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Mercy Cedar Rapids Senior Plan (Cost)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Mercy Cedar Rapids Senior Plan (Cost). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Mercy Cedar Rapids Senior Plan (Cost) in 2026, please refer to our full plan details page.
Mercy Cedar Rapids Senior Plan (Cost) is a Cost plan offered by Medical Associates Clinic, P.C. available for enrollment in 2025 to people living in Linn County (IA). This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that Mercy Cedar Rapids 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 Mercy Cedar Rapids 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 Mercy Cedar Rapids 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 Mercy Cedar Rapids 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 Mercy Cedar Rapids Senior Plan (Cost).
Additional Benefits
The Mercy Cedar Rapids Senior Plan (Cost) provides robust coverage for essential medical services with no copay and no coinsurance for inpatient hospital stays, outpatient care, primary and specialist visits, and preventive services. Members also benefit from no copay or coinsurance for home health care, dialysis, durable medical equipment, and skilled nursing facility services following a qualified hospital stay. Emergency and urgently needed care are fully covered with no copay or coinsurance, while worldwide emergency services require a twenty percent coinsurance after a deductible. While the plan offers excellent cost savings on core medical needs, coverage is limited for ancillary health services. Routine dental, vision eyewear, hearing aids, and routine chiropractic care are not covered, though basic diagnostic exams for these services are available at no cost. Additionally, the plan does not cover prescription Part B drugs, home infusion services, or non-Medicare-covered items like over-the-counter benefits and acupuncture.
Inpatient Hospital See details
Mercy Cedar Rapids Senior Plan (Cost) partially covers inpatient hospital services, including acute and psychiatric stays, with no copay and no coinsurance. However, additional hospital days, non-Medicare-covered stays, and room upgrades are not covered.
Outpatient Services See details
Outpatient services under the Mercy Cedar Rapids Senior Plan (Cost) are covered with no copay and no coinsurance for outpatient hospital, ambulatory surgical center, and blood services. For outpatient substance abuse services, some services are covered with no copay or coinsurance, but individual and group sessions are not covered.
Partial Hospitalization See details
Partial hospitalization is covered by the Mercy Cedar Rapids Senior Plan (Cost) with no copay and no coinsurance.
Ambulance and Transportation Services See details
Mercy Cedar Rapids Senior Plan (Cost) covers some ambulance and transportation services with no copay or coinsurance, though ground ambulance, air ambulance, and health-related transportation services are not covered.
Emergency Services See details
Mercy Cedar Rapids Senior Plan (Cost) covers emergency and urgently needed services with no copay or coinsurance. Worldwide emergency, urgent care, and emergency transportation are also covered with no copay and a 20% coinsurance after a deductible, up to a $50,000 maximum benefit.
Primary Care See details
Mercy Cedar Rapids Senior Plan (Cost) offers primary care, specialist, occupational and physical therapy, podiatry (up to 4 routine visits annually), and opioid treatment services with no copay and no coinsurance. Some chiropractic, mental health, and psychiatric services are covered with no copay or coinsurance, but routine chiropractic care, individual and group sessions for psychiatric and mental health services, and telehealth benefits are not covered.
Preventive Services See details
Mercy Cedar Rapids Senior Plan (Cost) covers preventive services, including annual physical exams, kidney disease education, and select screenings, with no copay and no coinsurance. However, additional preventive benefits such as fitness programs, health education, and in-home support are not covered.
Hearing Services See details
Mercy Cedar Rapids Senior Plan (Cost) partially covers hearing services, offering diagnostic hearing exams with no copay and no coinsurance. However, routine exams, fitting evaluations, and OTC hearing aids are not covered, and while some prescription hearing aid services are covered, no specific types—including inner ear, outer ear, and over the ear—are covered in practice.
Vision Services See details
Mercy Cedar Rapids Senior Plan (Cost) offers partially covered vision services, which include one routine eye exam every year with no copay and no coinsurance. Other eye exam services and all eyewear, including contact lenses, eyeglasses, frames, lenses, and upgrades, are not covered.
Dental Services See details
Mercy Cedar Rapids Senior Plan (Cost) dental services are partially covered, providing Medicare-covered dental services with no copay and no coinsurance. However, other dental services—including routine cleanings, oral exams, x-rays, preventive care, restorative services, and orthodontics—are not covered.
Home Infusion bundled Services See details
Mercy Cedar Rapids Senior Plan (Cost) does not cover Home Infusion bundled services, Medicare Part B chemotherapy and radiation drugs, or other Part B drugs. While some insulin services are covered, Medicare Part B insulin drugs are not covered under this plan.
Dialysis Services See details
Mercy Cedar Rapids Senior Plan (Cost) covers Dialysis Services with no copay and no coinsurance.
Medical Equipment See details
Mercy Cedar Rapids Senior Plan (Cost) covers durable medical equipment with no copay and no coinsurance. While non-Medicare prosthetics, medical supplies, and diabetic equipment are technically covered with no copay or coinsurance, only some services are covered because prosthetic devices, medical supplies, diabetic supplies, and therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under the Mercy Cedar Rapids Senior Plan (Cost) with no copay and no coinsurance. While some services are covered, diagnostic procedures, lab services, diagnostic and therapeutic radiological services, and outpatient X-rays are not covered.
Home Health Services See details
Home Health Services are covered under the Mercy Cedar Rapids Senior Plan (Cost) with no copay and no coinsurance. This means you will pay nothing for covered medical care provided in the comfort of your home.
Cardiac Rehabilitation Services See details
Mercy Cedar Rapids Senior Plan (Cost) covers Cardiac Rehabilitation Services with no copay and no coinsurance. However, only some services are covered in practice, as Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
Mercy Cedar Rapids Senior Plan (Cost) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, following Original Medicare guidelines which require a three-day inpatient hospital stay prior to admission. Additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are not covered under the Mercy Cedar Rapids Senior Plan (Cost), as acupuncture, over-the-counter (OTC) items, and meal benefits are all excluded from coverage.
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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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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.
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