Select Health Medicare Classic (HMO)
Health Insurance Company: Select Health
Medicare Advantage Plan Details
- Rx
- Dental
- Vision
- Hearing
General Plan Details
Additional Benefits
Doctor & Hospital Coverage
Emergency Room
$100 copay per visit (always covered)
Ambulance Coverage
$250 copay
Lab, X-Ray, Radiology Coverage
Outpatient diag procs/tests/lab services:
Medicare-covered diagnostic procedures/tests: $0-50 copay or 0-20% coinsurance
Medicare-covered lab services: $0 copay
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): $0-300 copay
Medicare-covered x-ray services: $20 copay
Outpatient Surgery Coverage
Outpatient hospital:
Medicare-covered outpatient hospital services: $50-350 copay or 20% coinsurance per visit
Hospitalization Coverage
Inpatient hospital-acute:
$370 per day for days 1 through 5
$0 per day for days 6 through 90
Inpatient hospital psychiatric:
$370 per day for days 1 through 5
$0 per day for days 6 through 90
Rehabilitation Coverage
Occupational therapy services:
$40 copay
Physical therapy and speech and language therapy services:
$40 copay
Urgent Care Coverage
$50 copay per visit (always covered)
Skilled Nursing Facility (SNF)
$0 per day for days 1 through 20
$203 per day for days 21 through 65
$0 per day for days 66 through 100
Mental Health Coverage
Medicare-covered individual sessions: $40 copay
Medicare-covered group sessions: $40 copay
Dental, Vision, Hearing Benefits
Dental Services
Oral exams: $0 copay
Prophylaxis (cleaning): $0 copay
Dental x-rays: $0 copay
Vision Benefits
Eye exams:
Routine eye exams: $0 copay
Eyewear:
Contact Lenses: $0 copay
Eyeglasses: $0 copay
Hearing Benefits
Hearing exams:
Routine hearing exams: $50 copay
Hearing aids:
Hearing aids (all types): $699-2,399 copay
Rx Drug Coverage - Standard Retail Cost
Tier 1: Preferred Generic
$0.00 copay (30-day supply)
$0.00 copay (90-day supply)
Tier 2: Generic
$6.00 copay (30-day supply)
$18.00 copay (90-day supply)
Tier 3: Preferred Brand
$47.00 copay (30-day supply)
$141.00 copay (90-day supply)
Tier 4: Non-Preferred Drug
$100.00 copay (30-day supply)
$300.00 copay (90-day supply)
Tier 5: Specialty Tier
30% coinsurance (30-day supply)
Rx Drug Coverage - Standard Mail Order Cost
Tier 1: Preferred Generic
$0.00 copay (30-day supply)
$0.00 copay (90-day supply)
Tier 2: Generic
$0.00 copay (30-day supply)
$0.00 copay (90-day supply)
Tier 3: Preferred Brand
$47.00 copay (30-day supply)
$141.00 copay (90-day supply)
Tier 4: Non-Preferred Drug
$100.00 copay (30-day supply)
$300.00 copay (90-day supply)
Tier 5: Specialty Tier
30% coinsurance (30-day supply)
Plan Links
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