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2014 Medicare Advantage Plan Benefit Details



Medicare Advantage Plan Benefit Details for:
Empire MediBlue Plus (HMO)

2014 Medicare Advantage Plan Details
Plan Name:Empire MediBlue Plus (HMO)
Location (County, State ZIP):Saratoga, New York
Plan ID:H3370 - 014 -     Click to see other plans

Click here for the Empire MediBlue Plus (HMO) enrollment options and to have a copy of this chart sent to your email. Enroll in Empire MediBlue Plus (HMO)

— Plan Features —
Monthly Premium:$67.00 (See premium details below.)
Annual Rx Deductible:$0
Health Plan Type:Local HMO
Maximum Out-of-Pocket Limit
for Parts A & B (MOOP):
$4,000
Gap Coverage:No Gap Coverage
Total Number of Formulary Drugs:3092    Browse Plan Formulary
Formulary Drug Details:Tier 1Tier 2Tier 3Tier 4Tier 5
  — Cost-Sharing during
       initial coverage phase:
$3.00$8.00$40.00$90.00$95.00
  — Number of Drugs per Tier:348897691322403
Number of Members enrolled in this plan (H3370 - 014):469 members
Plan’s Summary Star Rating: 3.00 out of 5 Stars.
   - Customer Service Rating: 2 out of 5 Stars.
   - Member Experience Rating: 2 out of 5 Stars.
   - Drug Cost Accuracy Rating: 4 out of 5 Stars.

— Plan Premium Details —
Monthly Premium with Low-Income Subsidy:100%
Subsidy
75%
Subsidy
50%
Subsidy
25%
Subsidy
$0.00$0.00$0.00$0.00

— Plan Health Benefits —
** Cost **
Premium and Other Important Information
$67 monthly plan premium in addition to your monthly Medicare Part B premium.
Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married couples). For more information about Part B and Part D premiums based on income call Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. You may also call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778.
$4 000 out-of-pocket limit for Medicare-covered services.
** Doctor and Hospital Choice **
Doctor and Hospital Choice
You must go to network doctors specialists and hospitals.
No referral required for network doctors specialists and hospitals.
** Extra Benefits **
Wellness/Education and Other Supplemental Benefits & Services
The plan covers the following supplemental education/wellness programs:
  • Health Club Membership/Fitness Classes
  • Nursing Hotline
  • Acupuncture
    This plan does not cover Acupuncture and other alternative therapies.
    Over-the-Counter Items
    The plan does not cover Over-the-Counter items.
    ** Important Information **
    Premium and Other Important Information
    $67 monthly plan premium in addition to your monthly Medicare Part B premium.
    Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married couples). For more information about Part B and Part D premiums based on income call Medicare at 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. You may also call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778.
    $4 000 out-of-pocket limit for Medicare-covered services.
    Doctor and Hospital Choice
    You must go to network doctors specialists and hospitals.
    No referral required for network doctors specialists and hospitals.
    ** Inpatient Care **
    Inpatient Hospital Care
    No limit to the number of days covered by the plan each hospital stay.
    For Medicare-covered hospital stays:
    • Days 1 - 7: $150 copay per day
  • Days 8 - 90: $0 copay per day
  • $0 copay for additional non-Medicare-covered hospital days
    Except in an emergency your doctor must tell the plan that you are going to be admitted to the hospital.
    Inpatient Mental Health Care
    You get up to 190 days of inpatient psychiatric hospital care in a lifetime. Inpatient psychiatric hospital services count toward the 190-day lifetime limitation only if certain conditions are met. This limitation does not apply to inpatient psychiatric services furnished in a general hospital.
    For Medicare-covered hospital stays:
    • Days 1 - 7: $150 copay per day
  • Days 8 - 90: $0 copay per day
  • Plan covers 60 lifetime reserve days. $0 copay per lifetime reserve day.
    Except in an emergency your doctor must tell the plan that you are going to be admitted to the hospital.
    Skilled Nursing Facility (SNF)
    Authorization rules may apply.
    Plan covers up to 100 days each benefit period
    No prior hospital stay is required.
    For SNF stays:
    • Days 1 - 20: $25 copay per day
  • Days 21 - 100: $150 copay per day
  • Home Health Care
    Authorization rules may apply.
    $0 copay for each Medicare-covered home health visit
    Hospice
    You must get care from a Medicare-certified hospice. You must consult with your plan before you select hospice.
    ** Outpatient Care **
    Doctor Office Visits
    $10 copay for each Medicare-covered primary care doctor visit.
    $20 copay for each Medicare-covered specialist visit.
