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HAP Medicare Flex PPO

Monthly Premium

  $0*  

Deductible

$0 Medical/
$505 Rx on Tiers 3-5

Max out of pocket

$8,300/
$12,450

Copays (PCP/Specialist)

$0/$40

Dental

$0 preventive - 2 cleanings; 2 exams & a set of bite-wing x-rays; Flex Card option for comprehensive coverage services.

Over-the-counter (OTC) benefit

Flex Card Option

Vision

$0 routine exam. Flex Card option for eye wear or contacts.

Hearing / Hearing Aids

$0 routine exam. Hearing aids covered with Flex Card option.

Flex Card

$1,200 flexible benefit allowance per year with no rollover. You can you use up to $300 every six months on dental, vision, and hearing. And up to $300/every six months for OTC, transportation, companion care,** or a personal emergency response system (PERS)**

Inpatient Hospital

$310/day for days 1-6; $0/day for Days 7-90

Preventive Care

No copay for services considered preventive.

Outpatient Diagnostic Labs, Procedures, Tests

$0 - $260 depending on service.

Emergency Room / Urgent Care

$95/$60

Physical, Occupational and Speech Therapy

$40 per visit; unlimited
* You must continue to pay your Medicare Part B premium. If you have a late enrollment penalty, it will still apply.
** Benefit needs to be purchased through NationsBenefits.
HAP Senior Plus (HMO-POS), HAP Medicare MedicalAccess (HMO), HAP Senior Plus Henry Ford Tiered Access (HMO), HAP Medicare Connect (HMO), HAP Medicare Superior (HMO), Henry Ford Select (HMO), HAP Senior Plus (PPO), HAP Medicare Explore (PPO), HAP Medicare Prime (PPO), HAP Member Assist (PPO), HAP Medicare Diabetes and Heart (HMO C-SNP), and HAP CareSource™ MI Coordinated Health (HMO D-SNP) has a contract with Medicare. Enrollment depends on contract renewal.