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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 2025, 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 Cedar, Benton, Delaware, Linn, Jones Counties (IA). This plan received an overall rating of 5 out of 5 stars in 2025.
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) covers a variety of services, including inpatient hospital stays, outpatient services, and emergency services, with no copay for many services like primary care, ambulance, and home health. The plan offers coverage for preventive services such as exams and screenings, as well as dialysis services and medical equipment. However, this plan has some significant limitations. Hearing, vision, and dental services are only partially covered or not covered at all. Additionally, services like home infusion, cardiac rehabilitation, and many "other services" are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits are partially covered under the Mercy Cedar Rapids Senior Plan (Cost), with coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, but not for additional days or non-Medicare-covered stays. Upgrades for Inpatient Hospital-Acute are also not covered.
Outpatient Services See details
Outpatient Services are covered, including outpatient hospital services, observation services, and ambulatory surgical center services. Outpatient substance abuse services are partially covered, as individual and group sessions are not covered, and outpatient blood services are covered with a waived three-pint deductible.
Partial Hospitalization See details
Partial Hospitalization is covered by the Mercy Cedar Rapids Senior Plan (Cost). There is no information about the cost of services.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are partially covered by the Mercy Cedar Rapids Senior Plan (Cost). All Ambulance Services are covered with no copay and no coinsurance, but Ground Ambulance Services and Air Ambulance Services are not covered. 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 under the Mercy Cedar Rapids Senior Plan (Cost). Emergency and Urgently Needed Services have no copay or coinsurance, while Worldwide Emergency Services have a $250 deductible, and a 20% coinsurance for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation, up to a maximum of $50,000.
Primary Care See details
Primary Care Physician Services, Occupational Therapy Services, Physician Specialist Services, Podiatry Services, Other Health Care Professional, Physical Therapy, Speech-Language Pathology Services, and Opioid Treatment Program Services are covered with no copay and no coinsurance. Chiropractic Services, Mental Health Specialty Services, Psychiatric Services, and Additional Telehealth Benefits are partially covered; routine chiropractic care, individual and group sessions for mental health and 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. Additional Preventive Services such as Health Education, In-Home Safety Assessments, Personal Emergency Response Systems, Medical Nutrition Therapy, and others are not covered.
Hearing Services See details
Hearing services are not covered by the Mercy Cedar Rapids Senior Plan (Cost), as routine hearing exams, fitting/evaluation for hearing aids, and prescription hearing aids (all types, inner ear, outer ear, and over the ear) are not covered, along with OTC hearing aids.
Vision Services See details
Vision Services include eye exams and eyewear benefits, but contact lenses, eyeglasses, eyeglass lenses, eyeglass frames, and upgrades are not covered. Routine eye exams are covered once per year.
Dental Services See details
Dental services are partially covered by the Mercy Cedar Rapids Senior Plan (Cost). While Medicare Dental Services are covered, 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 Mercy Cedar Rapids Senior Plan (Cost).
Dialysis Services See details
Dialysis Services are covered with this plan. There is no copay or coinsurance for this benefit.
Medical Equipment See details
Medical Equipment is covered under the Mercy Cedar Rapids Senior Plan (Cost), including Durable Medical Equipment (DME) and Prosthetics/Medical Supplies, with no copay or coinsurance. However, Durable Medical Equipment for use outside the home, Prosthetic Devices, Medical Supplies, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the Mercy Cedar Rapids Senior Plan (Cost), but Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services are not covered, and there is no copay.
Home Health Services See details
Home Health Services are covered by the Mercy Cedar Rapids Senior Plan (Cost), with no copay or coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are technically covered, but none of the sub-services, including Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services, are covered by the Mercy Cedar Rapids Senior Plan (Cost).
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but additional days beyond Medicare coverage and non-Medicare-covered stays are not covered. This plan does not provide SNF services as a supplemental benefit under Part C and does not allow less than a 3-day inpatient hospital stay prior to SNF admission.
Other Services See details
Other Services are not covered by the Mercy Cedar Rapids Senior Plan (Cost). These include acupuncture, over-the-counter items, meal benefits, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, private duty nursing services, and other 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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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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