View Plan Information - Univera Prospect

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Plans in Western New York

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2019 Plans Monthly Premium* Prescription Drugs Primary Care Doctor/ Specialist Copay per Visit (In Network) Inpatient Hospital Copay per Day (In Network) Annual Out of Pocket Limit (In Network) Ready to Enroll?
SeniorChoice Basic (HMO) View SeniorChoice Basic (HMO) Plan $0 (view LIS Premium Summary ChartOpen LIS PDF for SeniorChoice Basic (HMO))** Covered $15/$40 Days 1-5: $370 per day. Days 6+: Covered in Full $6,700 EnrollFor SeniorChoice Basic (HMO) Plan
SeniorChoice Advanced (HMO-POS) View SeniorChoice Advanced (HMO-POS) Plan $29 (view LIS Premium Summary ChartOpen LIS PDF for SeniorChoice Advanced (HMO-POS))** Covered $10/$35 Days 1-5: $360 per day. Days 6+: Covered in Full $6,700 EnrollFor SeniorChoice Advanced (HMO-POS) Plan
SeniorChoice Value (HMO) View SeniorChoice Value (HMO) Plan $62 (view LIS Premium Summary ChartOpen LIS PDF for SeniorChoice Value (HMO))** Covered $10/$45 Days 1-5: $360 per day. Days 6+: Covered in Full $6,700 EnrollFor SeniorChoice Value (HMO) Plan
SeniorChoice Value Plus (HMO-POS) View SeniorChoice Value Plus (HMO-POS) Plan $101 (view LIS Premium Summary ChartOpen LIS PDF for SeniorChoice Value Plus (HMO-POS))** Covered $10/$45 Days 1-5: $310 per day. Days 6+: Covered in Full $6,000 EnrollFor SeniorChoice Value Plus (HMO-POS) Plan
SeniorChoice Select (HMO-POS) View SeniorChoice Select (HMO-POS) Plan $130 Not Covered $15/$40 Days 1-5: $260 per day. Days 6+: Covered in Full $5,500 EnrollFor SeniorChoice Select (HMO-POS) Plan
SeniorChoice Secure (HMO-POS) View SeniorChoice Secure (HMO-POS) Plan $178.40 (view LIS Premium Summary ChartOpen LIS PDF for SeniorChoice Secure (HMO-POS))** Covered $0/$40 Days 1-5: $260 per day. Days 6+: Covered in Full $5,500 EnrollFor SeniorChoice Secure (HMO-POS) Plan

Plans in Western New York

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Estimate Your Out-of-Pocket Costs including Prescriptions
Start Now
2020 Plans Monthly Premium* Prescription Drugs Primary Care Doctor/ Specialist Copay per Visit (In Network) Inpatient Hospital Copay per Day (In Network) Annual Out of Pocket Limit (In Network) Ready to Enroll?
SeniorChoice Basic (HMO) View SeniorChoice Basic (HMO) Plan $0 (view LIS Premium Summary ChartOpen LIS PDF for SeniorChoice Basic (HMO))** Covered $15/$40 Days 1-5: $380 per day. Days 6+: Covered in Full $6,700 EnrollFor SeniorChoice Basic (HMO) Plan
SeniorChoice Advanced (HMO-POS) View SeniorChoice Advanced (HMO-POS) Plan $33 (view LIS Premium Summary ChartOpen LIS PDF for SeniorChoice Advanced (HMO-POS))** Covered $10/$35 Days 1-5: $360 per day. Days 6+: Covered in Full $6,700 EnrollFor SeniorChoice Advanced (HMO-POS) Plan
SeniorChoice Select (HMO-POS) View SeniorChoice Select (HMO-POS) Plan $67 Not Covered $10/$45 Days 1-5: $260 per day. Days 6+: Covered in Full $5,500 EnrollFor SeniorChoice Select (HMO-POS) Plan
SeniorChoice Value (HMO) View SeniorChoice Value (HMO) Plan $68 (view LIS Premium Summary ChartOpen LIS PDF for SeniorChoice Value (HMO))** Covered $10/$45 Days 1-5: 360 per day Days 6+: Covered in Full $6,700 EnrollFor SeniorChoice Value (HMO) Plan
SeniorChoice Value Plus (HMO-POS) View SeniorChoice Value Plus (HMO-POS) Plan $107 (view LIS Premium Summary ChartOpen LIS PDF for SeniorChoice Value Plus (HMO-POS))** Covered $10/$45 Days 1-5: $310 Days 6+: Covered in Full $5,500 EnrollFor SeniorChoice Value Plus (HMO-POS) Plan
SeniorChoice Secure (HMO-POS) View SeniorChoice Secure (HMO-POS) Plan $140 (view LIS Premium Summary ChartOpen LIS PDF for SeniorChoice Secure (HMO-POS))** Covered $0/$35 Days 1-5: $225 Days 6+: Covered in Full $5,500 EnrollFor SeniorChoice Secure (HMO-POS) Plan

* You must continue to pay your Medicare Part B premium

** Low-Income Subsidy for people who get Extra Help to help pay for their prescription drug costs

This information is not a complete description of benefits. Call 1-800-671-6081 (TDD/TTY 1-800-662-1220)

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Find your local Medicare Sales Advisor.

Visit our Resource Center at
205 Park Club Lane
Buffalo, NY 14221 Hours

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Speak with one of our dedicated Medicare Sales Advisors.
Call: 1-844-596-0345
TDD/TTY: 1-800-662-1220

Monday - Friday:
8 a.m. to 8 p.m.

From Oct. 1 - Dec. 30:
advisors are also available weekends 8 a.m. to 8 p.m.

Closed Thanksgiving Day, Christmas Eve, Christmas Day, New Year’s Eve, and New Year’s Day

Call Customer Service toll-free at 1-877-883-9577 (TTY/TDD 1-800-662-1220) 8 a.m. to 8 p.m. Monday - Friday. From Oct. 1 to Mar. 31, representatives also are available weekends from 8 a.m. to 8 p.m.

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Univera Healthcare contracts with the Federal Government and is an HMO plan with a Medicare contract. Enrollment in Univera Healthcare depends on contract renewal. Submit a complaint about your Medicare plan at www.Medicare.gov or learn about filing a complaint by contacting the Medicare Ombudsman. Y0028_5995.

This page last updated 10-01-2019.