Summary of Benefits Medicare Advantage and Part D Plan year: January 1 – December 31, 2023 Virginia Central, NOVA, Southwest, Tidewater Regions and other Virginia counties as listed on page 2.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Dual Advantage (HMO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits Details(HMO D-SNP) (011) Phone: 855-679-0541 Select Counties in Virginia Must have Medicare and Medicaid Anthem Full Dual Advantage (HMO D-SNP) (045) Phone: 855-679-0541 Select Counties in Virginia Must have Medicare and Medicaid Anthem Full Dual Advantage Support (HMO D-SNP) (044) Phone: 855-679-0541 Select Counties in Virginia Must have Medicare and ...3.5 out of 5 stars* for plan year 2024. Anthem Full Dual Advantage Aligned (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-048-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.Plan ID: H3447-001-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Virginia Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and …2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits ExplainedGet 2020 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Star Rating DetailsThese cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms.2024 Anthem Full Dual Advantage 2 (HMO D-SNP) H3447 — 011— 0 is a Medicare Advantage plan with drug coverage. It has received a 3.5-out-of-5 star rating from CMS for 2024. Learn more about Anthem Full Dual Advantage 2 (HMO D-SNP) H3447 - 011-0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a ...2022 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Dual Advantage (HMO D-SNP) Location: Lagrange, Indiana Click to see other locations. Plan ID: H3447 - 020 - 0 Click to see other plans. Member Services: 1-844-533-2021 TTY users 711.Louisiana (Severe Storms - EO‐JML 25‐54) - Governor Declared a State of Emergency on April 16, 2024. Incident Period: April 10, 2024 - May 16, 2024 SEP Start Date: April 10, 2024 SEP End Date: July 31, 2024. Counties: Pointe Coupee, St. Landry, St. Tammany, West Feliciana.H3447_030-000_VA_HMO D-SNP Medicare Advantage and Part D Plan year: January 1 - December 31, 2024 Virginia Central, NOVA, Southwest, Tidewater Regions, other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Dual Advantage (HMO D-SNP) of Benefits 3447030 SNP_3O Ring-oil Gallery. Part Number:692154. In Stock. Note: (Crankcase Cover/Sump or Cylinder Assembly) $5.71. Add to Cart. 439. Shop OEM replacement parts by symptoms or model diagrams for your Briggs and Stratton 303447-0447-01 Engine!2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits ExplainedInpatient hospital - psychiatric. $325 per day for days 1 through 5 / $0 per day for days 6 through 90. Outpatient group therapy visit with a psychiatrist. $40 copay. Outpatient individual therapy ...H3447 - 027 - 0 Click to see other plans: Member Services: 1-844-395-1019 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.H3447_011-000_VA-HMO-SNP 1 Anthem MediBlue Dual Advantage (HMO SNP) What you should know about our plan Anthem MediBlue Dual Advantage (HMO SNP) is a Medicare Advantage and prescription drug plan. It includes hospital, medical and prescription drug benefits in one plan. To join this plan, you must: Be entitled to Medicare …2021 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Dual Advantage (HMO D-SNP) Location: Chesterfield, Virginia Click to see other locations. Plan ID: H3447 - 030 - 0 Click to see other plans. Member Services: 1-855-363-0724 TTY users 711.O Ring-oil Gallery. Part Number:692154. In Stock. Note: (Crankcase Cover/Sump or Cylinder Assembly) $5.71. Add to Cart. 439. Shop OEM replacement parts by symptoms or model diagrams for your Briggs and Stratton 303447-0447-01 Engine!Anthem Chronic Care (HMO C-SNP) Anthem Chronic Care (HMO C-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem HealthKeepers. This page features plan details for 2024 Anthem Chronic Care (HMO C-SNP) H3447 – 037 – 0 available in Select Counties in Virginia. IMPORTANT: This page has been updated with plan and premium …73 Medicare Advantage Plans from Anthem Blue Cross and Blue Shield. Coverage varies by plan. Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name. H1607:012-0 Anthem Medicare Advantage 3 (PPO) H1607:015-0 Anthem Medicare Advantage 2 (PPO) H2836:005-0 Anthem Medicare Advantage (PPO)Learn More about Anthem HealthKeepers Anthem Medicare Advantage (HMO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and …2019 Anthem MediBlue Dual Advantage (HMO SNP) in VA - H3447-011- in VA Plan Benefits DetailsGet 2018 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCAnthem MediBlue + Kroger (HMO) H3447 - 039 - 0. (4 / 5) Anthem MediBlue + Kroger (HMO) is a Medicare Advantage (Part C) Plan by Anthem HealthKeepers. Premium: $0.00. Enroll Now. This page features plan details for 2023 Anthem MediBlue + Kroger (HMO) H3447 – 039 – 0 available in Select counties in Virginia. IMPORTANT: This page …Number of Members enrolled in this plan in (H3447 - 024): 5,751 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 4 out of 5 Stars. