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