CDPHP Clear 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

Clear Rx HMO¹
Monthly Premium² $100
Primary Care Physician Office Visit Copayment $0
Doctor on Demand $0
Specialist Office Visit Copayment $30
Routine Annual Physical Exam Copayment $0
Urgent Care Copayment $50 worldwide coverage
Emergency Room Copayment³ $115 worldwide coverage
Ambulance $225
Outpatient Surgery $275-$350
Physical Therapy $30
Inpatient Hospitalization Days 1-6: $375 per day
Dental Allowance on a prepaid Benefits Mastercard to use at any dentist in the U.S. for all dental services, routine cleaning/restorative/dentures (not to be used for teeth whitening): $900
Vision: Annual Routine Eye Exam $20
Frames/Lenses on a prepaid Benefits Mastercard (per year) $250
TruHearing Hearing Aid Benefit (per ear) $599 or $899
Over-the-counter Benefit on a prepaid Benefits Mastercard Not available
Senior Fit Included Yes
CDPHP Life Points® Rewards Earn up to $175
Lab Services $0 or $5
X-rays $5
Advanced Imaging Studies (CT, MRI, etc.) $130
OOP Max $6,400
Plan Documents Evidence of Coverage (EOC) & Summary of Benefits (SOB) Information
View a side-by-side comparison Medicare Advantage Plan Options

Clear Rx HMO¹

Monthly Premium²

$100

Primary Care Physician Office Visit Copayment

Doctor on Demand

Specialist Office Visit Copayment

$30

Routine Annual Physical Exam Copayment

Urgent Care Copayment

$50 worldwide coverage

Emergency Room Copayment³

$115 worldwide coverage

Ambulance

$225

Outpatient Surgery

$275-$350

Physical Therapy

$30

Inpatient Hospitalization

Days 1-6: $375 per day

Dental Allowance on a prepaid Benefits Mastercard to use at any dentist in the U.S. for all dental services, routine cleaning/restorative/dentures (not to be used for teeth whitening):

$900

Vision: Annual Routine Eye Exam

$20

Frames/Lenses on a prepaid Benefits Mastercard (per year)

$250

TruHearing Hearing Aid Benefit (per ear)

$599 or $899

Over-the-counter Benefit on a prepaid Benefits Mastercard

Not available

Senior Fit Included

Yes

CDPHP Life Points® Rewards

Earn up to $175

Lab Services

$0 or $5

X-rays

Advanced Imaging Studies (CT, MRI, etc.)

$130

OOP Max

$6,400

Plan Documents

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

View a side-by-side comparison

Medicare Advantage Plan Options

Disclaimers:

Must use plan providers
You must continue to pay your Medicare Part B premium; You may qualify for lower premiums with EPIC or Low Income Subsidy
Copayment waived if admitted to the hospital within 24 hours for the same diagnosis.

CDPHP Clear Rx

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Could a Medicare Advantage HMO plan be right for you?