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...Skilled Nursing Facility (SNF) 1. Doctors and facilities in our plan: SNF Days 1 - 20: $20.00 per day / Days 21 - 100: $196.00 per day. Our plan covers up to 100 days in a Skilled Nursing Facility (SNF). Your copays for SNF benefits are based on benefit periods.Number of Members enrolled in this plan in (H3447 - 024): 5,751 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 4 out of 5 Stars. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...H3447_011-000_045-000_VA_HMO D-SNP Medicare Advantage and Part D Plan year: January 1 – December 31, 2024 Virginia Central, NOVA, Southwest, Tidewater Regions, other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Full Dual Advantage 2 (HMO D-SNP) Anthem Full Dual Advantage (HMO D-SNP) of Benefits 3447M3 SNP_2Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000.00 maximum plan benefit for prescribed ...2022 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Dual Advantage (HMO D-SNP) Location: Lagrange, Indiana Click to see other locations. Plan ID: H3447 - 020 - 0 Click to see other plans. Member Services: 1-844-533-2021 TTY users 711.Get 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCAnthem Medicare Advantage (HMO) Location: Middlesex, Virginia Click to see other locations. Plan ID: H3447 - 013 - 0 Click to see other plans. Member Services: 1-844-395-1019 TTY users 711. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.H3447 - 018 - 0 Click to see other plans: Member Services: 1-844-879-3611 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) in VA - H3447-011- in VA Plan Benefits DetailsH3447_025-000_VA_HMO Medicare Advantage and Part D Plan year: January 1 – December 31, 2024 Virginia Southwest Region, other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Medicare Advantage 2 (HMO) of Benefits 3447025 O_22021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsMental health services. Inpatient hospital - psychiatric. $300 per day for days 1 through 5 / $0 per day for days 6 through 90. Outpatient group therapy visit with a psychiatrist. $40 copay ...2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits Details3.5 out of 5 stars* for plan year 2024. Anthem Medicare Advantage (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-038-002. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.View the coverage and benefits provided in the Wellcare No Premium (HMO) plan from Wellcare by Allwell. Alight Retiree Health Solutions represents Medicare plans from 61 insurers nationwide.2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits Details2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsH3447_039-000_VA_HMO Medicare Advantage and Part D Plan year: January 1 - December 31, 2024 Virginia Central, Southwest, Tidewater Regions, other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Grocery (HMO) of Benefits 3447039 O_3. Anthem Grocery (HMO) of Benefits MO) y,2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsShop for Plans. Find Medicare Plans. Learn AboutThis plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids.3.5 out of 5 stars* for plan year 2024. Anthem Full Dual Advantage Aligned (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-048-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsTTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Dual Advantage (HMO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...Plan ID: H3447-042-004 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Indiana Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and …2020 Anthem MediBlue Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits ExplainedEmergency Care: $120.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the United States for less than six months. This benefit is limited to $100,000.00 per year. Ambulance transportation. Ground Ambulance: $295.00 copay Per Trip.Default Enrollment Policy and Data of Approved Medicare Advantage Organizations. March 9, 2022. Default enrollment was authorized in section 1851(c)(3) of the Social Security Act as part of the Balanced Budget Act of 1997. This provision gives the Secretary the authority to establish procedures for enrolling individuals from their current ...Anthem Dual Advantage (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-047-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $26.90 Monthly Premium.Get 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCTTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Dual Advantage (HMO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...Doctors in our plan: $45.00 copay. Routine hearing services: This plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids.Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000.00 maximum plan benefit for prescribed ...2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsAnthem Medicare Advantage (HMO) Location: Middlesex, Virginia Click to see other locations. Plan ID: H3447 - 013 - 0 Click to see other plans. Member Services: 1-844-395-1019 TTY users 711. