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Hospital and Medical Coverage
Advantage U offers the $0 Premium Advantage U Signature (PPO) plan.
- $0 Monthly Premium (you must continue to pay your Part B Premium)
- $0 Copay for In-network Primary Care Physician (PCP)
- $30 Copay for In-network Specialist Visit
For a complete listing of benefits please see Summary of Benefits.
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Prescription Drug Coverage
Our plan features a formulary (or drug list) with a broad number of prescription drugs on Tier 1 and Tier 2, so you can save more.
See Summary of Benefits for additional prescription drug coverage information.
| Retail Cost-Sharing |
| Tier |
30-Day Supply |
60-Day Supply |
90-Day Supply |
| Tier 1 (Preferred Generics) |
$3 copay |
$6 copay |
$0 copay |
| Tier 2 (Generics) |
$10 copay |
$20 copay |
$20 copay |
| Tier 3 (Preferred Brands) |
$47 copay |
$94 copay |
$141 copay |
| Tier 4 (Non-Preferred Brands) |
$100 copay |
$200 copay |
$300 copay |
| Tier 5 (Specialty Medications) |
29% coinsurance |
Not offered |
Not Offered |
Senior Savings Model: For eligible insulins $35 copay for 30 days supply (eligible insulins not subject to Part D Deductible) This copay stays the same regardlesss of phase of benefit during the plan year.
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Our plan includes preventive dental coverage with a $0 copay and comprehensive dental coverage for fillings, extractions or adjunctive periodontal care. Up to $1,000 annual benefit for comprehensive coverage. Authorization rules apply.
See Summary of Benefits for additional dental benefits.
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We offer a $0 copay for routine vision exam along with coverage for eyeglasses or contact lenses ($120 limit on eyeglasses and contacts).
See Summary of Benefits for additional vision benefits.
Search Eye Doctors
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Our plan includes a $0 copay for routine hearing exams through TruHearing along with hearing aid coverage.
See Summary of Benefits for additional hearing benefits.
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Enjoy a Fitness Center Membership to participating fitness centers and choose to receive Home Fitness Kits.
You can visit a participating fitness center near you. You also have access to a variety of Home Fitness Kits. You can receive up to 2 Home Fitness Kits per benefit year.
The Silver&Fit® program is provided by American Specialty Health Fitness, Inc., a subsidiary of American Specialty Health Incorporated (ASH). Silver&Fit® is a federally registered trademark of ASH and used with permission herein. Kits are subject to change. Participating facilities and fitness chains may vary by location and are subject to change.
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With our plan, members receive a $30 allowance each quarter to use for the purchase of select OTC products.
Want to learn more? Call Us
Online Enrollment
A few things to know before you begin your enrollment.
