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2018 Primetime health plan comparisons

2018 ADDITIONAL INFORMATION
2018 MEDICATION THERAPY MANAGEMENT (MTM)
2018 ABRIDGED FORMULARY
COMPREHENSIVE FORMULARY -
EFFECTIVE NOVEMBER 1, 2018

2018 Plan Overview and Comparison

PrimeTime Health Plan has a number of plan designs for you to choose from. Our number one goal is to provide you with an affordable health plan designed to enhance your Medicare coverage.
Have a doctor or a pharmacy that you prefer?
We have more than 4,800 highly-skilled and dedicated physicians in our network and more than 30,000 pharmacies serving our PrimeTime Health Plan members!

BASIC MA ONLY
(HMO-POS)

$0 Monthly Premium

$0 Annual Deductible

$3,400 Annual Out-of-Pocket Max

Network Doctor & Hospital Choice

$35 co-pay Primary Care Physician Visit

$50 co-pay Specialist Visit

No Part D Coverage

AULTIMATE
(HMO-POS)

$0 Monthly Premium

$0 Annual Deductible

$5,900 Annual Out-of-Pocket Max

Network Doctor & Hospital Choice

$30 co-pay Primary Care Physician Visit

$45 co-pay Specialist Visit

Yes - Part D Coverage

CLASSIC
(HMO-POS)

$42 Monthly Premium

$0 Annual Deductible

$4,900 Annual Out-of-Pocket Max

Network Doctor & Hospital Choice

$15 co-pay Primary Care Physician Visit

$45 co-pay Specialist Visit

Yes - Part D Coverage

PLUS
(HMO-POS)

$89 Monthly Premium

$0 Annual Deductible

$3,900 Annual Out-of-Pocket Max

Network Doctor & Hospital Choice

$0 co-pay Primary Care Physician Visit

$40 co-pay Specialist Visit

Yes - Part D Coverage
Last updated: 11/30/2018