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2017 Plans & Rates

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Two plans that will rate well with your budget

Vital Traditions (HMO) gives your Original Medicare plan a real boost with a $0 monthly premium. If you need to see out-of-network providers, then consider Vital Traditions (HMO-POS) with a $20 monthly premium.


Full summary of benefits

Cost Comparison Vital Traditions (HMO)
You Pay
Vital Traditions (HMO-POS)
You Pay
Premiums $0 $20
Deductible No No
Inpatient Hospital Stay $250 copay per day for days 1 through 5.
You pay nothing per day for days 6 through 90.
In-network:

$250 copay per day for days 1 through 5. You pay nothing per day for days 6 through 90.

Out-of-network:
30% of the cost per stay
Doctor Office Visit $0 In-network: $0
Out-of-network: 30%
Specialist Office Visit $40 In-network: $40
Out-of-network: 30%
Prescription Drug Copay $2, $10, $45, $95, 31% $2, $10, $45, $95, 31%
 Hearing $40 copay on 1 hearing exam per year.

Hearing Aid covered up to $1,000 every 3 years. Supply of batteries and warranty included. You must use a Hear USA provider. 

In-network: Hearing Aid covered up to $1,000 every 3 years. Supply of batteries and warranty included. You must use a Hear USA provider. 

Out-of-network: Hearing aids, fittings and evaluation are not covered.
Vision $0 copay for routine eye exams

$125 eyewear allowance toward the total cost of hard contacts or frames or lenses or glasses 1 time per year. There is no copay for eyewear. Members must use a participating Superior Vision provider.
Routine eye exam:

In-network: $0 copay for routine eye exams

Out-of-network: Routine eye exams are Not covered. 

Eyeglasses (frames and lenses):

In-network: $125 eyewear allowance toward the total cost of hard contacts or frames or lenses or glasses 1 time per year. There is no copay for eyewear. Members must use a participating Superior Vision provider.

Out-of-network: Eyewear is not covered except following Medicare-covered services for glaucoma surgery.



Optional Dental Available for an extra premium of $17 per month Available for an extra premium of $17 per month

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, provider network, premium, and/or copayments/coinsurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium.