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2017 SeniorCare (Cost) Plans

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Enhance your Medicare coverage with a SeniorCare (Cost) plan. There's a minimal copay for doctor visits, and we'll take care of your Medicare deductibles when you use network providers.

Compare Plans

Plan Type Select Preferred VIP Premium
Monthly Premium View Details
$0 $90 $130 $183
PCP Office Visit $20 $15 $10 $0
Specialist Office Visit $50 $15 $10 $0
Diagnostic Tests, X-Rays, Lab Services (separate office visit copay may apply) 20% $0-$15 $10 $0
Inpatient Hospital View Details 
$375/day
(days 1-5)

$0
(days 6-90)
$450/stay $200/day
(days 1-5)

$0
(days 6-90)
$0
Skilled Nursing Facility Days 1–20 $0/day $0/day $0/day $0/day
Skilled Nursing Facility Days 21–100 $125/day $35/day $30/day $15/day
Ambulatory Surgery 20% $100 $50 $0
Ambulance $100 (waived if admitted) $75 (waived if admitted) $60 (waived if admitted) $40 (waived if admitted)
Emergency (worldwide)
$200

$200  $125  $75 
Urgent Care $40 $40 $40 $40 
Durable Medical Equipment (DME) 20% 20% 10% $0
Routine Vision Exam $20 $15 $10 $0
Eyewear (one pair of glasses or hard contacts or lenses or frames every year) Not Covered $125 annual allowance toward purchase $125 annual allowance toward purchase
$125 annual allowance toward purchase
Hearing Aids Not Covered Not Covered Not Covered $1,000 allowance toward the purchase of a hearing aid every 3 years
Out-of-Pocket Maximum $6,700 $3,400 $3,400 $3,400
Fitness Benefits Included  Included Included Included

 

Fitness benefits provide a fitness center membership at participating Silver&Fit centers. Includes access to classes, exercise equipment, pool, sauna and a trained fitness advisor. Members can choose to utilize home fitness kits, rewards for participating in fitness programs, access to Silver&Fit website, health education programs, and member newsletter. All elements are at no cost to SeniorCare (Cost) members.

 

OPTIONAL: SeniorCare (Cost) Members can add comprehensive dental for an additional cost. 
Premium: $13 per month (this is an additional cost to your medical premium)  Deductible: None Yearly Benefit Maximum: $2,000 Network: MetLife
Benefits: Coverage includes dentures, diagnostic, preventive and x-rays.


All SeniorCare (Cost) plans include practical member benefits

  • Preventive Care
  • Wellness Programs
  • Customer Support
  • Mobile-Friendly Site
  • Discounts & More!

 

The SeniorCare (Cost) Medicare Part D prescription plans are optional and available only to SeniorCare plan members. The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Rates listed apply to all genders, age 65 and over, in the entire SeniorCare service area. Rates are actual rather than illustrative. An application for coverage must be submitted prior to coverage being effective; do not send money to the health plan without first completing the enrollment/application process.Benefits,formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. This information is also available for free in other languages. Please contact our Customer Service at 1-866-334-3141, Monday – Sunday, 8 a.m. to 8 p.m., TTY users call 1-800-735-2989 for additional information. Esta información está disponible para libre en otros idiomas. Contacte por favor nuestro número de servicios de atención al cliente en lunes 1-866-334-3141, por el domingo, 8 de la mañana a 8 de la tarde, usuarios de TTY llaman 1-800-735-2989 para la información adicional.  Scott & White Health Plan is an HMO plan.


Members must use network pharmacies to access their prescription drug benefit except under non-routine circumstances, and quantity limitations and restrictions may apply. Our network of pharmacies has both preferred and other network pharmacies. You can fill prescriptions at either.