Flex | Flex Rx

Medicare Flex Plan

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Benefit

In-
Network

Out-of-Network

Monthly Premium* With Part D: $40
Without Part D: $0
Medical Deductible $0
Enhanced Primary Care $8 No coverage
Primary Care Physician Office Visit Copayment $12 $40
Doctor On Demand $12 N/A
Special Office Visit Copayment $40 30%
Routine Annual Physical Exam Copayment $0 30%
Urgent Care Copayment $60 $60
Emergency Room Copayment $90 $90
Ambulance $255 $255
Ambulatory Surgery Center $250 30%
Outpatient Hospital Services $325 30%
Inpatient Hospitalization Days 1-6; $310
No copayment after day 6
30%
Skilled Nursing Facility Care $0 days 1-20
$145 days 21-100
30%
Dental-Routine Cleaning/Exam 2 preventive cleanings per year
$20 copay per exam
$20 per bitewing
$30 per panoramic x-ray
$30 per full mouth x-ray
N/A
Dental-Restorative Not available
Vision
- Annual Routine Eye Exam
- Frames/Lenses(per year)
(20% coinsurance for one pair after cataract surgery)

$40
$75

30%
$75
Hearing Care Solutions Hearing Aid Benefit $599 or $899 N/A
Diagnostic Tests and Lab Services $0 or $40 30%
X-rays $40 $40
Advanced Imaging Studies (CT, MRI, etc.) $135 30%
Part B Drugs and Radiation Therapy 20% 30%
CaféWell and Incentives $125
OOP Max $5,500 $10,000

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

 

View the Flex and Flex Rx plan Evidence of Coverage (EOC) and Summary of Benefits (SOB) for all covered services.

 

Disclaimer

  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 3/31/2020

 

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