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Monthly Premium You must continue to pay your Medicare Part B premium. If you have a late enrollment penalty, it will still apply.
$165*
Max out of pocket
$4,000
Deductible
$0
Copays (PCP/Specialist)
$0/$25
Dental
$0 preventive - 2 cleanings, 2 exams, 2 fluoride treatments & a set of bite-wing x-rays per year. $0 copay, no deductible, maximum benefit of $2000 per calendar year. Comprehensive dental covered 50%. Delta Dental PPO only network.
Vision
$0 routine exam. $150 yearly allowance for eyeglasses or contact lenses. 20% discount over $150 base allowance for frames, lenses, lens options. 40% discount applies on the purchase of any additional eyeglasses; must use EyeMed provider.
Hearing / Hearing Aids
$0 routine exam. Copays for hearing aids - 1 per ear/per year; must use NationsHearing.
Inpatient Hospital
$250 Days 1-5, $0 for Days 6-90
Preventive Care
No copay for services considered preventive.
Outpatient Diagnostic Labs, Procedures, Tests
$0 lab tests. $0 - $150 copay depending on service.
Emergency Room / Urgent Care
$125/$45; worldwide coverage
Physical, Occupational and Speech Therapy
$15
Prepaid Benefits Mastercard
$125 per quarter for retail over-the-counter and more.
 * You must continue to pay your Medicare Part B premium. If you have a late enrollment penalty, it will still apply.  
HAP Senior Plus (HMO-POS), HAP Medicare MedicalAccess (HMO), HAP Senior Plus Henry Ford Tiered Access (HMO), HAP Medicare Connect (HMO), HAP Medicare Superior (HMO), Henry Ford Select (HMO), HAP Senior Plus (PPO), HAP Medicare Explore (PPO), HAP Medicare Prime (PPO), HAP Member Assist (PPO), HAP Medicare Diabetes and Heart (HMO C-SNP), and HAP CareSource™ MI Coordinated Health (HMO D-SNP) has a contract with Medicare. Enrollment depends on contract renewal.