MedicareCommons™

Neutral. Transparent. Retrieval-first.

🩺 Doctor’s Office Visits
Service 2026 2025
PrimaryComing soon$0.00 Copay
Referral Required
SpecialistComing soon$20.00 Copay
Prior Authorization Required, Referral Required
🏥 Emergency, Urgent, and Inpatient Hospital Coverage
Service 2026 2025
Emergency room careComing soon$0.00 Copay
Prior Authorization Required, Referral Required
Urgent careComing soon$0.00 Copay
Prior Authorization Required, Referral Required
Ground ambulanceComing soon$125.00 Copay
Prior Authorization Required, Referral Required
Inpatient hospital careComing soon$250.00 (days 1–5), $0.00 (days 6–90), $0.00 (days –)
Prior Authorization Required, Referral Required
Skilled Nursing FacilityComing soon$0.00 (days 1–20), $203.00 (days 21–100), $0.00 (days –)
Prior Authorization Required, Referral Required
🦶 Foot Care
Service 2026 2025
Foot Exams and Treatments (Medicare-covered)Coming soon$0.00 Copay
Prior Authorization Required, Referral Required
Routine Foot CareComing soon$0.00 Copay
Prior Authorization Required, Referral Required
💆 Chiropractic Care
Service 2026 2025
Medicare-covered chiropracticComing soon$0.00 Copay
Prior Authorization Required, Referral Required
Routine chiropracticComing soon$0.00 Copay
Prior Authorization Required, Referral Required
🧠 Mental Health Services
Service 2026 2025
Outpatient individual therapyComing soon$0.00 Copay
Prior Authorization Required, Referral Required
Outpatient group therapyComing soon$0.00 Copay
Prior Authorization Required, Referral Required
Inpatient psychiatric hospital careComing soon$250.00 (days 1–5), $0.00 (days 6–90), $0.00 (days –)
Prior Authorization Required, Referral Required
🏋️ Rehabilitation Services
Service 2026 2025
Physical therapy and speech/language therapyComing soon$0.00 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$15.00 Copay
6 visits/yr, Prior Authorization Required, Referral Required
ProstheticsComing soon$0.00 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$0.00 Copay
Prior Authorization Required, Referral Required
Outpatient x-raysComing soon$0.00 Copay
Referral Required
Diagnostic tests and proceduresComing soon$0.00 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 soon$0.00 Copay
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 soonNot Covered
Referral Required
PeriodonticsComing soonNot Covered
Referral Required
EndodonticsComing soonNot Covered
Referral Required
Restorative ServicesComing soonNot Covered
Referral Required
Dental MaximumComing soonNot Covered
👂 Hearing Aids and Services
Service 2026 2025
Fitting/evaluationComing soon$0.00 Copay
Referral Required
Hearing aidsComing soonNot Covered
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 soonNot Covered
Referral Required
Vision Eyewear MaximumComing soon$200.00/yr eyewear