2015- Advantage Silver Queens
Advantage Silver Queens is a great plan with generous benefits: $0 plan premium. All you do is continue to pay you Medicare Part B premium. For $0 plan premium you get hospitalization, primary care, hearing, vision and dental coverage as well as Part D prescription drug coverage. This plan is available in Queens County only.
| Plan Summary | |
| County: | Queens |
| Premium: | $0 plus Medicare Part B premium OOP Max $3,400 |
| Hospital: | Days 1-7: $95 per Day Days 8-90: $0 per Day |
| PCP Visit: | $0 |
| Specialist Visit: | $12 |
| Emergency Room: | $65 |
| Outpatient Surgery: | Ambulatory Surgical Center: $75 Outpatient Hospital: $175 - $200 |
| DME: | 0% - 20% |
| Preventive Services: | 0% |
| Prescription Drugs: |
Retail:
Tier 1: $0 -- Tier 2: $10 -- Tier 3: $30 Tier 4: $75-- Tier 5: 33% Mail Order Available!
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| OTC Medications: | $77 per Quarter |
| Vision: | Annual Exam: $30 Eyewear: $100 allowance per year |
| Hearing: | $1,000 Hearing Aid Allowance every 2 years $0 Annual Test $15 Fitting/Evaluation |
| Dental: | $0 Oral Exam 1/year $0 Cleaning 2/year $0 Dental X-Rays |
| Additional Benefits: | $0 Health Education Fitness Program Transportation |
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