ConnectiCare VIP Medicare Advantage Plans
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ConnectiCare VIP Option Plans
ConnectiCare VIP Option Plans are Point-of-Service (POS) plans give you flexibility to seek coverage from one of ConnectiCare's broad network of providers, or from a Medicare approved provider outside of the ConnectiCare network.
This kind of plan might be ideal for you, if you want:
- $1,500 Annual In-Network Out-of-Pocket limit
- Preventive Care - $0 copay for annual physicals
- $0 copay for inpatient hospital care
- $0 copay for Primary Care Physician office visits
- A plan available with prescription drug coverage
- Dental benefit ($150 annually)
- Vision and Hearing Benefits
- Disease Management Programs
- Personal Fitness Programs offered by Silver&Fit®
- Access to an independent personal health advocate
Medical Coverage Option 1 Option 2 In-Network Out-of-Network In-Network Out-of-Network Monthly Premium Plus Medicare Part B Premium
$119
$69
Annual Deductible NO
NO
NO
NO
Annual In-Network
Out-of-Pocket Limit$1,500
N/A
$1,500
N/A
Prescription
Drug CoverageYES
NO
NO
NO
Primary Care
Physician Office Visit$0
$25
$0
$25
Specialist Physician
Office Visit$15
$25
$15
$25
Routine Annual
Physical Examination$0
$25
$0
$25
Preventative Immunizations
& Screenings **$0
$0
$0
$0
Routine Annual
Eye Examination$15
$25
$15
$25
Urgent Care $15
$25
$15
$25
Outpatient Surgery $0
20%
$0
20%
Emergency Care $100,000 limit for services outside of the U.S.
$50
$50
$50
$50
Inpatient Hospital Care Daily Copayment
$0
$100 each day
Days 1-7
$0 each day
Days 8-90
$0
$100 each day
Days 1-7
$0 each day
Days 8-90
Dental Coverage
(Including Preventive Services)$150 annual limit for dental benefits
$0
$0
$0
$0
Personal Fitness Programs $0
NO
$0
NO
Unless otherwise noted, all services must be provided by a ConnectiCare contracted provider for the ConnectiCare VIP Prime and Custom 1 (In-network) plans. If you obtain routine care from out-of-plan providers, neither Medicare nor ConnectiCare will be responsible for the costs.
**Preventive immunizations and screenings include: Part B Immunizations (Flu, Hepatitis B, and Pneumonia), Mammograms, Colorectal Screening Exams, Prostate Cancer Screening Exams, Pap Smears, Pelvic Exams and Bone Mass Measurement and Abdominal Aortic Aneurysm Screenings.
***$0 copay for Preventative Colonoscopies only.
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Helpful Questions
Here are some helpful questions so you can choose a ConnectiCare Medicare plan that really fits you.
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VIP Prime Plans
VIP Prime Drug Coverage