HealthPartners Freedom Vital WI (Cost)
Health Insurance Company: HealthPartners
Medicare Advantage Plan Details
- Vision
- Hearing
General Plan Details
Additional Benefits
Doctor & Hospital Coverage
Emergency Room
$135 copay per visit (always covered)
Ambulance Coverage
$200 copay
Lab, X-Ray, Radiology Coverage
Outpatient diag procs/tests/lab services:
Medicare-covered diagnostic procedures/tests: $0 copay
Medicare-covered lab services: $0 copay
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): 20% coinsurance
Medicare-covered x-ray services: $10 copay
Outpatient Surgery Coverage
Outpatient hospital:
Medicare-covered outpatient hospital services: $150 copay per visit
Hospitalization Coverage
Inpatient hospital-acute:
$400 per stay
Inpatient hospital psychiatric:
$400 per stay
Rehabilitation Coverage
Occupational therapy services:
$40 copay
Physical therapy and speech and language therapy services:
$40 copay
Urgent Care Coverage
$40 copay per visit (always covered)
Skilled Nursing Facility (SNF)
$0 copay
Mental Health Coverage
Medicare-covered individual sessions: $40 copay
Medicare-covered group sessions: $20 copay
Dental, Vision, Hearing Benefits
Dental Services
Oral exams: Not covered
Prophylaxis (cleaning): Not covered
Dental x-rays: Not covered
Vision Benefits
Eye exams:
Routine eye exams: $0 copay
Eyewear:
Contact Lenses: Not covered
Eyeglasses: Not covered
Hearing Benefits
Hearing exams:
Routine hearing exams: $40 copay
Hearing aids:
Hearing aids (all types): $499-999 copay
Plan Links
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