Medicare Advantage with drug coverage · PPO · Plan ID H4005-004
Óptimo Plus (PPO)
Offered by Triple-S Advantage (Guidewell Mutual Holding Corporation) · available in 78 counties in PR
Monthly premium$0health + drug coverage
Yearly out-of-pocket max$7,151in network
Drug deductible$0Enhanced Alternative
Star Rating★★★★½ 4.5 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental, up to $1,000 a year for comprehensive |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids, plan pays up to $200 every 3 years |
| Over-the-counter items | Allowance offered (amount not listed in the CMS file) |
| Fitness | Fitness benefit (gym membership or program) |
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?
- Plan website
- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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