    Chiropractic Services
    Authorization rules may apply.
    $20 copay for each Medicare-covered chiropractic visit
    Medicare-covered chiropractic visits are for manual manipulation of the spine to correct subluxation (a displacement or misalignment of a joint or body part).
    Podiatry Services
    $20 copay for each Medicare-covered podiatry visit
    $20 copay for up to 1 supplemental routine podiatry visit(s) every three months
    Medicare-covered podiatry visits are for medically necessary foot care.
    Outpatient Mental Health Care
    Authorization rules may apply.
    $40 copay for each Medicare-covered individual therapy visit
    $40 copay for each Medicare-covered group therapy visit
    $40 copay for each Medicare-covered individual therapy visit with a psychiatrist
    $40 copay for each Medicare-covered group therapy visit with a psychiatrist
    $40 copay for Medicare-covered partial hospitalization program services
    Outpatient Substance Abuse Care
    Authorization rules may apply.
    $40 copay for Medicare-covered individual substance abuse outpatient treatment visits
    $40 copay for Medicare-covered group substance abuse outpatient treatment visits
    Outpatient Services
    Authorization rules may apply.
    0% to 15% of the cost for each Medicare-covered ambulatory surgical center visit
    $0 to $20 copay [or 0% to 15% of the cost] for each Medicare-covered outpatient hospital facility visit
    Ambulance Services
    Authorization rules may apply.
    $125 copay for Medicare-covered ambulance benefits.
    Emergency Care
    $65 copay for Medicare-covered emergency room visits
    Worldwide coverage.
    Urgently Needed Care
    $20 copay for Medicare-covered urgently-needed-care visits
    Outpatient Rehabilitation Services
    Authorization rules may apply.
    Medically necessary physical therapy occupational therapy and speech and language pathology services are covered.
    $20 copay for Medicare-covered Occupational Therapy visits
    $20 copay for Medicare-covered Physical Therapy and/or Speech and Language Pathology visits
    ** Outpatient Medical Services and Supplies **
    Durable Medical Equipment
    Authorization rules may apply.
    20% of the cost for Medicare-covered durable medical equipment
    Prosthetic Devices
    Authorization rules may apply.
    20% of the cost for Medicare-covered prosthetic devices
    20% of the cost for Medicare-covered medical supplies related to prosthetics splints and other devices
    Diabetes Programs and Supplies
    Authorization rules may apply.
    $0 copay for Medicare-covered Diabetes self-management training
    $0 copay for Medicare-covered Diabetes monitoring supplies
    $0 copay for Medicare-covered Therapeutic shoes or inserts
    Diabetic Supplies and Services are limited to specific manufacturers products and/or brands. Contact the plan for a list of covered supplies.
    Diagnostic Tests, X-Rays, Lab Services, and Radiology Services
    Authorization rules may apply.
    $0 copay for Medicare-covered lab services
    $0 to $20 copay for Medicare-covered diagnostic procedures and tests
    $35 to $75 copay for Medicare-covered X-rays
    $35 to $75 copay for Medicare-covered diagnostic radiology services (not including X-rays)
    20% of the cost for Medicare-covered therapeutic radiology services
    If the doctor provides you services in addition to Outpatient Diagnostic Procedures Tests and Lab Services separate cost sharing of $10 to $20 may apply
    If the doctor provides you services in addition to Outpatient Diagnostic and Therapeutic Radiology Services separate cost sharing of $10 to $20 may apply
    ** Preventive Services **
    Cardiac and Pulmonary Rehabilitation Services
    $0 copay for Medicare-covered Cardiac Rehabilitation Services
    $0 copay for Medicare-covered Intensive Cardiac Rehabilitation Services
    $0 copay for Medicare-covered Pulmonary Rehabilitation Services
    Preventive Services
    $0 copay for all preventive services covered under Original Medicare at zero cost sharing. Any additional preventive services approved by Medicare mid-year will be covered by the plan or by Original Medicare.
    Kidney Disease and Conditions
    20% of the cost for Medicare-covered renal dialysis
    $0 copay for Medicare-covered kidney disease education services
    Outpatient Prescription Drugs
    20% of the cost for Medicare Part B chemotherapy drugs and other Part B drugs.
    This plan uses a formulary. The plan will send you the formulary. You can also see the formulary at http://www.empireblue.com/medicare on the web.
    Different out-of-pocket costs may apply for people who
    • have limited incomes
    • live in long term care facilities or
    • have access to Indian/Tribal/Urban (Indian Health Service) providers.
