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inurance organization provider

Medical Associates Clinic, P.C.

Plan ID: H1651-5-0

Medical Associates Community Plan (Cost)

2025 Medical Associates Community Plan (Cost) H1651005 0 is a Medicare Advantage plan . It has received a 4.5-out-of-5 star rating from CMS for 2025.

Learn more about Medical Associates Community Plan (Cost) H1651 - 005 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.

4.5 / 5 stars for 2025

$0.00 /mo

Monthly premium

$0

Out-of-pocket maximum

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Call to enroll

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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week!

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Plan Overview

2025 Medical Associates Community Plan (Cost) H1651005 0 is a Cost offered in JoDaviess County by Medical Associates Clinic, P.C.. It has a monthly premium of $154.00.

Premium Breakdown

Standard Part B Premium

$185.00

Part B premium reduction

- $0

Monthly Plan Premium

$154.00

Total Premium:

$339.00

Note:

The standard Medicare Part B premium for 2025 is $185.00. Your premium may differ based on factors like late enrollment, income (IRMAA), or disability status. Most people enrolled in Medicare Part B are required to pay this premium.

Special needs plan type

No

Out-of-pocket maximum

$0

Plan Organization:

Medical Associates Clinic, P.C.

Plan Type:

Cost

Location:

JoDaviess County

Drugs Covered:

No

Drug Formulary:

Not yet released

Pharmacies:

Not yet released

Doctor Choice:

Doctors Link:

Deductibles

The amount you must pay each year before your plan starts to pay for covered services or drugs.

Sign up for Medical Associates Community 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

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Drug Coverage

Medical Associates Community Plan (Cost) does not provide drug coverage. If drug coverage is something you need, you should consider shopping for other plans that do provide cost sharing on drugs.

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Additional Benefits

Medical Associates Community Plan (Cost) also provides the following benefits.

Note:

Limits, Authorizations, and Referrals may apply for the benefits below. Contact the plan for details.

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Comprehensive dental

Medical Associates Community Plan (Cost) does not provide this type of benefit.

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Preventive dental

Medical Associates Community Plan (Cost) does not provide this type of benefit.

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Diagnostic procedures/lab services/imaging

Diagnostic radiology services
Outpatient x-rays
$0 copay
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Diagnostic tests and procedures
$0 copay
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Lab services
$0 copay
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Doctor visits

Primary
$0 copay
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Specialist
$0 copay
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Emergency care/Urgent care

Urgent care
$0 copay
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Emergency
$0 copay
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Foot care (podiatry services)

Routine foot care
$0 copay
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Foot exams and treatment
$0 copay
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Ground ambulance

All service types
$0 copay
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Hearing

Hearing aids - outer ear
Not covered
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Hearing aids - over the ear
Not covered
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Fitting/evaluation
Not covered
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Hearing aids - inner ear
Not covered
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Hearing aids OTC
Not covered
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Medicare-Covered Hearing Exam
$0 copay
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Inpatient hospital coverage

All service types
$0 copay
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Outpatient hospital coverage

All service types
$0 copay
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Optional benefits

All service types
No
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Medical equipment/supplies

Durable medical equipment
Prosthetics
Diabetes supplies
$0 copay
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Medicare Part B drugs

Chemotherapy
$0 copay
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Other Part B drugs
$0 copay
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Part B Insulin drugs
$0 copay
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Mental health services

Inpatient hospital - psychiatric
$0 copay
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Outpatient group therapy visit
$0 copay
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Outpatient individual therapy visit
$0 copay
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Outpatient individual therapy visit with a psychiatrist
$0 copay
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Outpatient group therapy visit with a psychiatrist
$0 copay
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Preventive care

All service types
$0 copay
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Rehabilitation services

Occupational therapy visit
$0 copay
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Physical therapy and speech and language therapy visit
$0 copay
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Skilled Nursing Facility

All service types
$0 copay
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Transportation

All service types
Not covered
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Vision

Contact lenses
Not covered
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Eyeglass frames
Not covered
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Other
Not covered
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Routine eye exam
$0 copay
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Eyeglass lenses
Not covered
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Eyeglasses (frames and lenses)
Not covered
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Upgrades
Not covered
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Wellness programs (eg, fitness, nursing hotline)

All service types
Not covered
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Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

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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.

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, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.

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