See your county’s
plan options.

4 Plans Available for 2024
Medical Rx
PCP: $0
Specialist: $20

Generics starting at $0; No annual deductible; 25% for generics and brand name in the Coverage Gap. $0 for generics and brand name in the Catastrophic Phase.

Monthly Premium: $0

Part B Premium Buy-Down
Lower your Part B premium by $20 a month
Over the Counter (OTC)
$50 allowance per calendar quarter
Outpatient Services
$275 ($0 at an Ambulatory Surgical Center and $0 for colonoscopies)
Inpatient Hospital
$290 per day, days 1-6; $0 additional days
Dental
$1,175 annual dental allowance
Eyewear
$150 annual eyewear allowance
Fitness
The Silver&Fit® Program; No cost

PCP: $0
Specialist: $20

Generics starting at $0; No annual deductible; 25% for generics and brand name in the Coverage Gap. $0 for generics and brand name in the Catastrophic Phase.

Monthly Premium: $46

Inpatient Hospital
$245 per day, days 1-6; $0 additional days
Outpatient Services
$225 ($0 at an Ambulatory Surgical Center and $0 for colonoscopies)
Over the Counter (OTC)
$65 allowance per calendar quarter
Dental
$1200 annual dental allowance
Eyewear
$150 annual eyewear allowance
Fitness
The Silver&Fit® Program; No cost

PCP: $0
Specialist: $15

Generics starting at $0; No annual deductible; 25% for generics and brand name in the Coverage Gap. $0 for generics and brand name in the Catastrophic Phase.

Monthly Premium: $96

Inpatient Hospital
$195 per day, days 1-6; $0 additional days
Outpatient Services
$175 ($0 at an Ambulatory Surgical Center and $0 for colonoscopies)
Over the Counter (OTC)
$95 allowance per calendar quarter
Dental
$1,600 annual dental allowance
Eyewear
$200 annual eyewear allowance
Fitness
The Silver&Fit® Program; No cost

PCP: $0
Specialist: $20

None

Monthly Premium: $0

Part B Premium Buy-Down
Lower your Part B premium by $65 a month
Inpatient Hospital
$290 per day, days 1-6; $0 additional days
Outpatient Services
$290 ($0 at an Ambulatory Surgical Center and $0 for colonoscopies)
Over the Counter (OTC)
$100 allowance per calendar quarter
Dental
$2000 annual dental allowance
Eyewear
$150 annual eyewear allowance
Fitness
The Silver&Fit® Program; No cost

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