2024 Medicare Plans: Cleveland Metro
Cuyahoga, Lake, Medina, Portage, Stark, Summit Counties
We’ve made significant enhancements to our Medicare Advantage plans to deliver more value to seniors in 2024.
Affordable Routine Care
-
$0 specialist copay remains 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 and Access PPO – now including dentures and implants
- Over-the-counter allowance up to $340 on Signature HMO and Access PPO
- Increased $250 eyewear allowance on Signature HMO and Access PPO
- 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 | H6723-001-001 | 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 | $4,800 | $0 OON Deductible $5,000 IN $7,900 (combined IN & OON) |
| PCP | $0 | $0 | $0 IN $10 OON |
| Specialist | $0 | $35 | $30 IN $55 OON |
| Podiatry | $0 | $35 | $30 |
| Inpatient | $325 (Day 1-6) | $300 (Day1-7) | $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 | $30 | $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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