IMCare Classic (HMO D-SNP)
Health Insurance Company: Itasca Medical Care/IMCare Classic
Medicare Advantage Plan Details
Medicare-Medicaid Dual Eligible (D-SNP)
- Rx
- Dental
- Hearing
General Plan Details
Additional Benefits
Doctor & Hospital Coverage
Emergency Room
$0 copay
Ambulance Coverage
$0 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): $0 copay
Medicare-covered x-ray services: $0 copay
Outpatient Surgery Coverage
Outpatient hospital:
Medicare-covered outpatient hospital services: $0 copay
Hospitalization Coverage
Inpatient hospital-acute:
$0 copay
Inpatient hospital psychiatric:
$0 copay
Rehabilitation Coverage
Occupational therapy services:
$0 copay
Physical therapy and speech and language therapy services:
$0 copay
Urgent Care Coverage
$0 copay
Skilled Nursing Facility (SNF)
$0 copay
Mental Health Coverage
Medicare-covered individual sessions: $0 copay
Medicare-covered group sessions: $0 copay
Dental, Vision, Hearing Benefits
Vision Benefits
Eye exams:
Routine eye exams: Not covered
Eyewear:
Contact Lenses: Not covered
Eyeglasses: Not covered
Hearing Benefits
Hearing exams:
Routine hearing exams: $0 copay
More Additional Benefits
Plan Links
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