Medicare Advantage with drug coverage · HMO · Plan ID H3012-002
St. Luke's Advantage Rx 02 (HMO)
Offered by St. Luke's Health Plan (St. Luke's Health System, Inc.) · available in 2 counties in ID
Monthly premium$142health + drug coverage
Yearly out-of-pocket max$6,950in network
Drug deductible$299Enhanced Alternative
Star RatingPlan Too New To Be Measured2027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive dental (cleanings, exams, x-rays) |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids, plan pays up to $1,000 every 3 years |
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.
Check the details that matter most
- Is my doctor in the network? (plan's provider directory)
- Are my prescriptions covered? (plan's drug list)
- Is my pharmacy in the network?
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- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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