Senior Care Plus Patriot Plan (HMO)
Health Insurance Company: Senior Care Plus
Medicare Advantage Plan Details
- Dental
- Vision
- Hearing
General Plan Details
Additional Benefits
Doctor & Hospital Coverage
Emergency Room
$140 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: $0-300 copay
Medicare-covered lab services: $0-120 copay
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): $0-130 copay
Medicare-covered x-ray services: $60 copay
Outpatient Surgery Coverage
Outpatient hospital:
Medicare-covered outpatient hospital services: $0-440 copay per visit
Hospitalization Coverage
Inpatient hospital-acute:
Tier 1
$350 per day for days 1 through 4
$0 per day for days 5 through 90
Tier 2
$440 per day for days 1 through 5
$0 per day for days 6 through 90
Inpatient hospital psychiatric:
Tier 1
$350 per day for days 1 through 4
$0 per day for days 5 through 90
Tier 2
$440 per day for days 1 through 5
$0 per day for days 6 through 90
Rehabilitation Coverage
Occupational therapy services:
$20 copay
Physical therapy and speech and language therapy services:
$20 copay
Urgent Care Coverage
$30-65 copay per visit (always covered)
Skilled Nursing Facility (SNF)
$20 per day for days 1 through 20
$200 per day for days 21 through 34
$0 per day for days 35 through 100
Mental Health Coverage
Medicare-covered individual sessions: $45 copay
Medicare-covered group sessions: $45 copay
Dental, Vision, Hearing Benefits
Dental Services
Oral exams:
In-network: $0 copay
Out-of-network: $0 copay
Prophylaxis (cleaning):
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays:
In-network: $0 copay
Out-of-network: $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): $0 copay
More Additional Benefits
Plan Links
Ready to Enroll Online?
Or call and get free advice from licensed insurance agents
Looking for other plans in your area?