Not a Medicare beneficiary ? I am a:

Zero Dollar Medicare Plans

Need help deciding?

Benefit

$0 Medicare Rx HMO

Monthly Premium* $0
Medical Deductible No deductible
Enhanced Primary Care
Primary Care Physician Office Visit Copayment
$10
$15
Doctor On Demand $15
Specialist Office Visit Copayment $50
Routine Annual Physical Exam Copayment $0
Urgent Care Copayment $65
Emergency Room Copayment1 $90 worldwide coverage
Ambulance $265
Ambulatory Surgery Center $300
Outpatient Hospital Services $350
Inpatient Hospitalization Days 1-5: $350 per day
  No copayment after day 5
Skilled Nursing Facility Care Days 1-20: $0 per day
  Days 21-100: $172 per day
Dental-Routine Cleaning/Exam 1 preventive cleaning per year;
$20 copay for annual exam;
$20 per bitewing x-ray;
$30 per panoramic or full mouth x-ray;
Must use a Delta Dental Medicare Advantage for CDPHP network provider.
Dental-Restorative Available
Vision
- Annual Routine Eye Exam
- Frames/Lenses (per year)
(20% coinsurance for one pair after cataract surgery)

$50
Up to $50 every two years
Hearing Care Solutions Hearing Aid Benefit $599 or $899
Diagnostic Tests and Lab Services2 $0 or 20%
X-rays $50
Advanced Imaging Studies (CT, MRI, etc.) $175
Part B Drugs and Radiation Therapy 20%
CaféWell and Incentives Earn up to $175
OOP Max $6,700

  *You must continue to pay your Medicare Part B premium. 

 

View $0 Medicare Rx plan Evidence of Coverage (EOC) and Summary of Benefits (SOB) for all covered services.

Disclaimers:

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

  2. Copayment waived if services received at a preferred laboratory.

  3. The benefit information provided herein is a brief summary, not a comprehensive description of available benefits. For more information, contact the plan. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1, 2021. Limitations, copayments, and restrictions may apply.

CDPHP Medicare Advantage is an HMO and PPO plan with a Medicare contract. Enrollment in CDPHP Medicare Advantage depends on contract renewal.

Y0019_20_10926 - last updated 6/17/2020

 

Get Started Now

Call (518) 641-3400 or toll free 1-888-519-3364 TTY/TDD: 711.

Our hours are 8 a.m. – 8 p.m. seven days a week, October 1 – March 31. From April 1 to September 30, Monday – Friday, our hours are 8 a.m. to 8 p.m. A voice messaging service is used weekends, after-hours, and federal holidays. Calls will be returned within one business day.

CDPHP best Medicare by US News


Best Insurance Companies for Medicare Advantage 2020, U.S. News & World Report