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Flex | Flex Rx

Medicare Flex Plan

Did you know? Thanks to the 5-Star Special Enrollment Period (SEP), you can enroll in CDPHP® Medicare Advantage PPO plans anytime through November 30. Being a 5-Star plan has perks!

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Benefit & Cost-Share



Monthly Premium* With Part D: $41.80
Without Part D: $0
Medical Deductible $0
Primary Care Physician Office Visit Copayment $0 $40
Doctor On Demand $0 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
Skilled Nursing Facility Care $0 days 1-20
$145 days 21-100
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
Dental-Restorative Not available
- Annual Routine Eye Exam
- Frames/Lenses(per year)
(20% coinsurance for one pair after cataract surgery)


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.



  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. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change on January 1, 2021. Limitations, copayments, and restrictions may apply.

  4. Out-of-network/non-contracted providers are under no obligation to treat Medicare Flex/ Flex Rx members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

View HMO Plan Options»

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

Y0019_21_16185 – last updated 01/26/2021

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Medicare Hearing Care


5 of 5 stars for PPO Plans

Every year, Medicare evaluates plans based on a 5-star rating system.

CDPHP best Medicare by US News

Best Insurance Companies for Medicare Advantage 2021, U.S. News & World Report