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Central Iowa Health Senior Plan (Cost)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Central Iowa Health Senior Plan (Cost). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Central Iowa Health Senior Plan (Cost) in 2025, please refer to our full plan details page.
Central Iowa Health Senior Plan (Cost) is a Cost plan offered by Medical Associates Clinic, P.C. available for enrollment in 2025 to people living in Central Iowa. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that Central Iowa Health Senior 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 Central Iowa Health Senior 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 Central Iowa Health Senior 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 Central Iowa Health Senior 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 Central Iowa Health Senior Plan (Cost).
Additional Benefits
The Central Iowa Health Senior Plan (Cost) covers inpatient and outpatient services, including ambulance services with no copay. Emergency services and urgently needed services also have no copay. Additionally, the plan offers coverage for primary care, preventive services, vision services, dental services, dialysis services, medical equipment, diagnostic and radiological services, and home health services. However, this plan does not cover hearing services, home infusion bundled services, cardiac rehabilitation services, skilled nursing facility services beyond Original Medicare, and other services such as acupuncture and over-the-counter items. While some services like ambulance and diagnostic services have no copay, it's important to note that this plan follows Original Medicare for some services, and additional days or non-Medicare-covered stays may not be included.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, but additional days for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, and non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered. This plan follows Original Medicare for periodicity.
Outpatient Services See details
Outpatient Services, including Outpatient Hospital Services, Observation Services, Ambulatory Surgical Center (ASC) Services, and Outpatient Blood Services, are covered; however, Individual and Group Sessions for Outpatient Substance Abuse are not covered. Outpatient Blood Services include an enhanced benefit with three pints deductible waived.
Partial Hospitalization See details
Partial Hospitalization is covered by the Central Iowa Health Senior Plan (Cost). There is no information about the cost of this benefit in the provided snippet.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the Central Iowa Health Senior Plan (Cost), with no copay or coinsurance for all ambulance services. However, ground ambulance, air ambulance, transportation services to a plan-approved health-related location, and transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services are covered under the Central Iowa Health Senior Plan (Cost), with no copay and no coinsurance for Emergency Services and Urgently Needed Services. Worldwide Emergency Services have a $250 deductible and 20% coinsurance for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation, with a maximum plan benefit coverage of $50,000.
Primary Care See details
Primary Care benefits include coverage for Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, and Opioid Treatment Program Services. Occupational Therapy and Physical Therapy/Speech-Language Pathology Services have no copay or coinsurance, while Routine Foot Care is covered, with 6 visits per year. Routine Chiropractic Care, Individual and Group Sessions for Mental Health Specialty Services, Individual and Group Sessions for Psychiatric Services, and Additional Telehealth Benefits are not covered.
Preventive Services See details
The Central Iowa Health Senior Plan (Cost) covers preventive services, including Medicare-covered preventive services, annual physical exams, glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a Welcome Visit. Additional preventive services like health education, in-home safety assessments, and others are not covered.
Hearing Services See details
Hearing Services are not covered by the Central Iowa Health Senior Plan (Cost). Specifically, routine hearing exams, fitting/evaluation for hearing aids, prescription hearing aids (all types, inner ear, outer ear, and over the ear), and OTC hearing aids are not covered.
Vision Services See details
Vision services include routine eye exams once per year, with no deductible. Eyewear is covered, but contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are covered, but orthodontic services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, implant services, oral and maxillofacial surgery, and orthodontics are not covered. Medicare Dental Services are covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are not covered by the Central Iowa Health Senior Plan (Cost).
Dialysis Services See details
Dialysis Services are covered by the Central Iowa Health Senior Plan (Cost). There is no copay or coinsurance for this benefit.
Medical Equipment See details
Medical Equipment is covered under the Central Iowa Health Senior Plan (Cost), with no copay or coinsurance for Durable Medical Equipment, Prosthetics/Medical Supplies, and Diabetic Equipment, however, some services are not covered, including Durable Medical Equipment for use outside the home, Prosthetic Devices, Medical Supplies, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the Central Iowa Health Senior Plan (Cost), but the specific services of Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services are not covered. There is no copay for these services.
Home Health Services See details
Home Health Services are covered by the Central Iowa Health Senior Plan (Cost) with no copay and no coinsurance, but Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Central Iowa Health Senior Plan (Cost). Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are also not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under Original Medicare, but additional days beyond Medicare-covered SNF stays and non-Medicare-covered SNF stays are not covered by the Central Iowa Health Senior Plan (Cost).
Other Services See details
Other Services are not covered by the Central Iowa Health Senior Plan (Cost). This includes acupuncture, over-the-counter items, meal benefits, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services.
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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