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2024 Medicare Adv Chart

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BUSINESS SERVICES CORPORATION D/B/A BENEFIT CHOICES MEDICARE ADVANTAGE PLANS PAGE 1 OF 2NOTE:Individuals or Sole Proprietors cannot enroll in a group medicare plan. We have partnered with Vicki Beyer of Beyer Health Plus LLC to provide medicare advantage assistance. Call Vicki at 518-469-1120.ITEMS HIGHLIGHTED IN BOLD RED INDICATE CHANGES FOR 2024CDPHP CONDITIONS FOR OFFERING:Only RETIREES may enroll in this Group Medicare Plan.Enrollees must have Medicare Part A and B.For Group Medicare the employer contribution must be 50% or more.Group members must reside in a 24-county service area: Albany, Broome, Chenango, Columbia, Delaware, Dutchess, Essex, Fulton, Greene, Hamilton, Herkimer,Madison, Montgomery, Oneida, Orange, Otsego, Rensselaer, Saratoga, Schenectady, Schoharie, Tioga, Ulster, Warren and Washington.2024 CDPHP MEDICARE CHOICE PPO $10/$15 ($0 IP) CDPHP Group 20031167 MONTHLY PREMIUM NETWORKINPATIENT / HOSPITALPreventive CareOFFICE VISIT ( PCP )SPECIALIST VISITOUTPATIENT SURGERY ER * AMBULANCEURGENT CARELAB (waived if preferred lab)X-RAY / ULTRA-SOUNDCOMPLEX RADIOLOGYANNUAL OUT OF POCKET LIMIT DENTAL RIDER$326.10 In Network $0Covered in full$10 $15 $125 $75 * $100 $25 $15 $15 $30 $3,350#520 $250 yearly allowanceOut of Network $500Covered in full$20 $30 $250 $75 * $100 $25 $30 $30 $60Combined IN & OON* waived if admittedCDPHP Group Medicare Plan includes the following:PART D PRESCRIPTION DRUG BENEFIT: RX 520: $0/$10/$35/$65/30% No Deductible, No Coverage GapNew 2024: Improved mail order experience with Optum Home Delivery Pharmacy (replaces Walmart Mail Order Pharmacy)DENTAL RIDER 592 ($250 yearly allowance) Preventive Services Covered at no copayment in network.Physical, speech, occupational therapies covered at the specialist copayment or lower with no visit limit.Skilled Nursing Facility Care limited to 100 days per benefit period for medically necessary care; covered at no copayment in network.Home Health Care covered at no copayment in network as long as medically necessary.Routine eye exams and hearing tests at specialist copayment, plus a $100 annual allowance toward eyewear and $600 allowance/3 years toward hearing aids.Part B Pharmaceuticals: $20 copayment.Hearing Care Solutions, a discount program for hearing care.Cardiac Rehab., Podiatry Care, Renal Care, Outpatient Mental Health - $15 copayment per visitAlso available to CDPHP Group Medicare members:CDPHP Senior Fit fitness programs through SilverSneakers, Curves, Sunnyview Lifestyle Wellness Center, Rudy A. Ciccotti Center, Beltrone Living Center and YMCAs.A variety of free wellness classes, including yoga, nutrition, exercise and stress management.CDPHP Health Ally, a personalized program that meeds Medicare members' unique needs through support, education and access to CDPHP Benefits andcommunity-based services.NOTE: This summary highlights the benefits of the plan being offered and does not detail all benefits, limitations or exclusions.

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BUSINESS SERVICES CORPORATION D/B/A BENEFIT CHOICES MEDICARE ADVANTAGE PLANS PAGE 2 OF 2MVP CONDITIONS FOR OFFERING:You do not need to be retired to enroll in this plan.Enrollees must have Medicare Part A and B.Employer must contribute a minimum of 50% of the member premium.Plan requires minimum of 3 enrolled contracts. 2024 MVP HEALTH CARE PREFERRED GOLD HMO-POS MVP Group 213202 MONTHLY RATE NETWORKINPATIENT / HOSPITALPreventive CareOFFICE VISIT ( PCP )SPECIALIST VISITOUTPATIENT SURGERYER AMBULANCEURGENT CAREDME Co-insuranceX-RAY / ULTRA-SOUNDCOMPLEX RADIOLOGYANNUAL OUT OF POCKET DENTAL RIDERSkilled Nursing Facility$261.98 In Network$250 per stay / $750 max/yearCovered in full$15 $30 $60 $95$100 per use$30 worldwide coverage20% $30 $60$4,000** IN onlyN/A$196/day, Days 21-100Out of Network30% 30% 30% * $95 * * 20% * *No Deductible. Member pays 30%. $5000 Max Annual Benefit. *N/AN/A*Out of Network: Care from providers that are not part of MVP's network. (Not all services are covered out of network.)**Member Protection: $4,000 MAX In and Out of Network (excludes: Part D costs, acupuncture, eyewear, hearing aids and dental if applicable)MVP Group Medicare Plan includes the following:PART D PRESCRIPTION DRUG BENEFIT- Pharmacy Rider: RX $0/$10/$35/50%/33%; Tier 1 & copays through coverage gapPhysical, speech, occupational therapies : $30 copayment.Skilled Nursing Facility Care limited to 100 days per benefit period for medically necessary care; $0 each day days 1-20; $196 each day, days 21-100.Home Health Care is covered in full.Eyewear $100 Allowance/2yearsHearing Aids $600 allowance/3 yearsDental services are not covered.Also available to MVP Group Medicare members:24 Hour Nurse Line, 7 days per week to answer health questions via telephone or emailThe SilverSneakers Fitness Program: free fitness center membership benefits at participating fitness centers.NOTE: This summary highlights the benefits of the plan being offered and does not detail all benefits, limitations or exclusions.