|
Fallon Medicare Plus Supplement Core |
Fallon Medicare Plus Supplement 1A |
Fallon Medicare Plus
Supplement 1* |
Monthly plan premium
(You could qualify for a 15% discount. See the Outline of Coverage for details.) |
$151 |
$185 |
$251 |
| Benefit |
Fallon Medicare Plus Supplement Core
Copayment |
Fallon Medicare Plus Supplement 1A
Copayment |
Fallon Medicare Plus
Supplement 1*
Copayment |
| Hospitalization |
$0 after you meet your $1,600 Part A deductible |
$0 |
$0 |
| Home health care |
$0 |
$0 |
$0 |
| Doctor office visits |
$0 after you meet your $226 Part B deductible
|
$0 after you meet your $226 Part B deductible
|
$0 |
| Specialist office visits |
$0 after you meet your $226 Part B deductible
|
$0 after you meet your $226 Part B deductible
|
$0 |
| Emergency room visits |
$0 after you meet your $226 Part B deductible
|
$0 after you meet your $226 Part B deductible
|
$0 |
| Same-day surgery |
$0 after you meet your $226 Part B deductible
|
$0 after you meet your $226 Part B deductible
|
$0 |
Diagnostic tests
(X-rays, MRI, CT, PET and nuclear studies) |
$0 after you meet your $226 Part B deductible
|
$0 after you meet your $226 Part B deductible
|
$0 |
| Physical and speech therapy |
$0 after you meet your $226 Part B deductible
|
$0 after you meet your $226 Part B deductible
|
$0 |
Eyewear discount program
Includes one routine eye exam every year at a plan provider and up to $150 allowance toward first pair of eyeglasses or contact lenses per calendar year. |
$0 |
$0 |
$0 |
| Part B outpatient drugs |
$0 after you meet your $226 Part B deductible
|
$0 after you meet your $226 Part B deductible
|
$0 |
SilverSneakers® Fitness program
Includes access to online classes and instructional videos, an at-home fitness kit and/or a free gym membership |
$0 |
$0 |
$0 |
Care Connect
Free telephone access to registered nurses 24 hours a day, seven days a week, 365 days a year. |
$0 |
$0 |
$0 |
Quit to Win program
Smoking cessation program offers one-on-one telephone coaching, group and text support with individualized stop-smoking plans. |
$0 |
$0 |
$0 |
Naturally Well
Discounts on acupuncture, chiropractic care and massage therapy. |
$0 |
$0 |
$0 |
ID card app for smartphones
View ID card, email or fax an image of ID card to doctor, hospital or pharmacy and more. Smartphone app is for both iPhones and Androids. |
$0 |
$0 |
$0 |
Foreign travel
Emergency services while traveling outside the U.S. |
Not covered |
$0 |
$0 |
| Part D drugs |
You must enroll in Medicare Part D to be covered. |