| 2017 Plan Options |
Prescription
Drug
Coverage |
Prescription
Pharmacy/
Mail Order |
Freedom
to Choose
Doctors &
Hospitals |
Member
Rewards
Program |
Dental
Benefits |
Annual
Vision
Exam |
Live
Healthy
Services |
Advantage
Plus |
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| Advantage |
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= available in the plan
In Today's Options PPO Medicare Advantage plans, see the doctor of your choice who participates in the Medicare program. You have the freedom to see providers both in and out-of-network. And, there's no limit to how many times you can go to the doctor. You will typically pay less out-of-pocket when you receive care from in-network providers, with the exception of emergencies or urgent care. See what our 2017 Today's Options® PPO Medicare Advantage plans have to offer you:
Freedom to choose your doctors and hospitals
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Freedom to choose your doctor and hospitals, as long as the provider accepts the plan and participates in the Medicare program
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See doctors both in and out-of-network
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No limit on how many times you go to the doctor
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Lower out-of-pocket costs using in-network providers
Value and Convenience of All-In-One Plan
Enjoy the benefits you need to stay healthy: Original Medicare benefits plus plans that offer Medicare Part D prescription drug coverage and additional benefits you can't get from Original Medicare, such as an annual vision exam. And, it all comes in the convenience of one easy-to-use Medicare Advantage plan.
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Original Medicare Benefits
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Prescription Drug Coverage, in some plans
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Extra Vision and Hearing Benefits
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Dental Coverage (Advantage Plus Plans Only)
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And More!
Plus, all-in-one value and convenience:
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Low Monthly Plan Premium
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$0 Deductible
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$0 Preventive Screenings
How does a PPO plan work?
Preferred Provider Organization (PPO) plans are a type of Medicare Advantage Plan (also known as Medicare Part C) that includes all Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) benefits. Medicare Part C plans are designed to reduce the cost of healthcare by contracting with certain doctors, labs, and hospitals to provide care at a discounted rate for members. A Medicare Advantage PPO plan has a list (called a "network") of primary care physicians, specialists, hospitals, and other providers that you may go to. You have the flexibility to go to any doctors, specialists, or hospitals that aren't on the plan's list. However, you might pay more for services that are received outside of the network. In addition, special rules for authorization may apply. Medicare Advantage PPO plans may also include Medicare Part D prescription drug coverage.
Today's Options PPO Medicare Advantage plans are offered in Androscoggin, Aroostook, Cumberland, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Sagadahoc, Somerset, and Waldo counties in Maine; and Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Dutchess, Erie, Essex, Franklin, Fulton, Genesee, Greene, Hamilton, Herkimer, Jefferson, Lewis, Madison, Monroe, Montgomery, Niagara, Oneida, Onondaga, Ontario, Orange, Oswego, Otsego, Putnam, Rensselaer, Rockland, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, St Lawrence, Steuben, Sullivan, Tioga, Tompkins, Ulster, Warren, Washington, Wayne, Westchester, Wyoming, and Yates counties in New York.
Enrollment disclaimer information:
You must continue to pay your Medicare Part B premium. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premium and/or copayments/co-insurance may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. Out-of-network/non-contracted providers are under no obligation to treat Today's Options PPO members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.