    The plan offers national in-network prescription coverage (i.e. this would include 50 states and the District of Columbia). This means that you will pay the same cost-sharing amount for your prescription drugs if you get them at an in-network pharmacy outside of the plan's service area (for instance when you travel).
    Total yearly drug costs are the total drug costs paid by both you and a Part D plan.
    The plan may require you to first try one drug to treat your condition before it will cover another drug for that condition.
    Some drugs have quantity limits.
    Your provider must get prior authorization from Empire MediBlue Plus (HMO) for certain drugs.
    You must go to certain pharmacies for a very limited number of drugs due to special handling provider coordination or patient education requirements that cannot be met by most pharmacies in your network. These drugs are listed on the plan's website formulary printed materials as well as on the Medicare Prescription Drug Plan Finder on Medicare.gov.
    If the actual cost of a drug is less than the normal cost-sharing amount for that drug you will pay the actual cost not the higher cost-sharing amount.
    If you request a formulary exception for a drug and Empire MediBlue Plus (HMO) approves the exception you will pay Tier 4: Non-Preferred Brand cost sharing for that drug.
    $0 deductible.
    You pay the following until total yearly drug costs reach $2 850:
    Tier 1: Preferred Generic
    Tier 2: Non-Preferred Generic
    Tier 3: Preferred Brand
    Tier 4: Non-Preferred Brand
    Tier 5: Injectable Drugs
    Tier 6: Specialty Tier
    Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed.
    You can get drugs from a preferred and non-preferred pharmacy the following way(s):
    • $3 copay for a one-month (30-day) supply of drugs in this tier from a preferred pharmacy
  • $8 copay for a one-month (30-day) supply of drugs in this tier from a preferred pharmacy
  • $40 copay for a one-month (30-day) supply of drugs in this tier from a preferred pharmacy
  • $90 copay for a one-month (30-day) supply of drugs in this tier from a preferred pharmacy
  • $95 copay for a one-month (30-day) supply of drugs in this tier from a preferred pharmacy
  • 33% coinsurance for a one-month (30-day) supply of drugs in this tier from a preferred pharmacy
  • $6 copay for a two-month (60-day) supply of drugs in this tier from a preferred pharmacy
  • $16 copay for a two-month (60-day) supply of drugs in this tier from a preferred pharmacy
  • $80 copay for a two-month (60-day) supply of drugs in this tier from a preferred pharmacy
  • $180 copay for a two-month (60-day) supply of drugs in this tier from a preferred pharmacy
  • $190 copay for a two-month (60-day) supply of drugs in this tier from a preferred pharmacy
  • $9 copay for a three-month (90-day) supply of drugs in this tier from a preferred pharmacy
  • $24 copay for a three-month (90-day) supply of drugs in this tier from a preferred pharmacy
  • $120 copay for a three-month (90-day) supply of drugs in this tier from a preferred pharmacy
  • $270 copay for a three-month (90-day) supply of drugs in this tier from a preferred pharmacy
  • $285 copay for a three-month (90-day) supply of drugs in this tier from a preferred pharmacy
  • $8 copay for a one-month (30-day) supply of drugs in this tier from a non-preferred pharmacy
  • $13 copay for a one-month (30-day) supply of drugs in this tier from a non-preferred pharmacy
  • $45 copay for a one-month (30-day) supply of drugs in this tier from a non-preferred pharmacy
  • $95 copay for a one-month (30-day) supply of drugs in this tier from a non-preferred pharmacy
  • $95 copay for a one-month (30-day) supply of drugs in this tier from a non-preferred pharmacy
  • 33% coinsurance for a one-month (30-day) supply of drugs in this tier from a non-preferred pharmacy
  • $16 copay for a two-month (60-day) supply of drugs in this tier from a non-preferred pharmacy
  • $26 copay for a two-month (60-day) supply of drugs in this tier from a non-preferred pharmacy
  • $90 copay for a two-month (60-day) supply of drugs in this tier from a non-preferred pharmacy
  • $190 copay for a two-month (60-day) supply of drugs in this tier from a non-preferred pharmacy
  • $190 copay for a two-month (60-day) supply of drugs in this tier from a non-preferred pharmacy
  • $24 copay for a three-month (90-day) supply of drugs in this tier from a non-preferred pharmacy
  • $39 copay for a three-month (90-day) supply of drugs in this tier from a non-preferred pharmacy
  • $135 copay for a three-month (90-day) supply of drugs in this tier from a non-preferred pharmacy
  • $285 copay for a three-month (90-day) supply of drugs in this tier from a non-preferred pharmacy
  • $285 copay for a three-month (90-day) supply of drugs in this tier from a non-preferred pharmacy
  • Tier 1: Preferred Generic
    Tier 2: Non-Preferred Generic
    Tier 3: Preferred Brand
    Tier 4: Non-Preferred Brand
    Tier 5: Injectable Drugs
    Tier 6: Specialty Tier
    Long term care pharmacies must dispense brand name drugs in amounts less than a 14 days supply at a time. They may also dispense less than a month's supply of generic drugs at a time. Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed.
