Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for MyTruAdvantage Choice Complete (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on MyTruAdvantage Choice Complete (PPO) in 2026, please refer to our full plan details page.
MyTruAdvantage Choice Complete (PPO) is a PPO plan offered by SIHO Holding, Inc. available for enrollment in 2026 to people living in Indiana (Partial). This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that MyTruAdvantage Choice Complete (PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Below are a few key facts and commonly-asked questions about MyTruAdvantage Choice Complete (PPO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For MyTruAdvantage Choice Complete (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $34.80. 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.
This plan has a $200.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $3800.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $3800.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The MyTruAdvantage Choice Complete (PPO) Medicare plan features an annual prescription drug deductible of $200. Under this plan, you will benefit from no copay for Tier 1 preferred generic, Tier 2 generic, and Tier 6 select care drugs at both preferred and standard retail pharmacies. Standard mail order options also offer no copay on three-month supplies for these generic tiers, though small copays apply for shorter mail-order durations. For Tier 3 preferred brand drugs, copays range from $41 to $123 at preferred pharmacies and $47 to $141 at standard pharmacies depending on the supply duration. Higher-tier medications require coinsurance, with Tier 4 non-preferred brands requiring 28% coinsurance and Tier 5 specialty drugs requiring 30% coinsurance. This structured coverage allows you to plan your healthcare budget by choosing the most cost-effective pharmacy and drug options.
The MyTruAdvantage Choice Complete (PPO) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. Specialist visits require a $30 copay, while inpatient hospital stays have a $355 daily copay for the first six days followed by no copay for days seven through 90. Outpatient hospital and emergency services are covered with copays ranging from $35 to $350, with no coinsurance required. This plan also includes supplemental health benefits, such as dental care with no copay up to a $2,500 annual maximum and routine vision exams with no copay and a $300 annual eyewear allowance. Routine hearing exams have no copay, while prescription hearing aids require copays between $399 and $899. Additionally, members receive a $100 over-the-counter allowance every three months and skilled nursing facility stays with no copay for the first 20 days.
MyTruAdvantage Choice Complete (PPO) partially covers inpatient hospital services with no coinsurance and a copay of $355 per day for days 1 through 6, followed by no copay for days 7 through 90. Prior authorization is required, and non-Medicare-covered stays, room upgrades, and additional psychiatric days are not covered.
MyTruAdvantage Choice Complete (PPO) covers outpatient services with no coinsurance, including outpatient hospital services for a $35 to $350 copay and ambulatory surgical center services for a $275 copay. Outpatient substance abuse services require a $30 copay with no coinsurance, and outpatient blood services are covered with no copay and no coinsurance.
Partial hospitalization is covered by MyTruAdvantage Choice Complete (PPO) with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
MyTruAdvantage Choice Complete (PPO) covers ground ambulance services with a $260 copay and air ambulance services with a $325 copay, with no coinsurance required and fees waived if you are admitted to the hospital. Prior authorization is required for ambulance services, while routine transportation services to plan-approved or health-related locations are not covered.
MyTruAdvantage Choice Complete (PPO) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $30 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered up to a $100,000 limit with no coinsurance and copays ranging from $30 to $325.
MyTruAdvantage Choice Complete (PPO) covers primary care and opioid treatment services with no copay and no coinsurance, while specialist, occupational therapy, psychiatric, and mental health services require a $30 copay and no coinsurance. Physical and speech therapy require a $20 copay and no coinsurance, telehealth services range from a $0 to $30 copay with no coinsurance, and podiatry and chiropractic services are not covered.
MyTruAdvantage Choice Complete (PPO) offers partially covered Preventive Services with no copay and no coinsurance for covered benefits like annual physicals, kidney disease education, and fitness programs. However, sub-services such as health education, in-home safety assessments, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access technologies, home safety modifications, and counseling are not covered.
MyTruAdvantage Choice Complete (PPO) partially covers hearing services, offering routine exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are covered with no coinsurance and a copayment ranging from $399 to $899, though OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
MyTruAdvantage Choice Complete (PPO) features partially covered vision services with no copay, no coinsurance, and no deductible. Covered benefits include one routine eye exam per year and a $300 annual maximum for eyewear, while other eye exam services and upgrades are not covered.
MyTruAdvantage Choice Complete (PPO) partially covers dental services with no copay and no coinsurance up to an annual maximum benefit of $2,500 for both in-network and out-of-network care. While many preventive and comprehensive services are covered, other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, and orthodontics are not covered.
MyTruAdvantage Choice Complete (PPO) covers home infusion bundled services with no copay, subject to prior authorization. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs require no copay and 0% to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance.
Dialysis Services are covered under the MyTruAdvantage Choice Complete (PPO) plan with no copay and a 20% coinsurance, though prior authorization is required.
MyTruAdvantage Choice Complete (PPO) covers medical equipment with no copay, featuring a 20% coinsurance for durable medical equipment, prosthetics, and medical supplies. This benefit is partially covered because diabetic therapeutic shoes and inserts require a 15% coinsurance with no copay, while diabetic supplies are not covered.
MyTruAdvantage Choice Complete (PPO) covers diagnostic and radiological services with no coinsurance, though prior authorization is required for diagnostic services. Lab services carry a $10 copay, diagnostic procedures and X-rays have a $25 copay, diagnostic radiology has no copay, and therapeutic radiology requires a minimum $60 copay.
Home health services are covered under the MyTruAdvantage Choice Complete (PPO) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services are covered with no coinsurance under MyTruAdvantage Choice Complete (PPO), meaning some services are covered, but standard cardiac, intensive cardiac, pulmonary rehabilitation (each with a $35 copay), and SET for PAD services (with a $30 copay) are not covered.
MyTruAdvantage Choice Complete (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, but a prior three-day inpatient hospital stay is not, and additional days beyond the standard 100-day Medicare limit are not covered.
MyTruAdvantage Choice Complete (PPO) partially covers other services, providing a meal benefit for chronic illness and over-the-counter (OTC) items with no copay and no coinsurance. Covered OTC items include a $100 allowance every three months that carries forward if unused, while acupuncture is not covered.
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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.
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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, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
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