Medvantage Rx Plan 2011
Click Here for 2012 Benefits
Questions:
If you have questions or require assistance, please call:
FHCP's Marketing Department at 1-800-232-0578, TTY users please call TTY: TRS Relay 711.
Hours of operation: 7 days a week / 8:00 a.m. - 8:00 p.m.
Click here to review the Basic Benefit Information DisclaimerClick here to review the Online Enrollment Center Disclaimer
Benefits at a glance:
| Monthly Plan Premium | $9.90 |
| Medical Annual Deductible | $0 |
| Medical Out-of-Pocket Maximum | $6,700 |
| You must continue to pay your Medicare Part B premium. | |
| Our plan covers all Medicare-covered preventive services at no cost to you during your "Welcome to Medicare" physical exam and Annual Wellness exam. | |
BENEFITS |
YOU PAY |
Abdominal aortic aneurysm screening |
$0 |
Bone mass measurement |
$0 |
Colerectal Screening exams |
$0 |
HIV screening |
$0 |
Immunizations |
$0 |
Mammograms |
$0 |
Pap tests, Pelvic Exams and clinical breast exams |
$0 |
Prostate Cancer Screening Exams |
$0 |
Cardivascular disease testing |
$0 |
Preventative Physical exam (Welcome to Medicare Physical Exam) |
$0 |
Personalized Prevention Plan Services(Annual Wellness Exam) |
$0 |
| Doctor Choice | Plan doctors only |
| Specialist Referral Required | Yes |
| Primary Care Provider Office Visit | $10 copay per office visit |
| Specialist Office Visit | $40 copay per office visit |
| Inpatient Hospital Care | For Medicare-covered hospital stays: - Days 1-8: $200 copay per day - Days 9-90: $0 copay per day - $0 copay for additional hospital days. |
| Outpatient Hospital Care | -$0 to $200 copay for each Medicare-covered outpatient hospital facility visit. - $100 copay for each Medicare-covered ambulatory surgical visit. |
| Part D Prescription Benefit | Yes - Please see Medvantage Rx Plans' Part D Prescription Benefit |
Full Medvantage Plan Details:
Full plan details are available in PDF format.To access the document(s) Adobe Reader® must be installed on your computer. If you do not have Adobe Reader ®, you can download it for free by clicking here.
