Get the full scoop. Make informed decisions about your health care. Learn how much of your care and services are covered under your health plan.Find answers to common health care questions and be the first to know about any changes that may affect your health plan. It’s nice to know there’s someone who can answer your questions. Need help selecting a provider or answering a benefit question?Flu season is coming soon. Know where you can get your flu shot. Get help getting and staying healthy. Learn more about fitness programs in your area. Bring more flavors to your dinner table. Try these oh-so-delicious and healthier recipes. Our members are MVPs. Get value-added products and services at no additional cost to you. Be proactive about your health. Your health plan covers preventive services like various shots, screenings, and wellness visits. 100 DAY SUPPLY OF MEDICATIONS "100" is the new "90." Find out if your current medications are available in a 100-day supply for the same co-pay as 90 days.
The Centers for Medicare & Medicaid Services (CMS) values your feedback and works to continue the quality of the Medicare program. If you have a complaint you want to report, clicking this link will take you to the Medicare.gov website: CMS Medicare Complaint Form UnitedHealthcare Insurance Company complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llameal número de teléfono gratuito para miembros que aparece en la tarjeta de ID. PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Pakitawagan ang walang bayad na numero ng teleponong nakalista sa iyong ID card. Click here to learn about language assistance services Servicio de asistencia para idiomasSouthwest YMCA enriches kids, adults, families and communities through health, fitness and wellness programs, group exercise, personal training, youth sports, camps, family programs, swim lessons, and other activities for people of all ages and abilities.
We're more than your local health and fitness club with a pool and gym. At the Y, we help build a healthy spirit, mind and body for all with core values of caring, honesty, respect and responsibility at the heart of everything we do. Everyone is welcome at the Y. The YMCA is a nonprofit organization dedicated to building healthy, confident, connected and secure children, adults, families and communities. At the Y, our goal is that everyone, regardless of age, income or background, has the opportunity to learn, grow and thrive. Explore our site or download a Free Trial Pass to learn more about the Y and our programs. Join the Y, and get involved as a volunteer, donor, or employee. We look forward to serving you!Humana Gold Plus® is a Medicare Advantage Health Maintenance Organization (HMO) plan with a wide range of coverage for seniors. Humana has contracted with Medicare to provide you with services that are not covered by your Medicare Part A and Part B benefits under original Medicare.
Most Medicare Advantage Humana Gold Plus HMO Plans offer prescription drug coverage. With Gold Plus HMO Plans your out-of-pocket costs are reduced and more predictable than with the majority of other plans. You may enroll in Gold Plus HMO plan only during specific times of the year. You can compare this to Humana’s Gold Choice PFFs, Humana’s Part D Drug Plans, HumanaChoice PPO and Humana Enhanced PDP. Below is an example of one of the many plans offered by Humana. Humana Gold Plus H1951-013 (HMO) Office Visit for Primary Doctor $10 copay for each primary care doctor visit for Medicare-covered benefits. Office Visit for Specialist $10 to $25 copay for each specialist visit for Medicare-covered benefits. $0 copay for all preventive services covered under Original Medicare at zero cost sharing. $65 copay for Medicare-covered emergency room visits. $25,000 plan coverage limit for emergency services outside the U.S. every year. $200 copay for Florida Medicare-covered ambulance benefits.
$0 to $25 copay for Medicare-covered lab services. $0 to $50 copay for Medicare-covered diagnostic procedures and tests. $10 to $50 copay for Medicare-covered X-rays. $250 copay for each Medicare-covered ambulatory surgical center visit. $0 to $250 copay [or 20% of the cost] for each Medicare-covered outpatient hospital facility visit. $10 to $25 copay for Medicare-covered urgently needed care visits. No limit to the number of days covered by the plan each hospital stay. For Medicare-covered hospital stays: Days 1 – 7: $175 copay per day; Days 8 – 90: $0 copay per day; $0 copay for each additional hospital day. $10 copay for Medicare-covered Occupational Therapy visits. $10 copay for Medicare-covered Physical and/or Speech and Language Therapy visits. Plan covers up to 100 days each benefit period; No prior hospital stay is required. For SNF stays: Days 1 – 5: $0 copay per day; Days 6 – 20: $50 copay per day; Days 21 – 100: $100 copay per day. $0 copay for each Medicare-covered home health visit.
You must get care from a Medicare-certified hospice. Retail Pharmacy for Prescription Drugs You pay the following until total yearly drug costs reach $2,930: – $6 copay for a one-month (30-day) supply of drugs in this tier; – $18 copay for a three-month (90-day) supply of drugs in this tier. You pay the following until total yearly drug costs reach $2,930: – $10 copay for a one-month (30-day) supply of drugs in this tier; – $30 copay for a three-month (90-day) supply of drugs in this tier. You pay the following until total yearly drug costs reach $2,930: – $45 copay for a one-month (30-day) supply of drugs in this tier; – $135 copay for a three-month (90-day) supply of drugs in this tier. You pay the following until total yearly drug costs reach $2,930: – $95 copay for a one-month (30-day) supply of drugs in this tier; – $285 copay for a three-month (90-day) supply of drugs in this tier. 33% coinsurance for a one-month (30-day) supply of drugs in this tier.
Mail Order Pharmacy for Prescription Drugs You pay the following until total yearly drug costs reach $2,930: – $0 copay for a one-month (30-day) supply of drugs in this tier from a preferred mail order pharmacy; – $0 copay for a three-month (90-day) supply of drugs in this tier from a preferred mail order pharmacy. You pay the following until total yearly drug costs reach $2,930: – $45 copay for a one-month (30-day) supply of drugs in this tier from a preferred mail order pharmacy; – $125 copay for a three-month (90-day) supply of drugs in this tier from a preferred mail order pharmacy. You pay the following until total yearly drug costs reach $2,930: – $95 copay for a one-month (30-day) supply of drugs in this tier from a preferred mail order pharmacy; – $275 copay for a three-month (90-day) supply of drugs in this tier from a preferred mail order pharmacy. 33% coinsurance for a one-month (30-day) supply of drugs in this tier from a preferred mail order pharmacy.
$0 copay for the following preventive dental benefits: – $0 copay for up to 1 oral exam(s) every year; – $0 copay for up to 1 cleaning(s) every year; – $0 copay for up to 1 dental x-ray(s) every year. $25 copay for Medicare-covered dental benefits. In general, routine hearing exams and hearing aids not covered. – $25 copay for Medicare-covered diagnostic hearing exams. $0 copay for one pair of eyeglasses or contact lenses after cataract surgery. – $0 to $25 copay for exams to diagnose and treat diseases and conditions of the eye. – $0 copay for up to 1 supplemental routine eye exam(s) every year. $20 copay for each Medicare-covered visit. Medicare-covered chiropractic visits are for manual manipulation of the spine to correct subluxation (a displacement or misalignment of a joint or body part) if you get it from a chiropractor or other qualified providers. Outpatient Mental Health Coverage $25 copay for each Medicare-covered individual therapy visit, $25 copay for each Medicare-covered group therapy visit, $25 copay for each Medicare-covered individual therapy visit with a psychiatrist, $25 copay for each Medicare-covered group therapy visit with a psychiatrist, $25 copay for the cost for Medicare-covered partial hospitalization program services.