A benefit period starts when you are admitted to a facility
and ends 60 days after you last received inpatient care at any facilityPart A Deductible ($1632)
- The inpatient deductible is $1632 for each benefit period
- Days 1-60: Medicare covers 100%
- Days 61-90: You are responsible for $408 per day
- Days 91 until 60 day lifetime reserve is used up: Your responsibility is $826 per day
- Beyond lifetime reserve: You are responsible for all costs incurred
You pay $50 for emergency room visits$20/$50
Some Medicare Supplement plans cover that extra 15%Part B Excess Charges
S: 290.91
I: Additional benefits included with Anthem Innovative plan rider
I: Additional benefits included with Anthem Innovative plan rider
- Vision: Routine eye exam $25 copay, $100 frame allowance
- Hearing: Hearing exam every 12 months, $750 annual allowance for hearing aids
- Nurse help line: Speak with a Registered nurse about health related questions
- SilverSneakers gym membership
S: 218.00
Extra Rider
- Basic gym access through sliver sneakers fitness program (silversneakers.com)
- Personal emergency response system
- Physician consultation by phone or video through Teladoc
- Over the counter items through CVS (Up to $100 one time use per quarter allowance)
- The vision benefit includes coverage for exams, frames and lenses ($100 frame allowance)
- Hearing aid benefit includes an annual hearing aid test and coverage for Vista brand mid-level and premium-level hearing aids for a low copay
- Acupuncture and chiropractic, up to 20 combined visits per calendar year
- Identity theft protection
E: 233.00
S: 237.00
Additional benefits included with Health Net Innovative plan rider
Additional benefits included with Health Net Innovative plan rider
- Routine Hearing Exam - One hearing exam every 12 months
- Hearing Aid(s) - includes fitting evaluation. $1000 maximum for two hearing aids (one pair) or $500 for one hearing aid
- Routine Eye Exam - One vision exam every 12 months
- Eyewear - Up to $250 allowance for frame and lens package once every 24 months or contact lens once every 12 months
S: 218.00
Additional benefits included with Health Net Innovative plan rider
Additional benefits included with Health Net Innovative plan rider
- Routine Hearing Exam - One hearing exam every 12 months
- Hearing Aid(s) - includes fitting evaluation. $1000 maximum for two hearing aids (one pair) or $500 for one hearing aid
- Routine Eye Exam - One vision exam every 12 months
- Eyewear - Up to $250 allowance for frame and lens package once every 24 months or contact lens once every 12 months