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Medical Associates Freedom Plan (Cost)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Medical Associates Freedom 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 Freedom Plan (Cost) in 2025, please refer to our full plan details page.

Medical Associates Freedom Plan (Cost) is a Cost plan offered by Medical Associates Clinic, P.C. available for enrollment in 2025 to people living in Grant, Crawford, Iowa, Lafayette Counties. This plan received an overall rating of 5 out of 5 stars in 2025.

It's important to know that Medical Associates Freedom 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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about Medical Associates Freedom 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 Freedom 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:

Regular visits to your primary care doctor are covered and will have a copay of $0 (no copay) and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of $0 (no copay) and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of $0 (no copay) and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of $0 (no copay) and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for Medical Associates Freedom Plan (Cost)

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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 IconDrug Coverage

Prescription drugs are not covered by Medical Associates Freedom Plan (Cost).

Additional Benefits IconAdditional Benefits

The Medical Associates Freedom Plan (Cost) offers a range of benefits, including coverage for inpatient hospital stays, outpatient services, emergency services, primary care, preventive services, home health services, and skilled nursing facilities. Many of these services have no copay, such as ambulance services, emergency services, and home health services. However, this plan has limitations. It does not cover all services, such as contact lenses, hearing aids, and many dental services.

Inpatient Hospital See details

Inpatient Hospital benefits, including Acute and Psychiatric care, are covered, with additional days and non-Medicare-covered stays also covered. Upgrades for Inpatient Hospital-Acute are not covered.

Outpatient Services See details

Outpatient Services are covered, including all outpatient hospital services, observation services, ambulatory surgical center services, and outpatient blood services. Outpatient substance abuse services are partially covered; individual and group sessions are not covered.

Partial Hospitalization See details

Partial Hospitalization is covered by this plan. There is no information available about the cost of the service.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are covered by the Medical Associates Freedom Plan (Cost), with no copay or coinsurance for all ambulance services. However, ground and air ambulance services, as well as transportation services to any health-related location, are not covered.

Emergency Services See details

Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Medical Associates Freedom Plan (Cost), with no copay or coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation are also covered, with no copay or coinsurance.

Primary Care See details

The Medical Associates Freedom Plan (Cost) covers primary care physician services, chiropractic services, occupational therapy services, physician specialist services, podiatry services, other health care professional, psychiatric services, physical therapy and speech-language pathology services, and opioid treatment program services. Mental health specialty services, individual and group sessions for psychiatric services, and additional telehealth benefits are not covered.

Preventive Services See details

Preventive Services include coverage for Medicare-covered preventive services, Annual Physical Exams, Kidney Disease Education Services, Glaucoma Screenings, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKGs following a Welcome Visit. Some services are covered, but do not include Health Education, In-Home Safety Assessments, Personal Emergency Response Systems (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Fitness Benefit, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies, Home and Bathroom Safety Devices and Modifications, and Counseling Services.

Hearing Services See details

Hearing Services are covered under the Medical Associates Freedom Plan (Cost), but routine hearing exams, fitting/evaluation for hearing aids, and all types of prescription hearing aids are not covered. Over-the-counter hearing aids are also not covered.

Vision Services See details

Vision services include routine eye exams with no copay and are covered once per year, but do not cover contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, or upgrades.

Dental Services See details

Dental Services are partially covered under the Medical Associates Freedom Plan (Cost), 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.

Home Infusion bundled Services See details

Home Infusion bundled Services are not covered by the Medical Associates Freedom Plan (Cost).

Dialysis Services See details

Dialysis Services are covered by the plan. There is no information about the cost of these services.

Medical Equipment See details

Medical Equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. Durable Medical Equipment is covered with no copay or coinsurance, while Durable Medical Equipment for use outside the home is not covered. Prosthetics/Medical Supplies are covered with no copay or coinsurance, but Prosthetic Devices and Medical Supplies are not covered. Diabetic Equipment is covered, but Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are not covered.

Diagnostic and Radiological Services See details

Diagnostic and Radiological Services are covered by the Medical Associates Freedom Plan (Cost), but Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services are not covered. There is no copay for covered services.

Home Health Services See details

Home Health Services are covered by the Medical Associates Freedom Plan (Cost) with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are technically covered, but the plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. There is no cost information for these services.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered under the Medical Associates Freedom Plan (Cost), including additional days beyond Medicare, with up to 30 additional days per benefit period. Non-Medicare-covered stays for SNF are not covered.

Other Services See details

Other Services are partially covered by the Medical Associates Freedom Plan (Cost), but acupuncture, over-the-counter items, meal benefits, 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 are not covered. Other 1 services are covered with a copay between $25 and $500.

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