2024 Medicare Plans: Cincinnati, Dayton, Columbus and Toledo Metro
Brown, Butler, Clermont, Delaware, Fairfield, Franklin, Fulton, Greene, Hamilton, Hocking, Licking, Lucas, Madison, Miami, Montgomery, Morrow, Perry, Pickaway, Union, Warren and Wood Counties
We’ve made significant enhancements to our Medicare Advantage plans to deliver more value to seniors in 2024.
Affordable Routine Care
-
New! $0 copay for specialist visits on Signature HMO
- New! $0 copays for Tier 1 and Tier 2 prescription drugs through mail-order and retail on Signature HMO
Extra Coverage That Matters
- Enhanced dental coverage up to $3,000 on Signature HMO – now including dentures and implants
- Over-the-counter allowance up to $340 on Signature HMO
- Increased $250 eyewear allowance on Signature HMO
- New! Lower $499 copay for Standard hearing aids on all plans
- Dental, vision, hearing and over-the-counter allowance are now included in base benefits on Signature HMO, Classic HMO and Access PPO — members no longer need to choose options with a Flex benefit
Peace of Mind with Out-of-Pocket Protection
- Reduced out-of-pocket maximum on Signature HMO and Access PPO—as low as $3,000 on Signature HMO and $5,000 in-network on Access PPO
Purple indicates important enchantments for 2024.
| MedMutual Advantage Signature HMO | MedMututal Advantage Classic HMO | MedMutual Advantage Access PPO | |
|---|---|---|---|
| Plan Number | H6723-006-006 | H6723-001-003 | H4497-005-003 |
| Good Fit For: * Learn more about our customer personas |
Value Seekers Experience Seekers |
Managing Care Needs | Value Seekers Experience Seekers |
| Premium | $0 | $0 | $0 |
| MOOP | $3,000 | $4,900 |
$0 OON Deductible $5,000 IN $7,900 (combined IN & OON) |
| PCP | $0 | $5 | $0 IN $10 OON |
| Specialist | $0 | $40 | $30 IN $55 OON |
| Podiatry | $0 | $40 | $30 |
| Inpatient | $325 (Day 1-6) | $300 (Day 1-7) | $375 IN (Day 1-5) 40% OON |
| Outpatient (Surgical) | $400 | $360 | $350 IN $400 OON |
| Diagnostic | CT: $100 MRI: $125 PET: $125 |
CT: $100 MRI: $175 PET: $175 |
CT: $100 IN/40% OON MRI: $175 IN/40% OON PET: $175 IN/ 40% OON |
| ER (waived if admitted within 24 hours) | $100 | $100 | $100 |
| Urgent Care | $25 | $35 | $40 |
| Rx Deductible | $100 (excludes Tier 1, 2 and 6) |
$95 (excludes Tier 1 and 2) |
$0 |
| Preferred Rx Copays – 30 Day Retail | Tier 1: $0 Tier 2: $0 Tier 3: $42 Tier 4: 50% Tier 5: 31% Tier 6: $0 |
Tier 1: $0 Tier 2: $5 Tier 3: $42 Tier 4: 50% Tier 5: 31% Tier 6: N/A |
Tier 1: $4 Tier 2: $8 Tier 3: $42 Tier 4: 50% Tier 5: 33% Tier 6: $0 |
| Preferred Rx Copays – 90 Day Mail Order | Tier 1: $0 Tier 2: $0 Tier 3: $110 Tier 4: 50% Tier 5: N/A Tier 6: $0 |
Tier 1: $0 Tier 2: $0 Tier 3: $110 Tier 4: 50% Tier 6: N/A |
Tier 1: $0 Tier 2: $0 Tier 3: $110 Tier 4: 50% Tier 5: N/A Tier 6: $0 |
| Visitor/Travel Benefit | $6,250 | $2,500 | $2,500 |
| Dental | $3,000 comprehensive & preventive, including dentures and implants | $1,500 comprehensive & preventive | $3,000 comprehensive & preventive IN 50% - 70% OON |
| OTC | $340 | $280 |
$320 |
| Vision | $0 routine eye exam $250 eyewear allowance |
$0 routine eye exam $100 eyewear allowance |
$0 routine eye exam $250 eyewear allowance |
| Hearing | $0 routine hearing exam Hearing aid copay as low as $499 |
$0 routine hearing exam Hearing aid copay as low as $499 |
$0 routine hearing exam Hearing aid copay as low as $499 |
| Enhanced Supplemental Benefits |
• SilverSneakers® membership included • WW® discounted membership • Chronic Condition Management Program offers health coaching to help members manage chronic conditions and maintain their independence • Member Assistance Program helps coordinate in-network care and connect high-risk members with resources to better manage their health • Tobacco Cessation Program offers one-on-one sessions with a trained coach who works with members on a quit plan • Telemedicine and a 24-Hour Nurse Line offer convenient access to clinical experts and healthcare providers • Meal Delivery and Transportation Services are provided after an inpatient hospital stay to help members as they transition home |
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