🩺 Doctor’s Office Visits

• Primary: $5.00 Copay
• Specialist: $20.00 Copay
• NOTE: Certain preventive services are covered 100% by the plan as a Part B benefit.

🏥 Emergency, Urgent, and Inpatient Hospital Coverage

• Emergency room care: $0.00 - $325.00 Copay
  Prior Authorization Required
• Urgent care: $40.00 Copay
• Ground ambulance: $325.00 Copay
  Prior Authorization Required
• Inpatient hospital care: $495.00 (days 1–5), $0.00 (days 6–90)
  Prior Authorization Required
• Skilled Nursing Facility: $0.00 (days 1–20), $214.00 (days 21–100)
  Prior Authorization Required

🦶 Foot Care

• Foot Exams and Treatments (Medicare-covered): 20% Coinsurance
• Routine Foot Care: 0% - 20% Coinsurance
  Prior Authorization Required

💆 Chiropractic Care

• Medicare-covered chiropractic: 10% - 20% Coinsurance
  Prior Authorization Required
• Routine chiropractic: 20% Coinsurance
  Prior Authorization Required

🧠 Mental Health Services

• Outpatient individual therapy: $15.00 Copay
  Prior Authorization Required
• Outpatient group therapy: $25.00 Copay
  Prior Authorization Required
• Inpatient psychiatric hospital care: Not Covered
  Prior Authorization Required

🏋️ Rehabilitation Services

• Physical therapy and speech and language therapy: $50.00 Copay
• Occupational therapy: $40.00 Copay
  Prior Authorization Required

🧰 Medical Equipment and Supplies

• Diabetes supplies: % - % Coinsurance
  Prior Authorization Required
• Durable medical equipment: $50.00 Copay
• Prosthetics: $50.00 Copay
  Prior Authorization Required

🔬 Diagnostics, Lab Services, and Imaging

• Diagnostic radiology services: $40.00 Copay
  Prior Authorization Required
• Lab services: $40.00 Copay
• Outpatient x-rays: $5.00 - $50.00 Copay
• Diagnostic tests and procedures: $40.00 Copay
  Prior Authorization Required

💉 Medicare Part B Drugs

• Chemotherapy: 20% Coinsurance
• Other Part B drugs (Medicare-covered): 20% Coinsurance

Supplemental Benefits

🦷 Dental Services

• Medicare Covered Preventive Dental: Not Covered
• Oral exam: % - % Coinsurance
• Dental x-rays: % - % Coinsurance
• Cleaning: % - % Coinsurance
• Periodontics: Not Covered
• Endodontics: Not Covered
• Restorative Services: Not Covered
Not Covered

👂 Hearing Aids and Services

• Fitting/evaluation: $0.00 Copay
• Hearing aids: Not Covered
• Hearing exam: Not Covered

👓 Vision Services

• Medicare-covered eye exam: Not Covered
• Routine eye exam: % - % Coinsurance
• Eyewear benefits: % - % Coinsurance
$300.00/yr eyewear