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Date of Birth. The results below only indicate Medicaid Eligibility, you must also do the following prior to submitting an enrollment. Ensure consumer is also Medicare eligible. This can be completed by using the Medicare Eligibility Search tool located above. Provide the consumer with the LIS Summary table. Review plan details with the consumer.Anthem MediBlue Plus (HMO) Location: Spencer, Indiana Click to see other locations. Plan ID: H3447 - 042 - 4 Click to see other plans. Member Services: 1-855-251-8827 TTY users 711. — This plan information is for research purposes only. Click here to see plans for the current plan year.Get 2020 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits Detailsh5995-001 : or . health plan of careoregon, inc. h5859-001 . pa : pennsylvania health & wellness, inc. h2915-001 : pa . pennsylvania health & wellness, inc.H3447 - 011 - 0 Click to see other plans: Member Services: 1-855-363-0724 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Create Account. View the coverage and benefits provided in the Anthem Extra Help (HMO) plan from Anthem Blue Cross and Blue Shield. Alight Retiree Health Solutions represents Medicare plans from 59 insurers nationwide.After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name. Generic drugs. 25% coinsurance. Brand-name drugs. 25% ...Anthem Dual Advantage (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-047-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $26.90 Monthly Premium.Shop for Plans. Find Medicare Plans. Learn AboutThe M31-011-01 is an industrial-grade Gigabit Media Converter, featuring one 100/1000BASE-X SFP fiber port and one 10/100/1000BASE-T copper port in an IP30-rated rugged but compact-size case. Being able to operate under the temperature ranging from -40 to 75 degrees C, the M31-011-01 provides reliable, stable and continuous long-range …Anthem MediBlue Plus (HMO) Location: Spencer, Indiana Click to see other locations. Plan ID: H3447 - 042 - 4 Click to see other plans. Member Services: 1-855-251-8827 TTY users 711. — This plan information is for research purposes only. Click here to see plans for the current plan year.2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits ExplainedH3447 - 011 - 0 Click to see other plans: Member Services: 1-855-363-0724 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsH3447_028-000_VA_HMO Medicare Advantage and Part D Plan year: January 1 – December 31, 2024 Virginia Tidewater Region and other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Extra Help (HMO) of Benefits 3447028 O_1Plan ID: H3447-042-004 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Indiana Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and …Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3 ,000.00 maximum plan benefit for prescribed ...2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsHearing Benefits. In-Network: Medicare Covered Hearing Exam: $0.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid ...2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsH3447 - 014 - 0 Click to see other plans: Member Services: 1-844-395-1019 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.2021 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Dual Advantage (HMO D-SNP) Location: Orange, Indiana Click to see other locations. Plan ID: H3447 - 020 - 0 Click to see other plans. Member Services: 1-844-533-2021 TTY users 711.Sep 25, 2023 · Anthem Extra Help (HMO) Benefits included: Dental X-rays: include one full-mouth or panoramic X-ray and one set/ series of bitewing X-rays each year and up to seven periapical images per calendar year. Two fluoride treatments You pay 20% of the covered charges for certain restorative dental services (fillings).Get 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCIn-Network: Days 1-5: $325.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent care. Urgent Care: $50.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the ...Page 1 of 9 H3447_013-000_VA Enrollment form Anthem HealthKeepers Individual Enrollment Request Form-2024 Section 1-All fields below are required (unless marked optional). Please check the plan you want to enroll in. To add an Optional Supplemental Benefits (OSB) Package, check only one box from the options directly below the medical plan you ...HMO. Anthem Full Dual Advantage 2 (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Virginia and offered by the health insurance company Anthem HealthKeepers. This plan's network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.2022 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits Explained2023 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Star Rating Details2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) in VA - H3447-011- in VA Plan Benefits Details. Routine hearing services:1. This plan covers 1 routine hearingH3447 - 018 - 0 Click to see other plans: Me H3447 - 019 - 0 Click to see other plans: Member Services: 1-855-251-8826 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. 2021 Medicare Advantage Plan Details. Medicare Plan Na Mental health inpatient care. In-Network: Days 1-8: $210.00 per day, per admission / Days 9-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Mental health outpatient care. In-Network: Individual and Group Sessions: $40.00 copay. Outpatient services/surgery. In-Network: Mister O1 was born from the idea that an ...
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