    You can get drugs the following way(s):
    • $8 copay for a one-month (34-day) supply of drugs in this tier
  • $13 copay for a one-month (34-day) supply of drugs in this tier
  • $45 copay for a one-month (34-day) supply of drugs in this tier
  • $95 copay for a one-month (34-day) supply of drugs in this tier
  • $95 copay for a one-month (34-day) supply of drugs in this tier
  • 33% coinsurance for a one-month (34-day) supply of drugs in this tier
  • Tier 1: Preferred Generic
    Tier 2: Non-Preferred Generic
    Tier 3: Preferred Brand
    Tier 4: Non-Preferred Brand
    Tier 5: Injectable Drugs
    Tier 6: Specialty Tier
    Contact your plan if you have questions about cost-sharing or billing when less than a one-month supply is dispensed.
    You can get drugs the following way(s):
    • $3 copay for a one-month (30-day) supply of drugs in this tier
  • $8 copay for a one-month (30-day) supply of drugs in this tier
  • $40 copay for a one-month (30-day) supply of drugs in this tier
  • $90 copay for a one-month (30-day) supply of drugs in this tier
  • $95 copay for a one-month (30-day) supply of drugs in this tier
  • 33% coinsurance for a one-month (30-day) supply of drugs in this tier
  • $6 copay for a two-month (60-day) supply of drugs in this tier
  • $16 copay for a two-month (60-day) supply of drugs in this tier
  • $120 copay for a two-month (60-day) supply of drugs in this tier
  • $270 copay for a two-month (60-day) supply of drugs in this tier
  • $285 copay for a two-month (60-day) supply of drugs in this tier
  • $6 copay for a three-month (90-day) supply of drugs in this tier
  • $16 copay for a three-month (90-day) supply of drugs in this tier
  • $120 copay for a three-month (90-day) supply of drugs in this tier
  • $270 copay for a three-month (90-day) supply of drugs in this tier
  • $285 copay for a three-month (90-day) supply of drugs in this tier
  • After your total yearly drug costs reach $2 850 you receive limited coverage by the plan on certain drugs. You will also receive a discount on brand name drugs and generally pay no more than 47.5% for the plan's costs for brand drugs and 72% of the plan's costs for generic drugs until your yearly out-of-pocket drug costs reach $4 550.
    After your yearly out-of-pocket drug costs reach $4 550 you pay the greater of:
    • 5% coinsurance or
    • $2.55 copay for generic (including brand drugs treated as generic) and a $6.35 copay for all other drugs.
    Plan drugs may be covered in special circumstances for instance illness while traveling outside of the plan's service area where there is no network pharmacy. You may have to pay more than your normal cost-sharing amount if you get your drugs at an out-of-network pharmacy. In addition you will likely have to pay the pharmacy's full charge for the drug and submit documentation to receive reimbursement from Empire MediBlue Plus (HMO).
    You can get out-of-network drugs the following way:
    You will be reimbursed up to the plan's cost of the drug minus the following for drugs purchased out-of-network until total yearly drug costs reach $2 850:
    Tier 1: Preferred Generic
    Tier 2: Non-Preferred Generic
    Tier 3: Preferred Brand
    Tier 4: Non-Preferred Brand
    Tier 5: Injectable Drugs
    Tier 6: Specialty Tier
    • $8 copay for a one-month (30-day) supply of drugs in this tier
  • $13 copay for a one-month (30-day) supply of drugs in this tier
  • $45 copay for a one-month (30-day) supply of drugs in this tier
  • $95 copay for a one-month (30-day) supply of drugs in this tier
  • $95 copay for a one-month (30-day) supply of drugs in this tier
  • 33% coinsurance for a one-month (30-day) supply of drugs in this tier
  • You will not be reimbursed for the difference between the Out-of-Network Pharmacy charge and the plan's In-Network allowable amount.
    You will be reimbursed up to 28% of the plan allowable cost for generic drugs purchased out-of-network until total yearly out-of-pocket drug costs reach $4 550. Please note that the plan allowable cost may be less than the out-of-network pharmacy price paid for your drug(s). You will be reimbursed up to 52.5% of the plan allowable cost for brand name drugs purchased out-of-network until your total yearly out-of-pocket drug costs reach $4 550. Please note that the plan allowable cost may be less than the out-of-network pharmacy price paid for your drug(s).
