Medvantage Plan (No Part D Prescription Benefit) 2010
Questions:
If you have questions or require assistance, please call:
FHCP’s Marketing Department at 1-800-232-0578, TTY users please call TTY: TRS Relay 711, Hours of Operation:
- November 15 through March 1 from 8 am to 8 pm – 7 days a week
- March 2 through November 14 from 8 am to 8 pm - Monday through Friday Only.
Benefits at a glance:
| Monthly Plan Premium | $0.00 |
| Medical Annual Deductible | $0 |
| Medical Out-of-Pocket Maximum | $0 |
| You must continue to pay your Medicare Part B premium. | |
| Doctor Choice | Plan doctors only |
| Specialist Referral Required | Yes |
| Primary Care Provider Office Visit | $10 copay per office visit |
| Specialist Office Visit | $35 copay per office visit |
| Inpatient Hospital Care | For Medicare-covered hospital stays: - Days 1-10: $175 copay per day - Days 11-90: $0 copay per day - $0 copay for additional hospital days. |
| Outpatient Hospital Care | $0 - $175 copay for each Medicare-covered outpatient hospital facility visit or - $100 copay for each Medicare-covered ambulatory surgical center visit. |
| Part D Prescription Benefit | No |
Full Medvantage Plan Details:
Full plan details are available in PDF format.To access the document(s) Adobe Reader® must be installed on your computer. If you do not have Adobe Reader ®, you can download it for free by clicking here.
| DISCLAIMER: The benefit information provided herein is a brief summary, but not a comprehensive description of available benefits. Additional information about benefits is available to assist you in making a decision about your coverage. This is an advertisement; for more information contact Florida Health Care Plans. |
