Coverage (EOC) & Summary of Benefits (SOB) Information

View a side-by-side comparison

Medicare Advantage Plan Options

*You must continue to pay your Medicare Part B premium; You may qualify for lower premiums with EPIC or Low Income Subsidy.


Disclaimers:

  1. Must use plan providers

  2. Copayment waived if admitted to the hospital within 24 hours for the same diagnosis.

  3. $0 copay is for medical visits only. Specialist copay for mental health visits.