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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 a PDF)** | Covered | $15/$40 | Days 1-5: $370 per day. Days 6+: Covered in Full | $6,700 | Enroll |
| SeniorChoice Advanced HMO-POS View SeniorChoice Advanced HMO-POS Plan | $29 (view LIS Premium Summary ChartOpen a PDF)** | Covered | $10/$35 | Days 1-5: $360 per day. Days 6+: Covered in Full | $6,700 | Enroll |
| SeniorChoice Value HMO View SeniorChoice Value HMO Plan | $62 (view LIS Premium Summary ChartOpen a PDF)** | Covered | $10/$45 | Days 1-5: $360 per day. Days 6+: Covered in Full | $6,700 | Enroll |
| SeniorChoice Value Plus HMO-POS View SeniorChoice Value Plus HMO-POS Plan | $101 (view LIS Premium Summary ChartOpen a PDF)** | Covered | $10/$45 | Days 1-5: $310 per day. Days 6+: Covered in Full | $6,000 | Enroll |
| 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 | Enroll |
| SeniorChoice Secure HMO-POS View SeniorChoice Secure HMO-POS Plan | $178.40 (view LIS Premium Summary ChartOpen a PDF)** | Covered | $0/$40 | Days 1-5: $260 per day. Days 6+: Covered in Full | $5,500 | Enroll |
| 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? |
|---|
* 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 1-800-421-1220)
Put stuff here to only use one set of plan pages and NOT create new pages every year
Find your local Medicare Sales Advisor.
Speak with one of our dedicated Medicare Sales Advisors.
Call: 1-800-671-6081
TDD/TTY: 1-800-421-1220
Monday - Friday:
8 a.m. to 8 p.m.
From Oct. 1 - Mar. 31:
advisors are also available weekends 8 a.m. to 8 p.m.
Need information in a different format?
Call Customer Service toll-free at 1-877-883-9577 (TTY/TDD 1-800-421-1220) 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.
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_5968_M.
This page last updated 08-03-2019.
