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Medical Associates Basic Plan (Cost)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Medical Associates Basic Plan (Cost). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Medical Associates Basic Plan (Cost) in 2026, please refer to our full plan details page.
Medical Associates Basic Plan (Cost) is a Cost plan offered by Medical Associates Clinic, P.C. available for enrollment in 2025 to people living in Dubuque, Clayton, Delaware, Jackson,Jones Counties. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Medical Associates Basic Plan (Cost) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Medical Associates Basic Plan (Cost).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Medical Associates Basic Plan (Cost), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
We don't have information on the Maximum Out-Of-Pocket cost for this plan. You can call our licensed insurance specialists by clicking "Call to Enroll" below for more information.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for Medical Associates Basic Plan (Cost)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
Prescription drugs are not covered by Medical Associates Basic Plan (Cost).
Additional Benefits
The Medical Associates Basic Plan (Cost) offers coverage for essential medical needs with no copay and no coinsurance for most covered services. This includes inpatient and outpatient hospital stays, emergency services, primary and specialist care, and skilled nursing facility care. Additionally, members can access preventive screenings, dialysis, and home health services without any copayments or coinsurance. While core medical care is covered, the plan does not cover routine personal care services. Routine dental cleanings, eyeglasses, contact lenses, routine hearing exams, and hearing aids are excluded from coverage. Other common extras, such as fitness benefits, over-the-counter items, acupuncture, and home infusion services, are also not covered under this plan.
Inpatient Hospital See details
Medical Associates Basic Plan (Cost) partially covers inpatient acute and psychiatric hospital services with no copay and no coinsurance. However, additional hospital days, non-Medicare-covered stays, and acute room upgrades are not covered.
Outpatient Services See details
Outpatient services under the Medical Associates Basic Plan (Cost) are covered with no copay and no coinsurance for outpatient hospital, ambulatory surgical center, and blood services. Outpatient substance abuse services are not covered in practice because both individual and group sessions are not covered.
Partial Hospitalization See details
Partial hospitalization services are covered under the Medical Associates Basic Plan (Cost) with no copay and no coinsurance.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under the Medical Associates Basic Plan (Cost) with no copay and no coinsurance, though only some services are covered as ground ambulance, air ambulance, and transportation to health-related locations are not covered.
Emergency Services See details
Medical Associates Basic Plan (Cost) covers emergency and urgently needed services with no copay and no coinsurance. For worldwide emergency services, some services are covered, but worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation are not covered.
Primary Care See details
Medical Associates Basic Plan (Cost) covers primary care, specialist, occupational therapy, physical therapy, speech-language pathology, and opioid treatment services with no copay and no coinsurance. Podiatry and telehealth are not covered, and while some chiropractic, mental health, and psychiatric services are covered, routine and other chiropractic care, along with individual and group therapy sessions, are not covered.
Preventive Services See details
Medical Associates Basic Plan (Cost) covers Medicare-covered preventive services, kidney disease education, and select screenings with no copay and no coinsurance. However, annual physical exams and additional preventive services, including fitness benefits, health education, and in-home support, are not covered.
Hearing Services See details
Hearing services are partially covered under the Medical Associates Basic Plan (Cost), which offers diagnostic hearing exams with no copay and no coinsurance. While some prescription hearing aid services are covered, routine exams, fitting evaluations, OTC hearing aids, and all prescription hearing aid types—including inner ear, outer ear, and over the ear—are not covered.
Vision Services See details
Medical Associates Basic Plan (Cost) vision services feature no copay and no coinsurance with no deductible, but routine eye exams, contact lenses, and eyeglasses are not covered.
Dental Services See details
Medical Associates Basic Plan (Cost) dental services are partially covered, offering Medicare-covered dental services with no copay and no coinsurance. Other dental sub-services are not covered, including oral exams, dental x-rays, preventive cleanings, fluoride treatments, restorative services, endodontics, periodontics, prosthodontics, implants, and oral surgery.
Home Infusion bundled Services See details
Home infusion bundled services are not covered under the Medical Associates Basic Plan (Cost), which includes no coverage for Medicare Part B insulin, chemotherapy, radiation, or other Part B drugs.
Dialysis Services See details
Dialysis Services are covered under the Medical Associates Basic Plan (Cost) with no copay and no coinsurance.
Medical Equipment See details
Medical Associates Basic Plan (Cost) covers medical equipment, featuring durable medical equipment (DME) with no copay and no coinsurance. Although some services are covered, prosthetic devices, medical supplies, diabetic supplies, and diabetic therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
Medical Associates Basic Plan (Cost) covers diagnostic and radiological services with no copay and no coinsurance, but only some services are covered. Diagnostic procedures and tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient x-ray services are not covered under this plan.
Home Health Services See details
Home Health Services are covered under the Medical Associates Basic Plan (Cost) with no copay and no coinsurance.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the Medical Associates Basic Plan (Cost) with no copay and no coinsurance, though only some services are covered as standard cardiac, intensive cardiac, pulmonary, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
Medical Associates Basic Plan (Cost) covers Medicare-approved skilled nursing facility (SNF) services with no copay and no coinsurance. A three-day prior inpatient hospital stay is required for admission, and the plan does not cover additional days beyond the standard Medicare-covered limit.
Other Services See details
Other Services are covered under the Medical Associates Basic Plan (Cost), meaning some services are covered, but acupuncture, over-the-counter (OTC) items, and meal benefits are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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