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.
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!
|
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 |
 |