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MAHP North Iowa Senior Plan (Cost)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for MAHP North Iowa Senior Plan (Cost). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on MAHP North Iowa Senior Plan (Cost) in 2026, please refer to our full plan details page.
MAHP North Iowa Senior Plan (Cost) is a Cost plan offered by Medical Associates Clinic, P.C. available for enrollment in 2025 to people living in North Iowa. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that MAHP North Iowa 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 MAHP North Iowa 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 MAHP North Iowa 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 MAHP North Iowa Senior Plan (Cost)
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Drug Coverage
Prescription drugs are not covered by MAHP North Iowa Senior Plan (Cost).
Additional Benefits
The MAHP North Iowa Senior Plan (Cost) offers comprehensive coverage for core medical services with no copay and no coinsurance, including inpatient hospital stays, outpatient care, primary and specialist doctor visits, and home health services. Beneficiaries also pay no copay or coinsurance for emergency care, dialysis, and durable medical equipment. Worldwide emergency services are available with no copay and a twenty percent coinsurance after a deductible is met. While essential services are highly covered, this plan does not cover many routine and supplemental benefits. Notable exclusions include routine dental care, eyeglasses, hearing aids, and non-emergency transportation. Additionally, cardiac rehabilitation and most Medicare Part B drugs are not covered, although insulin is included.
Inpatient Hospital See details
Inpatient hospital care is partially covered by the MAHP North Iowa Senior Plan (Cost) with no copay and no coinsurance for acute and psychiatric stays. However, additional days, non-Medicare-covered stays, and acute hospital upgrades are not covered.
Outpatient Services See details
MAHP North Iowa Senior Plan (Cost) covers outpatient hospital, ambulatory surgical center, and outpatient blood services with no copay and no coinsurance. Some outpatient substance abuse services are covered, but individual and group sessions are not covered.
Partial Hospitalization See details
MAHP North Iowa Senior Plan (Cost) covers partial hospitalization services with no copay and no coinsurance.
Ambulance and Transportation Services See details
MAHP North Iowa Senior Plan (Cost) covers some ambulance and transportation services with no copay and no coinsurance, but ground ambulance, air ambulance, and transportation to health-related locations are not covered.
Emergency Services See details
MAHP North Iowa Senior Plan (Cost) covers emergency and urgently needed services with no copay and no coinsurance. Worldwide emergency, urgent care, and emergency transportation are also covered with no copay and a 20% coinsurance after a deductible, up to a maximum plan benefit of $50,000.
Primary Care See details
MAHP North Iowa Senior Plan (Cost) covers primary care, specialist, occupational and physical therapy, podiatry, and opioid treatment services with no copay and no coinsurance. Some chiropractic, mental health specialty, and psychiatric services are covered with no copay and no coinsurance, but routine and other chiropractic care, individual and group mental health sessions, individual and group psychiatric sessions, and additional telehealth benefits are not covered.
Preventive Services See details
Preventive Services are partially covered by the MAHP North Iowa Senior Plan (Cost) with no copay and no coinsurance for annual physical exams, kidney disease education, and other screenings. However, several additional services are not covered, including health education, fitness, PERS, in-home safety, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home and caregiver support, smoking cessation, disease management, telemonitoring, remote access technologies, home modifications, and counseling.
Hearing Services See details
Hearing services are partially covered by the MAHP North Iowa Senior Plan (Cost), which offers covered hearing exams with no copay and no coinsurance. Routine hearing exams, hearing aid fittings and evaluations, prescription hearing aids, and OTC hearing aids are not covered.
Vision Services See details
Vision services are covered by the MAHP North Iowa Senior Plan (Cost) with no copay and no coinsurance. Eye exams are partially covered, offering one routine exam per year while excluding other eye exam services, and although some eyewear services are covered, contact lenses, eyeglasses, lenses, frames, and upgrades are not covered.
Dental Services See details
MAHP North Iowa Senior Plan (Cost) partially covers dental services, offering Medicare-covered dental services with no copay and no coinsurance. Non-Medicare dental services, including oral exams, cleanings, x-rays, fluoride treatments, restorative services, and orthodontics, are not covered.
Home Infusion bundled Services See details
MAHP North Iowa Senior Plan (Cost) does not cover Home Infusion bundled Services, Medicare Part B insulin drugs, chemotherapy or radiation drugs, or other Part B drugs, though insulin is covered.
Dialysis Services See details
Dialysis Services are covered under the MAHP North Iowa Senior Plan (Cost) with no copay and no coinsurance.
Medical Equipment See details
MAHP North Iowa Senior Plan (Cost) covers durable medical equipment with no copay and no coinsurance. While some other medical equipment services are covered, prosthetic devices, medical supplies, diabetic supplies, and diabetic therapeutic shoes or inserts are not covered under this plan.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the MAHP North Iowa Senior Plan (Cost) with no copay and no coinsurance. However, only some services are covered, as diagnostic procedures, lab services, diagnostic and therapeutic radiological services, and outpatient X-ray services are not covered.
Home Health Services See details
Home Health Services are covered under the MAHP North Iowa Senior Plan (Cost) with no copay and no coinsurance.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the MAHP North Iowa Senior Plan (Cost), as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the MAHP North Iowa Senior Plan (Cost) with no copay and no coinsurance for Medicare-covered days. A prior three-day inpatient hospital stay is required for admission, and the plan does not cover additional days beyond the standard Medicare benefit period.
Other Services See details
Other Services are not covered under the MAHP North Iowa Senior Plan (Cost), with acupuncture, over-the-counter (OTC) items, and meal benefits all excluded from coverage.
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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