Medicare Advantage without drug coverage · PPO · Plan ID H3909-007
Personal Choice 65 Medical Only (PPO)
Offered by Independence Blue Cross (Independence Health Group, Inc.) · available in 2 counties in PA
Monthly premium$113health coverage only
Yearly out-of-pocket max$5,950in network
Star Rating★★★★ 4 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental, up to $1,500 a year for comprehensive |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids |
| Over-the-counter items | $30 per quarter allowance |
| Fitness | Fitness benefit (gym membership or program) |
| Caregiver support | Support for caregivers of enrollees |
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)
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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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