A Healthy CollaborationSM

2009 Plans

TexanPlus® Medicare Advantage Plans are an affordable way to manage your
health and prescription drug coverage needs. TexanPlus offers no plan
premiums, low co-pays and deductibles, plus routine dental and vision
coverage and other benefits.

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
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 $69
reduction in
monthly Part
B premium
$0 plus a $20
reduction in
monthly Part
B premium
$0 $0
MEDICAL BENEFITS
Annual Out-of-Pocket Limit $3,000 $3,000 $2,500 $3,000
PCP/Specialist Co-pay $0/$25 $0/$25 $0/$20 $0/$25
Inpatient Hospital Care $300 per stay $300 per stay $175 per stay $300 per stay
Emergency Care Co-pay per visit $50 $50 $40 $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
$5 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 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; free eyewear every 2 years (up to $125) $25 co-pay for annual exam; free eyewear every 2 years (up to $100)
Transportation $0 co-pay for transportation to approved medical services (up to 24 trips/year).
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 $25/$62.50 $30/$75
Non-preferred Brands No coverage $60/$150 $50/$125 $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® Medicare Advantage Plans are available in these service areas; Austin, Brazoria, Chambers, Fort Bend, Galveston (77510, 77511, 77517, 77518, 77539, 77546, 77549, 77563, 77568, 77573, 77574, 77590, 77591, 77592), Hardin, Harris, Jefferson, Liberty, Montgomery, Orange or Waller counties.

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

M0018_SCOTweb2_r1_1108 CMS Pending CMS Approval H4506 Last updated: 11/15/2008

©2008 Universal American Corp. All rights reserved