A Healthy CollaborationSM

2009 Plans

TexanPlus® Medicare Advantage Plans are an affordable way to manage your
health and prescription drug coverage needs. TexanPlus Medicare Advantage
Plans are available in Collin, Dallas, Denton, Rockwall or Tarrant counties.
Plans offer 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.

Value
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Premier powered by CCRx
Star powered by CCRx


Recommended for those who qualify for assistance from Medicaid.
Monthly Premium $0 plus
a $50.90
reduction in
monthly Part
B premium
$0 $21.50 $0
MEDICAL BENEFITS
Annual Out-of-Pocket Limit $3,000 $3,600 $2,500 $3,600
PCP/Specialist Co-pay $0/$20 $0/$20 $0/$15 $0/$20
Inpatient Hospital Care Days 1-7:
$75 per day
Days 1-7:
$75 per day
Days 1-7:
$50 per day
Days 1-7:
$75 per day
Emergency Care Co-pay per visit $50 $50 $25 $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. Comprehensive dental benefits
Vision Benefits $25 co-pay for
annual exam;
free eyewear
every year (up to
$100)
$25 co-pay for
annual exam;
free eyewear
every year (up to
$100)
$10 co-pay for
annual exam;
free eyewear
every year (up to
$125)
$25 co-pay for
annual exam;
free eyewear
every year (up to
$100)
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 $0
Preferred Brands No coverage $30/$75 $30/$75 $30/$75
Non-preferred Brands No coverage $60/$150 $60/$150 $60/$150
Specialty Drugs No coverage 25% 25% 25%
Coverage Gap Benefits No coverage $0 for generics $0 for generics No coverage
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

 

TexanPlus is a member of the Universal American family of companies. For more information on Universal American, click here.

M0018_TxFirstweb2_r1_1108 CMS Pending CMS Approval H5656 Last updated: 11/15/2008

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