2015 - Advantage Platinum Plus NY

Advantage Platinum Plus NY is a premium plan that negates the need for a costly Medicare supplement. You get comprehensive medical coverage with low and predictable co-pays. Part D prescription drug coverage is also included. This plan is available in Queens, Suffolk, Richmond and Nassau counties.



Plan Summary
County: Queens, Richmond, Nassau, Suffolk
Premium: $49 plus Medicare Part B premium
OOP Max $3,400
Hospital: Days 1-5: $75 per Day
Days 6-90: $0 per Day
PCP Visit: $0
Specialist Visit: $0
Emergency Room: $65
Outpatient Surgery: Ambulatory Surgical Center: $50
Outpatient Hospital: $175 - $200
DME: 0% - 20%
Preventive Services: 0%
Prescription Drugs:
Retail:
Tier 1: $0 -- Tier 2: $10 -- Tier 3: $20
Tier 4: $55 -- Tier 5: 33%
Mail Order Available!
OTC Medications: $38 per Quarter
Vision: Annual Exam: $20
Eyewear: $100 allowance per year
Hearing: $1,000 Hearing Aid Allowance every 2 years
$30 Annual Test
$30 Fitting/Evaluation
Dental: $0 Oral Exam 1/year
$0 Cleaning 2/year
$0 Dental X-Rays
Additional Benefits: $0 Health Education
Fitness Program
Transportation