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For an affordable premium of $46, our Network PlatinumPlus plan offers medical coverage and reasonable copayments for services.

  • A good balance between having a monthly payment and paying for services when you use them
  • You only pay $10 for doctor visits
  • Plus, you pay $0 for your annual doctor visit and all preventive care (shots, tests and screenings)

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Medical Coverage for PlatinumPlus

Here’s a quick glance at in-network benefits for medical coverage.

Premium $46 per month
Out-of-Pocket Maximum $2,800 per year combined (in and out-of-network) out-of-pocket limit
In-Network Hospital Stays $75 per day for days 1-20; $0 per day for days 21 and beyond
Primary Care Office Visit $10 per visit
Specialist Visit $30 per visit
Emergency Room $65 per visit
Ambulance $100 copayment
Urgent Care $10 per visit
Outpatient Services $100 per visit
Annual Welless Visit with Lab Tests $0 copayment
Preventive Services Plan covers all Medicare-covered preventive services at $0
Vision Services $36 for one routine eye exam per year
Platinum Fitness Up to $36 per month toward a full YMCA membership or other health club providers available in our network
 
You must continue to pay your Medicare Part B premium. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change January 1 of each year.

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Visit our Research Rx Center to find local pharmacies where you can get prescriptions, what medications are covered, what they cost and more.

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