MMM Platinum (HMO SNP) 2021
The perfect combination between low copays and supplemental benefits for the populations with special needs participating in the Medicaid and Medicare programs.
MMM Platinum (HMO SNP) 2021
| MMM Platinum (HMO) |
|
|---|---|
| Medical | |
| SPC Visit | $0 |
| PCP Visit | $0 |
| Inpatient Hospital (IPD) | $0 |
| Lab Services and X-Rays | $0 |
| Part D Drugs & OTC | |
| OTC | $90 monthly |
| Drugs (Preferred Generic Tier 1) | $0 |
| Drugs (Generic Tier 2) | $0 |
| Initial Coverage Limit (ICL) | $4,500 |
| Vision | |
| Eyewear | $500 yearly |
| Dental | |
| Comprehensive Dental | $0 / 2 crowns |
| Hearing Services | |
| Hearing Aids | $2,000 yearly |
| Part B Premium Give Back | |
| Part B Premium Reduction | – |
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Important documents for this coverage:
Summary of Benefits
Annual Notice of Changes - Level 1, 2 & 3 - MMM More to MMM Platinum
Annual Notice of Changes - Level 4 - MMM More to MMM Platinum
Annual Notice of Changes - Level 1, 2 & 3
Annual Notice of Changes - Level 4
Evidence of Coverage
Drug Formulary