North Texas Benefits2024-01-04T13:29:43-05:00
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North Texas Plan Benefit Overview

2024 North Texas Benefits

Benefit/Coverage Plus GIVEBACK $80
Inpatient Hospital * $50-$250/day,
days 1-5		 $275-$375/day,
days 1-6
Doctor Visits $0 Primary Care
$20 Specialist		 $0 Primary Care
$30 Specialist
Prescription Drug Coverage Many drugs for $0 Many drugs for $0
Emergency Visits $110-$135 $90-$120
X-rays, CT Scans & MRIs $0 X-rays
$60 CT & MRI		 $0 X-rays
$75 CT & MRI
Urgent Care $30 $20
Chiropractic (Routine & Medicare Covered) $10 $20
PLUS, ADDED VALUE!
Dental Coverage $2,000 $1,500
Premium Dental Coverage $7,500 total coverage
$30 monthly premium		 $7,500 total coverage
$31 monthly premium
Transportation
(Rides to health-related locations)		 Unlimited rides Unlimited rides
Vision Care $200 allowance
for glasses or contacts
+ $0 eye exams		 $200 allowance
for glasses or contacts
+ $0 eye exams
Hearing Aid Coverage $600 per ear
hearing aid allowance
+ $0 hearing exams		 $0 hearing exams
Over-the-Counter (OTC) $85 per quarter $60 per quarter

You must continue to pay your Part B premium.
*Copay depends on hospital used.

See additional plan and benefit information
Download benefit information

Ready to Enroll?

You can enroll in Prominence Health Plan’s 2024 Medicare Advantage plan if you have Medicare Parts A and B and it is either the Annual Election Period (AEP), Medicare’s Open Enrollment Period or you have a Special Election Period.

Enroll today!

North Texas Plan Benefit Overview

2024 North Texas Benefits

Inpatient Hospital *
$50-$250/day,
days 1-5

Doctor Visits
$0 Primary Care
$20 Specialist

Prescription Drug Coverage
Many drugs for $0

Emergency Visits
$110-$135

X-rays, CT Scans & MRIs
$0 X-rays
$60 CT & MRI

Urgent Care
$30

Chiropractic (Routine & Medicare Covered)
$10

PLUS, ADDED VALUE!

Dental Coverage
$2,000

Premium Dental Coverage
$7,500 total coverage
$30 monthly premium

Transportation
(Rides to health-related locations)
Unlimited rides

Vision Care
$200 allowance
for glasses or contacts
+ $0 eye exams

Hearing Aid Coverage
$600 per ear
hearing aid allowance
+ $0 hearing exams

Over-the-Counter (OTC)
$85 per quarter

Inpatient Hospital *
$275-$375/day,
days 1-6

Doctor Visits
$0 Primary Care
$30 Specialist

Prescription Drug Coverage
Many drugs for $0

Emergency Visits
$90-$120

X-rays, CT Scans & MRIs
$0 X-rays
$75 CT & MRI

Urgent Care
$20

Chiropractic (Routine & Medicare Covered)
$20

PLUS, ADDED VALUE!

Dental Coverage
$1,500

Premium Dental Coverage
$7,500 total coverage
$31 monthly premium

Transportation
(Rides to health-related locations)
Unlimited rides

Vision Care
$200 allowance
for glasses or contacts
+ $0 eye exams

Hearing Aid Coverage
$0 hearing exams

Over-the-Counter (OTC)
$60 per quarter

You must continue to pay your Part B premium.
*Copay depends on hospital used.

See additional plan and benefit information
Download benefit information

Ready to Enroll?

You can enroll in Prominence Health Plan’s 2024 Medicare Advantage plan if you have Medicare Parts A and B and it is either the Annual Election Period (AEP), Medicare’s Open Enrollment Period or you have a Special Election Period.

Enroll today!

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Last update 1/2/2024