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

 

Call Us Today!

Request an orientation, complete your membership or call us to help you.
1-844-212-9858(Toll free)711(TTY)

Important documents for this coverage:
Summary of Benefits
Annual Notice of Changes
Evidence of Coverage
Drug Formulary

MMM of Florida, Inc. is an HMO plan with a Medicare contract. Enrollment in MMM of Florida, Inc. depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. MMM of Florida, Inc. complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. MMM of Florida Inc. cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-212-9858 (TTY: 711). MMM of Florida Inc. konfòm ak lwa sou dwa sivil Federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks. ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-844-212-9858 (TTY: 711).

 

Updated: October 2020

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