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HAP Senior Plus (PPO)

4
Service Area
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Questions?
Call a HAP Medicare expert at: (833) 647-2333 (TTY: 711)
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.
Transportation
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 * You must continue to pay your Medicare Part B premium. If you have a late enrollment penalty, it will still apply.  
Health Alliance Plan (HAP) has HMO, HMO-POS, PPO plans with Medicare contracts. HAP Medicare Complete Duals (HMO D-SNP) and HAP Medicare Complete Assist (PPO D-SNP) are Medicare health plans with Medicare contracts and a contract with the Michigan Medicaid Program. Enrollment depends on contract renewals.