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Medicare Advantage without drug coverage · HMO · Plan ID H0332-001

KelseyCare Advantage Core (HMO)

Offered by KelseyCare Advantage (UnitedHealth Group, Inc.) · available in 13 counties in TX

Monthly premium$0health coverage only
Yearly out-of-pocket max$4,500in network
Star Rating★★★★½ 4.5 out of 52027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive and comprehensive dental
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids, plan pays up to $750 every 3 years
Over-the-counter items$25 per quarter allowance
FitnessFitness benefit (gym membership or program)
TransportationRides to health-related locations

Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.

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