2018 South Texas Medicare Advantage Plans2018-10-01T15:08:54+00:00

2018 South Texas Medicare Advantage Plan

Prominence Health Plan offers two plans in 2018 for residents of Brooks, Hidalgo and Starr counties: the Prominence Plus Plan (our $0 premium plan) and the Prominence Enhanced Plan, which includes additional benefits.

Both plans provide more coverage than Original Medicare, which has coverage gaps and may not offer the protection you need. Our plans have set copays, out-of-pocket maximum protection and no deductibles, which can make your healthcare costs more predictable and help you better manage your needs.

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Benefit / Coverage Prominence Plus

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Prominence Enhanced

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Original Medicare
$0 or Low Monthly
Plan Premium

$0

$27

w/deductible
20% coinsurance

Hospital Coverage

no deductibles
$250 per day, days 1 – 6

no deductibles
$200 per day, days 1 – 6

w/deductible
20% coinsurance

Provider Office Visits

$0 primary care
$35 – specialists

$0 primary care
$30 – specialists

w/deductible
20% coinsurance

Out-of-Pocket Maximum
(Limit to the amount you pay for Medical services each year)

$4,000

$3,400

Prescription Drug Coverage*
Worldwide Emergency Coverage
Preventive Dental
Fitness Center Membership
Annual Comprehensive Physical Exam
Over the Counter Medications and Supplies

$40 monthly allowance

$25 monthly allowance

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*You must continue to pay your Part B premium.

See a complete list of plan benefits

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Last update 9/26/2018