MedicareCommons™

Neutral. Transparent. Retrieval-first.

🩺 Doctor’s Office Visits
Service 2026 2025
PrimaryComing soon$0.00 Copay
Referral Required
SpecialistComing soon$15.00 Copay
Prior Authorization Required, Referral Required
🏥 Emergency, Urgent, and Inpatient Hospital Coverage
Service 2026 2025
Emergency room careComing soon$0.00 - $400.00 Copay
Prior Authorization Required, Referral Required
Urgent careComing soon$40.00 Copay
Prior Authorization Required, Referral Required
Ground ambulanceComing soon$325.00 Copay
Prior Authorization Required, Referral Required
Inpatient hospital careComing soon$350.00 (days 1–7), $0.00 (days 8–90), $0.00 (days –)
Prior Authorization Required, Referral Required
Skilled Nursing FacilityComing soon$0.00 (days 1–20), $203.00 (days 21–60), $0.00 (days 61–100)
Prior Authorization Required, Referral Required
🦶 Foot Care
Service 2026 2025
Foot Exams and Treatments (Medicare-covered)Coming soon20% Coinsurance
Referral Required
Routine Foot CareComing soon0% - 20% Coinsurance
Prior Authorization Required, Referral Required
💆 Chiropractic Care
Service 2026 2025
Medicare-covered chiropracticComing soon20% Coinsurance
Prior Authorization Required, Referral Required
Routine chiropracticComing soon20% Coinsurance
Prior Authorization Required, Referral Required
🧠 Mental Health Services
Service 2026 2025
Outpatient individual therapyComing soon$15.00 Copay
Referral Required
Outpatient group therapyComing soon$15.00 Copay
Referral Required
Inpatient psychiatric hospital careComing soon$275.00 (days 1–7), $0.00 (days 8–90), $0.00 (days –)
Prior Authorization Required, Referral Required
🏋️ Rehabilitation Services
Service 2026 2025
Physical therapy and speech/language therapyComing soon$45.00 Copay
Prior Authorization Required, Referral Required
Occupational therapyComing soon$0.00 Copay
Prior Authorization Required, Referral Required
🧰 Medical Equipment and Supplies
Service 2026 2025
Diabetes suppliesComing soon$0.00 Copay
Prior Authorization Required, Referral Required
Durable medical equipmentComing soon$45.00 Copay
Prior Authorization Required, Referral Required
ProstheticsComing soon$0.00 - $45.00 Copay
Prior Authorization Required, Referral Required
🔬 Diagnostics, Lab Services, and Imaging
Service 2026 2025
Diagnostic radiology servicesComing soon$0.00 Copay
Prior Authorization Required, Referral Required
Lab servicesComing soon$40.00 Copay
Prior Authorization Required, Referral Required
Outpatient x-raysComing soon$0.00 - $45.00 Copay
Prior Authorization Required, Referral Required
Diagnostic tests and proceduresComing soon$45.00 Copay
Prior Authorization Required, Referral Required
💉 Medicare Part B Drugs
Service 2026 2025
ChemotherapyComing soon$0.00 Copay
Prior Authorization Required, Referral Required
Other Part B drugs (Medicare-covered)Coming soon20% Coinsurance
Prior Authorization Required, Referral Required

Supplemental Benefits

🦷 Dental Services
Service 2026 2025
Medicare Covered Preventive DentalComing soon$0.00 max
$0.00 max
Referral Required
Oral examComing soon$0.00 Copay
Referral Required
Dental x-raysComing soon$0.00 Copay
Referral Required
CleaningComing soon$0.00 Copay
Referral Required
PeriodonticsComing soon$0.00 Copay
Referral Required
EndodonticsComing soon$0.00 Copay
Referral Required
Restorative ServicesComing soon$0.00 Copay
Referral Required
Dental MaximumComing soonNot Covered
👂 Hearing Aids and Services
Service 2026 2025
Fitting/evaluationComing soon$0.00 Copay
Referral Required
Hearing aidsComing soon$0.00 Copay
Referral Required
Hearing examComing soon$0.00 max
$0.00 max
Prior Authorization Required, Referral Required
Hearing MaximumComing soon$0.00 max
👓 Vision Services
Service 2026 2025
Medicare-covered eye examComing soon$0.00 max
$0.00 max
Prior Authorization Required, Referral Required
Routine eye examComing soon$0.00 Copay
Referral Required
Eyewear benefitsComing soon$0.00 Copay
Referral Required
Vision Eyewear MaximumComing soon$200.00/yr eyewear