MMM Extra (HMO) 2021
The perfect coverage if you want great savings in your Social Security check, accessible copays, and attractive supplemental benefits.
MMM Extra (HMO) 2021
| MMM Extra (HMO) |
|
|---|---|
| Medical | |
| SPC Visit | $15 |
| PCP Visit | $0 |
| Inpatient Hospital (IPD) | $100 Days 1-5 / $0 Days 6-90 |
| Lab Services and X-Rays | $0-15 |
| Part D Drugs & OTC | |
| OTC | $25 quaterly |
| Drugs (Preferred Generic Tier 1) | $0 |
| Drugs (Generic Tier 2) | $10 |
| Initial Coverage Limit (ICL) | $4,130 |
| Vision | |
| Eyewear | $100 yearly |
| Dental | |
| Comprehensive Dental | $0 / 2 crowns |
| Hearing Services | |
| Hearing Aids | $1,000 yearly |
| Part B Premium Give Back | |
| Part B Premium Reduction | $144.60 |
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Important documents for this coverage:
Summary of Benefits
Annual Notice of Changes
Evidence of Coverage
Drug Formulary