Health Care Choices For Minnesotans On Medicare - Metropolitan ...

Medicare SELECT PlansA publication of the Minnesota Board on Aging Senior LinkAge Line ®Skilled Nursing Care You pay $0 for Medicare-covered services. 100% coverage for up to 100 days per benefit period.Three-day prior hospital stay required, based onMedicare eligibility criteria.Durable Medical Equipment You pay $0 for Medicare-covered services. 100% coverage of Medicare deductibles and co-insurancethrough participating providers; must meet Medicareguidelines.Dental You pay $0 for Medicare-covered services. 100% coverage of all Medicare eligible services.Optional dental coverage available for $34.70 per month.Chiropractic You pay $0 for Medicare-covered services. 100% coverage for manipulation of the spine for subluxationthrough HealthPartners network of chiropractors.Travel Benefits You pay $0 nationwide for Medicare-covered services froma Medicare provider. Participating providers must be usedin Minnesota. You pay 20% for emergency services outsidethe U.S.Non-emergency out-of-network services: Members mayuse their Medicare benefits but are responsible for allMedicare deductibles, co-insurance and services notcovered by Medicare.Outside the U.S.: No coverage for non-emergency,non-urgently needed services.Medicare Part B Drugs You pay $0 for Medicare-covered Part B prescription drugs. • 100% coverage for Part B co-insurance• 80% coverage for injectable insulinMedicare Part D Outpatient Prescriptions Plan does not offer Part D coverage. To add Part Dprescription drug coverage, enroll in a Stand AloneMedicare Part D plan.Discounts/Special Programs 24-hour nurse advice line, fitness program, stop-smokingsupport, vision and hearing discounts, health guides, onlinemember center, online wellness center, Rx Advantageprescription drug discount program.Number of Providers In-Network The Aware ® network includes approximately 29,000physicians and other providers and nearly 8,000 clinics,hospitals and other facilities. No referrals needed.Enrollment Status/Health Screening Eligible residents of Minnesota may enroll at any time unlessthey are “locked in” to a Medicare Advantage plan. No healthhistory required during the first 6 months of your enrollmentin Medicare Part B. Health history may be required after6-month open enrollment period expires unless guaranteedissuerules or other unique circumstances apply.Plan does not offer Part D coverage. To add Part Dprescription drug coverage, enroll in a Stand AloneMedicare Part D plan.Optical discounts at selected providers.• 163 hospitals• More than 5,800 primary care physicians• More than 23,000 specialists• Enrollment open• No health screeningMaximum Annual Out-of-Pocket Costs Not applicable. Not applicable.Monthly Premium Plan Only-Tobacco Free: $194Plan Only-Standard: $256Optional coverage for annual routine physical, hearingscreening and eye exam: $5Plan Only-Tobacco Free: $221.40Plan Only-Standard: $287.9043