A non-government entity
Medical Associates Community Plan (Cost)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Medical Associates Community 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 Community Plan (Cost) in 2026, please refer to our full plan details page.
This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.
Medical Associates Community Plan (Cost) is a Cost plan offered by Medical Associates Clinic Health Plan available for the 2026 plan year to people living in Grant, Crawford, Iowa, Lafayette Counties. CMS star rating not available for 2026.
It's important to know that Medical Associates Community 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 Community 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 Community Plan (Cost), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $170.00. 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
Health deductible: information not available.
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 Community Plan (Cost)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
Drug Coverage
Prescription drugs are not covered by Medical Associates Community Plan (Cost).
Additional Benefits
The Medical Associates Community Plan (Cost) offers exceptionally low out-of-pocket costs, featuring no copays and no coinsurance for the vast majority of its covered services. Members benefit from cost-free coverage on inpatient and outpatient hospital stays, emergency care, primary and specialist visits, and skilled nursing facility care. Diagnostic hearing exams and one annual routine vision exam are also covered with no copays, coinsurance, or deductibles. However, this plan does have several coverage exclusions that potential members should keep in mind. Routine dental care, hearing aids, eyewear, and over-the-counter items are not covered under this plan. Additionally, home infusion services and certain transportation benefits are excluded from coverage.
Inpatient Hospital See details
Medical Associates Community Plan (Cost) partially covers inpatient hospital services with no copay and no coinsurance for unlimited acute and psychiatric stay days. While non-Medicare-covered stays are included, room upgrades for acute care are not covered.
Outpatient Services See details
Medical Associates Community Plan (Cost) covers outpatient hospital, ambulatory surgical center, and blood services with no copay and no coinsurance. Some outpatient substance abuse services are covered under the plan, but individual and group sessions are not covered.
Partial Hospitalization See details
Partial hospitalization is covered by the Medical Associates Community Plan (Cost) with no copay and no coinsurance.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under the Medical Associates Community Plan (Cost) with no copay and no coinsurance, although ground ambulance, air ambulance, and transportation services to health-related locations are not covered.
Emergency Services See details
Medical Associates Community Plan (Cost) covers emergency services, urgently needed services, and worldwide emergency services with no copay and no coinsurance. Worldwide coverage includes emergency care, urgent care, and emergency transportation with no maximum plan benefit limits.
Primary Care See details
Primary Care benefits under the Medical Associates Community Plan (Cost) are covered with no copay and no coinsurance for primary care, specialists, therapy, and podiatry. Chiropractic care is partially covered as other chiropractic services are not covered, and while some services are covered for mental health and psychiatry, individual sessions, group sessions, and additional telehealth benefits are not.
Preventive Services See details
Preventive Services are partially covered by the Medical Associates Community Plan (Cost), which features no copay and no coinsurance for annual physical exams, kidney disease education, and glaucoma screenings. However, several additional preventive benefits, including fitness programs, health education, weight management, alternative therapies, and counseling services, are not covered.
Hearing Services See details
Hearing services are covered by the Medical Associates Community Plan (Cost) with no copay and no coinsurance for diagnostic exams. While some services are covered, routine hearing exams, fitting and evaluations, OTC hearing aids, and all types of prescription hearing aids are not covered.
Vision Services See details
Medical Associates Community Plan (Cost) provides coverage for one routine eye exam per year with no copay, no coinsurance, and no deductible, though other eye exam services are not covered. Eyewear, including contact lenses, eyeglasses, frames, and lenses, is not covered under this plan.
Dental Services See details
Dental services are partially covered by the Medical Associates Community Plan (Cost), which offers Medicare-covered dental services with no copay and no coinsurance. However, routine and comprehensive dental services—including oral exams, cleanings, x-rays, and orthodontics—are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are not covered by the Medical Associates Community Plan (Cost), although insulin is covered. Medicare Part B insulin, chemotherapy, radiation, and other Part B drugs are not covered under this benefit.
Dialysis Services See details
Dialysis Services are covered by the Medical Associates Community Plan (Cost) with no copay and no coinsurance.
Medical Equipment See details
Medical Equipment is covered by the Medical Associates Community Plan (Cost) with no copay and no coinsurance for durable medical equipment (DME). 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
Diagnostic and Radiological Services are covered with no copay and no coinsurance under the Medical Associates Community Plan (Cost). Although some services are covered, diagnostic procedures and tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient x-ray services are not covered.
Home Health Services See details
Medical Associates Community Plan (Cost) covers Home Health Services with no copay and no coinsurance.
Cardiac Rehabilitation Services See details
Medical Associates Community Plan (Cost) covers some Cardiac Rehabilitation Services with no copay and no coinsurance, but specific services including cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD are not covered.
Skilled Nursing Facility (SNF) See details
Medical Associates Community Plan (Cost) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, including up to 30 additional days beyond the standard Medicare-covered limit per benefit period. Admission requires a prior three-day inpatient hospital stay, and no cost-sharing is charged on the day of discharge.
Other Services See details
Other services are not covered by the Medical Associates Community Plan (Cost), as acupuncture, over-the-counter (OTC) items, and meal benefits are all excluded from coverage.
Plan Providers
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
SMID: MULTIPLAN_HCIHNMEDADVRX27_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
© 2026 Dog Media Solutions LLC. All rights reserved