CDPHP Choice Rx

Could a Medicare Advantage HMO plan be right for you?

Typically HMO plans offer coverage for in-network providers only, with the exception of urgent and emergency care while out of the area. So if you don't receive routine care out of the area, an HMO plan might be a good fit. You'll also need to designate a primary care physician (PCP) to enroll in an HMO plan.

Check out the Medicare Advantage HMO plans listed below to see which one may best fit your needs.

Compare Plans

Choice Rx HMO¹
Monthly Premium² $126
Primary Care Physician Office Visit Copayment $0
Doctor on Demand $0
Specialist Office Visit Copayment $25
Routine Annual Physical Exam Copayment $0
Urgent Care Copayment $50 worldwide coverage
Emergency Room Copayment³ $100 worldwide coverage
Ambulance $185
Outpatient Surgery $150-$200
Physical Therapy $25
Inpatient Hospitalization Days 1-6: $260 per day
Dental Allowance on a prepaid Benefits Mastercard to use at any dentist in the U.S. for all dental services, routine cleaning/restorative/dentures (not to be used for teeth whitening): $1,850
Vision: Annual Routine Eye Exam $0
Frames/Lenses on a prepaid Benefits Mastercard (per year) $300
Hearing Care Solutions Hearing Aid Benefit (per ear) $199 or $499
Over-the-counter Benefit on a prepaid Benefits Mastercard $75 / quarter
Senior Fit Included Yes
CDPHP Life Points® Rewards Earn up to $175
Lab Services $0 or $5
X-rays $5
Advanced Imaging Studies (CT, MRI, etc.) $100
OOP Max $6,000
Plan Documents Evidence of Coverage (EOC) & Summary of Benefits (SOB) Information
View a side-by-side comparison Medicare Advantage Plan Options

Choice Rx HMO¹

Monthly Premium²

$126

Primary Care Physician Office Visit Copayment

Doctor on Demand

Specialist Office Visit Copayment

$25

Routine Annual Physical Exam Copayment

Urgent Care Copayment

$50 worldwide coverage

Emergency Room Copayment³

$100 worldwide coverage

Ambulance

$185

Outpatient Surgery

$150-$200

Physical Therapy

$25

Inpatient Hospitalization

Days 1-6: $260 per day

Dental Allowance on a prepaid Benefits Mastercard to use at any dentist in the U.S. for all dental services, routine cleaning/restorative/dentures (not to be used for teeth whitening):

$1,850

Vision: Annual Routine Eye Exam

Frames/Lenses on a prepaid Benefits Mastercard (per year)

$300

Hearing Care Solutions Hearing Aid Benefit (per ear)

$199 or $499

Over-the-counter Benefit on a prepaid Benefits Mastercard

$75 / quarter

Senior Fit Included

Yes

CDPHP Life Points® Rewards

Earn up to $175

Lab Services

$0 or $5

X-rays

Advanced Imaging Studies (CT, MRI, etc.)

$100

OOP Max

$6,000

Plan Documents

Evidence of Coverage (EOC) & Summary of Benefits (SOB) Information

View a side-by-side comparison

Medicare Advantage Plan Options

Disclaimers:

Must use plan providers
You must continue to pay your Medicare Part B premium; You may qualify for lower premiums with EPIC or Low Income Subsidy
Copayment waived if admitted to the hospital within 24 hours for the same diagnosis.

CDPHP Choice Rx

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Could a Medicare Advantage HMO plan be right for you?