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2020 Primetime health plan comparisons

2020 ADDITIONAL INFORMATION
2020 MEDICATION THERAPY MANAGEMENT (MTM)
2020 ABRIDGED FORMULARY
COMPREHENSIVE FORMULARY

2020 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

$0 co-pay Primary Care Physician Visit

$40 co-pay Specialist Visit

Eye & Dental Benefit
included

Hearing Aid Benefit included

Silver&Fit Fitness Benefit included

Meal Delivery Benefit included

No Over-The Counter Rx Coverage

No Part D Coverage

AULTIMATE
(HMO-POS)

$0 Monthly Premium

$0 Annual Deductible

$4,200 Annual Out-of-Pocket Max

Network Doctor & Hospital Choice

$5 co-pay Primary Care Physician Visit

$40 co-pay Specialist Visit

Eye & Dental Benefit included

Hearing Aid Benefit included

Silver&Fit Fitness Benefit included

Meal Delivery Benefit included

Over-The-Counter Rx Benefit included

Yes - Part D Coverage

CLASSIC
(HMO-POS)

$39 Monthly Premium

$0 Annual Deductible

$3,900 Annual Out-of-Pocket Max

Network Doctor & Hospital Choice

$0 co-pay Primary Care Physician Visit

$35 co-pay Specialist Visit

Eye & Dental Benefit included

Hearing Aid Benefit included

Silver&Fit Fitness Benefit included

Meal Delivery Benefit included

Over-The-Counter Rx Benefit included

Yes - Part D Coverage

PLUS
(HMO-POS)

$89 Monthly Premium

$0 Annual Deductible

$3,600 Annual Out-of-Pocket Max

Network Doctor & Hospital Choice

$0 co-pay Primary Care Physician Visit

$30 co-pay Specialist Visit

Eye & Dental Benefit included

Hearing Aid Benefit included

Silver&Fit Fitness Benefit included

Meal Delivery Benefit included

Over-The-Counter Rx Benefit included

Yes - Part D Coverage
Last updated: 10/15/2019