2009 Plans
Generations Healthcare Medicare Advantage Plans are an affordable
way to manage your health and prescription drug coverage needs. Generations Healthcare
Medicare Advantage Plans are available in Oklahoma City and Tulsa, Oklahoma. Plans
offer low or no plan premiums, low co-pays, and deductibles, plus routine dental
and vision coverage.
What plan is right for you?
Compare your Medicare Advantage and Medicare Advantage Prescription
Drug plan options
below.
For more detailed information, review the Summary
of Benefits.
Plan Summary - Oklahoma City
|
Value
|
Classic powered by CCRx
|
Premier powered by CCRx
|
Star powered by CCRx
Recommended for those who qualify for assistance from Medicaid.
|
|
Monthly Premium
|
$0 plus a $39.20 reduction in monthly Part B premium
|
$0
|
$46
|
$0
|
|
MEDICAL BENEFITS
|
|
Annual Out-of-Pocket Limit
|
$3,000
|
$3,000
|
$2,500
|
Not Available
|
|
PCP/Specialist Co-pay
|
$0/$25
|
$0/$25
|
$0/$15
|
20% coinsurance/
20% coinsurance
|
|
Inpatient Hospital Care
|
$195 per stay
|
$195 per stay
|
$150 per stay
|
$1,068 deductible per stay for days
1-60
|
|
Emergency Care Co-pay per visit
|
$50
Worldwide Coverage |
$50
Worldwide Coverage |
$50
Worldwide Coverage |
20% coinsurance (up to $50)
|
|
OTHER BENEFITS
|
|
Dental Benefits
|
No Coverage
|
No Coverage
|
$15 co-pay
(up to 2 visits/year), includes exam, cleaning, x-rays. Comprehensive dental benefits.
|
$15 co-pay
(up to 2 visits/year), includes exam, cleaning, x-rays. $1,000 limit for preventive
dental benefits. Comprehensive dental benefits
|
|
Vision Benefits
|
No Coverage
|
No Coverage
|
$10 co-pay for annual exam; $20 co-pay for eyewear every year (up to $125)
|
$10 co-pay for annual exam; $20 co-pay for eyewear every year (up to $125)
|
|
Over-the-Counter Benefit
|
Not Available
|
Not Available
|
Not Available
|
$20 a month for approved healthcare items
|
|
PART D PRESCRIPTION DRUG COVERAGE
|
|
Deductible
|
No coverage
|
$0
|
$0
|
$295 for brand drugs only
|
|
Initial Drug Coverage
|
No coverage
|
up to $2700
|
up to $2700
|
up to $2700
|
|
|
|
31-day/90-day supply, you pay
|
|
Generics
|
No coverage
|
$0
|
$0
|
$5/$12.50
|
|
Preferred Brands
|
No coverage
|
$30/$75
|
$25/$62.50
|
$25/$62.50
|
|
Non-preferred Brands
|
No coverage
|
$60/$150
|
$50/$125
|
$50/$125
|
|
Specialty Drugs
|
No coverage
|
25%
|
25%
|
25%
|
|
Coverage Gap Benefits
|
No coverage
|
No coverage
|
$0 for generics
|
$5/$12.50 for generics
|
|
Catastrophic Coverage after you reach $4,350 in out-of-pocket prescription drug
expenses
|
|
|
|
30-day/90-day supply, you pay
|
|
Generics
|
No coverage
|
The greater of 5% coinsurance or $2.40
|
The greater of 5% coinsurance or $2.40
|
The greater of 5% coinsurance or $2.40
|
|
Brands
|
No coverage
|
The greater of 5% coinsurance or $6
|
The greater of 5% coinsurance or $6
|
The greater of 5% coinsurance or $6
|
|
|
|
|
|
Plan Summary - Tulsa
|
Value
|
Classic powered by CCRx
|
Premier powered by CCRx
|
Star powered by CCRx
Recommended for those who qualify for assistance from Medicaid.
|
|
Monthly Premium
|
$0 plus a $12.30 reduction in monthly Part B premium
|
$15
|
$60
|
$0
|
|
MEDICAL BENEFITS
|
|
Annual Out-of-Pocket Limit
|
$3,000
|
$3,000
|
$2,500
|
Not Available
|
|
PCP/Specialist Co-pay
|
$15/$25
|
$15/$25
|
$0/$20
|
20% coinsurance/
20% coinsurance
|
|
Inpatient Hospital Care
|
Days 1-5:
$250 per day
|
Days 1-5:
$250 per day
|
$175 per stay
|
$1,068 deductible per stay for days
1-60
|
|
Emergency Care Co-pay per visit
|
$50
|
$50
|
$40
|
20% coinsurance (up to $50)
|
|
OTHER BENEFITS
|
|
Dental Benefits
|
$15 co-pay
(up to 2 visits/year), includes exam, cleaning, x-rays.
|
$15 co-pay
(up to 2 visits/year), includes exam, cleaning, x-rays.
|
$15 co-pay
(up to 2 visits/year), includes exam, cleaning, x-rays. Comprehensive dental benefits.
|
$15 co-pay
(up to 2 visits/year), includes exam, cleaning, x-rays. $1,000 limit for preventive
dental benefits. Comprehensive dental benefits
|
|
Vision Benefits
|
$25 co-pay for annual exam; free eyewear every 2 years (up to $100)
|
$25 co-pay for annual exam; free eyewear every 2 years (up to $100)
|
$10 co-pay for annual exam; $20 co-pay for eyewear every year (up to $125)
|
$10 co-pay for annual exam; $20 co-pay for eyewear every year (up to $125)
|
|
Over-the-Counter Benefit
|
Not Available
|
Not Available
|
Not Available
|
$20 a month for approved healthcare items
|
|
PART D PRESCRIPTION DRUG COVERAGE
|
|
Deductible
|
No coverage
|
$0
|
$0
|
$295 for brand drugs only
|
|
Initial Drug Coverage
|
No coverage
|
up to $2700
|
up to $2700
|
up to $2700
|
|
|
|
31-day/90-day supply, you pay
|
|
Generics
|
No coverage
|
$5/$12.50
|
$0
|
$5/$12.50
|
|
Preferred Brands
|
No coverage
|
$30/$75
|
$20/$50
|
$25/$62.50
|
|
Non-preferred Brands
|
No coverage
|
$60/$150
|
$45/$112.50
|
$50/$125
|
|
Specialty Drugs
|
No coverage
|
25%
|
25%
|
25%
|
|
Coverage Gap Benefits
|
No coverage
|
No coverage
|
$0 for generics
|
$5/$12.50 for generics
|
|
Catastrophic Coverage after you reach $4,350 in out-of-pocket prescription drug
expenses
|
|
|
|
30-day/90-day supply, you pay
|
|
Generics
|
No coverage
|
The greater of 5% coinsurance or $2.40
|
The greater of 5% coinsurance or $2.40
|
The greater of 5% coinsurance or $2.40
|
|
Brands
|
No coverage
|
The greater of 5% coinsurance or $6
|
The greater of 5% coinsurance or $6
|
The greater of 5% coinsurance or $6
|
|
|
|
Generations Healthcare is a member of the Universal American family of companies.
For more information on Universal American, click here.