    After your yearly out-of-pocket drug costs reach $4 550 you will be reimbursed for drugs purchased out-of-network up to the plan's cost of the drug minus your cost share which is the greater of:
    • 5% coinsurance or
    • $2.55 copay for generic (including brand drugs treated as generic) and a $6.35 copay for all other drugs.
    You will not be reimbursed for the difference between the Out-of-Network Pharmacy charge and the plan's In-Network allowable amount.
    Dental Services
    $0 copay for Medicare-covered dental benefits
    $0 copay for up to 1 supplemental oral exam(s) every year
    $0 copay for up to 1 supplemental cleaning(s) every year
    Hearing Services
    $20 copay for Medicare-covered diagnostic hearing exams
    $0 copay for up to 1 supplemental routine hearing exam(s) every year
    $0 copay for up to 1 supplemental hearing aid fitting-evaluation(s) every year
    $0 copay each for up to 2 supplemental hearing aid(s) every year
    $50 plan coverage limit for supplemental routine hearing exams every year.
    $1 000 plan coverage limit for supplemental hearing aids every year.
    ** Additional Benefits **
    Vision Services
    $0 to $20 copay for Medicare-covered exams to diagnose and treat diseases and conditions of the eye including an annual glaucoma screening for people at risk
    $0 copay for up to 1 supplemental routine eye exam(s) every year
    $0 copay for one pair of Medicare-covered eyeglasses (lenses and frames) or contact lenses after cataract surgery.
    $0 copay for up to 1 pair(s) of eyeglasses (lenses and frames) every two years
    $0 copay for up to 1 pair(s) of contact lenses every two years
    $80 plan coverage limit for eyeglasses (lenses and frames) every two years.
    $80 plan coverage limit for contact lenses every two years.
    Wellness/Education and Other Supplemental Benefits & Services
    The plan covers the following supplemental education/wellness programs:
    • Health Club Membership/Fitness Classes
  • Nursing Hotline
  • Over-the-Counter Items
    The plan does not cover Over-the-Counter items.
    Transportation
    This plan does not cover supplemental routine transportation.
    Acupuncture
    This plan does not cover Acupuncture and other alternative therapies.
    ** Inpatient Care **
    Inpatient Hospital Care
    No limit to the number of days covered by the plan each hospital stay.
    For Medicare-covered hospital stays:
    • Days 1 - 7: $150 copay per day
  • Days 8 - 90: $0 copay per day
  • $0 copay for additional non-Medicare-covered hospital days
    Except in an emergency your doctor must tell the plan that you are going to be admitted to the hospital.
    ** Outpatient Care **
    Doctor Office Visits
    $10 copay for each Medicare-covered primary care doctor visit.
    $20 copay for each Medicare-covered specialist visit.
    Outpatient Services
    Authorization rules may apply.
    0% to 15% of the cost for each Medicare-covered ambulatory surgical center visit
    $0 to $20 copay [or 0% to 15% of the cost] for each Medicare-covered outpatient hospital facility visit
    Ambulance Services
    Authorization rules may apply.
    $125 copay for Medicare-covered ambulance benefits.
    ** Outpatient Medical Services and Supplies **
    Durable Medical Equipment
    Authorization rules may apply.
    20% of the cost for Medicare-covered durable medical equipment
    Diagnostic Tests, X-Rays, Lab Services, and Radiology Services
    Authorization rules may apply.
    $0 copay for Medicare-covered lab services
    $0 to $20 copay for Medicare-covered diagnostic procedures and tests
    $35 to $75 copay for Medicare-covered X-rays
    $35 to $75 copay for Medicare-covered diagnostic radiology services (not including X-rays)
    20% of the cost for Medicare-covered therapeutic radiology services
    If the doctor provides you services in addition to Outpatient Diagnostic Procedures Tests and Lab Services separate cost sharing of $10 to $20 may apply
    If the doctor provides you services in addition to Outpatient Diagnostic and Therapeutic Radiology Services separate cost sharing of $10 to $20 may apply
    ** Additional Benefits **
    Wellness/Education and Other Supplemental Benefits & Services
    The plan covers the following supplemental education/wellness programs:
    • Health Club Membership/Fitness Classes
  • Nursing Hotline
  • Over-the-Counter Items
    The plan does not cover Over-the-Counter items.

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    • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
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    • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
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    • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
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    • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
    • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
    • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
    • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
    • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
    • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
    • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
    • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.


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