SERVICE | COST |
Inpatient hospital coverage | Coming soon
|
Outpatient hospital coverage | 20% per visit
|
Doctor visits | Primary: 20% per visit Specialist: 20% per visit
|
Preventive care | 20%
|
Emergency care/Urgent care | Emergency: 20% Urgent care: 20%
|
Diagnostic procedures/lab services/imaging | Diagnostic tests and procedures: 20% Lab services: 20% Diagnostic radiology services (e.g., MRI): 20% Outpatient x-rays: 20%
|
Mental health services | Coming soon Outpatient group therapy visit with a psychiatrist: 20% Outpatient individual therapy visit with a psychiatrist: 20% Outpatient group therapy visit: 20% Outpatient individual therapy visit: 20%
|
Skilled Nursing Facility | Coming soon
|
Rehabilitation services | Occupational therapy visit: 20% Physical therapy and speech and language therapy visit: 20%
|
Ambulance | 20%
|
Transportation | No
|
Foot care (podiatry services) | Foot exams and treatment: 20% Routine foot care: 20%
|
Medical equipment/supplies | Durable medical equipment (e.g., wheelchairs, oxygen): 20% per item Prosthetics (e.g., braces, artificial limbs): 20% per item Diabetes supplies: 20% per item
|
Wellness programs (e.g., fitness, nursing hotline) | No
|
Medicare Part B drugs | Chemotherapy: 20% Other Part B drugs: 20%
|