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PremierCare Choice Rx






PREMIERCARE Choice RX

Combine the benefits of Medicare Advantage with prescription drug coverage, including:

  • $0 deductible for medical costs
  • Out-of-pocket expense limits
  • Low drug co-pays
  • Routine vision coverage 
 

Monthly Premium $74

Summary of Benefits
Evidence of Coverage
Formulary
Step Therapy
Prior Authorization
Pharmacy/Provider Directory
Compare
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CHOICE RX (HMO) IS THE RIGHT PREMIERCARE PLAN FOR YOU WHEN:

YOU WANT MEDICAL COVERAGE STARTING WITH YOUR FIRST VISIT TO THE DOCTOR

PremierCare Choice Rx (HMO) members pay no annual deductible for medical care; benefits begin the first time you see your doctor. Compare that to the $162 annual medical deductible with Original Medicare and Part B alone.*

And if you’re hospitalized, your co-pay is $295 per day for the first six days. After that, your co-pay is $0 per day for as long as you remain in the hospital. Compare that to Original Medicare, which has a $1,100 hospital deductible and a co-pay of $275 for days 61 through 90.*

YOU NEED PART D PRESCRIPTION DRUG COVERAGE

Choice Rx (HMO) Part D prescription drug coverage has a $195 annual deductible and co-pays as little as $7 for a 30-day supply of generic drugs and $30 for preferred brand drugs.*

YOU WANT PROTECTION FROM HEALTHCARE COSTS

In today’s economy, you want a health plan that protects your assets from the rising costs of care. With PremierCare Choice Rx (HMO), your out-of-pocket costs for covered care are capped at $3,400 a year. With Original Medicare, there’s no limit on what you may pay out-of-pocket for medical care.*

YOU WANT TO FEEL SAFE WHEN YOU TRAVEL

As a Choice Rx (HMO) member, you’re covered anywhere in the world for emergency AND urgent care. Original Medicare coverage outside the US is available only in limited circumstances.*


Click here to see 2011 plan information


*Premiums, co-payments and co-insurance, out-of-pocket limits, benefits and other details may change on January 1, 2013. For complete details, see the Evidence of Coverage. You must continue to pay your Part B premium. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.

PremierCare Choice Rx has formed a network of doctors, specialists and hospitals. You can use any of the providers, hospitals and pharmacies who participate in the FamilyCare network except under non-routine or emergency or urgent care situations or for out-of-area renal dialysis or other services. If you obtain routine care from out-of-network providers neither Medicare nor FamilyCare will be responsible for the costs. 

FamilyCare Health Plans is a Medicare Advantage Organization with a Medicare contract.


H3818_WEB_00103 CMS Approved 11/09/2011