Compare plan options in our free Medicare Guide.
See plans, benefits and costs to find the right choice for you.
| HMO-POS Select | |
|---|---|
| Monthly Premium | $0 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $5,900 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $30 copay |
| Prescription Drug Benefits | |
| Deductible | Not available |
| Total Out-of-Pocket | Not available |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,000 allowance |
| Eyewear (annually) | $125 allowance |
| Over-the-Counter Allowance | $30 per quarter |
| HMO-POS Select Rx | |
|---|---|
| Monthly Premium | $0 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $5,800 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $30 copay |
| Prescription Drug Benefits | |
| Deductible | $250 (Applies to Tiers 3-5) |
| Total Out-of-Pocket | $2,100 |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,600 allowance |
| Eyewear (annually) | $185 allowance |
| Over-the-Counter Allowance | $80 per quarter |
| HMO-POS Preferred | |
|---|---|
| Monthly Premium | $89 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $4,500 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $30 copay |
| Prescription Drug Benefits | |
| Deductible | Not available |
| Total Out-of-Pocket | Not available |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,000 allowance |
| Eyewear (annually) | $125 allowance |
| Over-the-Counter Allowance | $30 per quarter |
| HMO-POS Preferred Rx | |
|---|---|
| Monthly Premium | $143 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $4,600 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $30 copay |
| Prescription Drug Benefits | |
| Deductible | $0 |
| Total Out-of-Pocket | $2,100 |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,100 allowance |
| Eyewear (annually) | $150 allowance |
| Over-the-Counter Allowance | $30 per quarter |
| HMO-POS Premium | |
|---|---|
| Monthly Premium | $199 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $4,500 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $0 copay |
| Prescription Drug Benefits | |
| Deductible | Not available |
| Total Out-of-Pocket | Not available |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,000 allowance |
| Eyewear (annually) | $125 allowance |
| Over-the-Counter Allowance | $30 per quarter |
| HMO-POS Premium Rx | |
|---|---|
| Monthly Premium | $255 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $4,800 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $0 copay |
| Prescription Drug Benefits | |
| Deductible | $0 |
| Total Out-of-Pocket | $2,100 |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,000 allowance |
| Eyewear (annually) | $125 allowance |
| Over-the-Counter Allowance | $30 per quarter |
| HMO-POS Essentials | |
|---|---|
| Monthly Premium | $4.80 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $5,800 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $25 copay |
| Prescription Drug Benefits | |
| Deductible | $0 (if you qualify for Extra Help) $615 (without Extra Help) |
| Total Out-of-Pocket | $2,100 |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,000 allowance |
| Eyewear (annually) | $150 allowance |
| Over-the-Counter Allowance | $50 per quarter |
| PPO Basic | |
|---|---|
| Monthly Premium | $0 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $6,750 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $35 copay |
| Prescription Drug Benefits | |
| Deductible | $250 (Applies to Tiers 3-5) |
| Total Out-of-Pocket | $2,100 |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,000 allowance |
| Eyewear (annually; must use network provider) | $150 allowance |
| Over-the-Counter Allowance | $30 per quarter |
| PPO Platinum | |
|---|---|
| Monthly Premium | $135 |
| Medical Deductible | $0 |
| Out-of-Pocket Maximum | $4,600 |
| Primary Care Visit (In-office and Telehealth) |
$0 copay |
| Specialty Care Physician Office Visit | $20 copay |
| Prescription Drug Benefits | |
| Deductible | $50 (Applies to Tiers 3-5) |
| Total Out-of-Pocket | $2,100 |
| Supplemental Benefits | |
| Hearing Aids (every three years) | $1,500 allowance |
| Eyewear (annually; must use network provider) | $150 allowance |
| Over-the-Counter Allowance | $30 per quarter |
Speak with a Medicare Advisor at 1.833.975.08411.833.975.0841 (TTY: 711).
Oct. 1 – March 31: 7 days a week, 8 AM to 8 PM. Closed on major holidays.
April 1 – Sept. 30: Monday-Friday, 8 AM to 5 PM. Closed on major holidays.
Para hablar con un representante en español, llame a 1.833.412.33201.833.412.3320