MedicareCommons™

Neutral. Transparent. Retrieval-first.

🩺 Doctor’s Office Visits
Service 2026 2025
PrimaryComing soonNot Covered
Referral Required
SpecialistComing soon$20.00 Copay
Referral Required
🏥 Emergency, Urgent, and Inpatient Hospital Coverage
Service 2026 2025
Emergency room careComing soon$0.00 - $250.00 Copay
Prior Authorization Required, Referral Required
Urgent careComing soon$0.00 - $50.00 Copay
Referral Required
Ground ambulanceComing soon$0.00 - $275.00 Copay
Prior Authorization Required, Referral Required
Inpatient hospital careComing soon$150.00 (days 1–5), $0.00 (days 6–90)
Prior Authorization Required, Referral Required
Skilled Nursing FacilityComing soon$0.00 (days 1–20), $214.00 (days 21–100)
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 soon0% - 50% Coinsurance
Prior Authorization Required, Referral Required
Routine chiropracticComing soon0% - 20% Coinsurance
Prior Authorization Required, Referral Required
🧠 Mental Health Services
Service 2026 2025
Outpatient individual therapyComing soon$25.00 Copay
Referral Required
Outpatient group therapyComing soon$25.00 Copay
Referral Required
Inpatient psychiatric hospital careComing soon$150.00 (days 1–5), $0.00 (days 6–90)
Prior Authorization Required, Referral Required
🏋️ Rehabilitation Services
Service 2026 2025
Physical therapy and speech/language therapyComing soon$0.00 - $25.00 Copay
Referral Required
Occupational therapyComing soon$25.00 Copay
Prior Authorization Required, Referral Required
🧰 Medical Equipment and Supplies
Service 2026 2025
Diabetes suppliesComing soonNot Covered
Prior Authorization Required, Referral Required
Durable medical equipmentComing soon$25.00 Copay
Referral Required
ProstheticsComing soon$0.00 - $25.00 Copay
Prior Authorization Required, Referral Required
🔬 Diagnostics, Lab Services, and Imaging
Service 2026 2025
Diagnostic radiology servicesComing soon$25.00 Copay
Prior Authorization Required, Referral Required
Lab servicesComing soon$0.00 - $50.00 Copay
Referral Required
Outpatient x-raysComing soon$0.00 - $25.00 Copay
Referral Required
Diagnostic tests and proceduresComing soon$25.00 Copay
Referral Required
💉 Medicare Part B Drugs
Service 2026 2025
ChemotherapyComing soonNot Covered
Prior Authorization Required, Referral Required
Other Part B drugs (Medicare-covered)Coming soonNot Covered
Prior Authorization Required, Referral Required

Supplemental Benefits

🦷 Dental Services
Service 2026 2025
Medicare Covered Preventive DentalComing soon$1,000.00 max
$1,000.00 max
Referral Required
Oral examComing soonNot Covered
Referral Required
Dental x-raysComing soonNot Covered
Referral Required
CleaningComing soonNot Covered
Referral Required
PeriodonticsComing soonNot Covered
Referral Required
EndodonticsComing soonNot Covered
Referral Required
Restorative ServicesComing soonNot Covered
Referral Required
Dental MaximumComing soon$1000.00 max
👂 Hearing Aids and Services
Service 2026 2025
Fitting/evaluationComing soonNot Covered
Referral Required
Hearing aidsComing soonNot Covered
Referral Required
Hearing examComing soonNot Covered
Referral Required
Hearing MaximumComing soonNot Covered
👓 Vision Services
Service 2026 2025
Medicare-covered eye examComing soonNot Covered
Referral Required
Routine eye examComing soonNot Covered
Referral Required
Eyewear benefitsComing soonNot Covered
Referral Required
Vision Eyewear MaximumComing soon$1000.00/yr eyewear