North Texas Benefits2023-09-25T11:52:19-04:00
Home>Find a Plan>Texas Plans>North Texas Benefits

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!

2023 North Texas Benefits

Benefit/Coverage Original Medicare Prominence Plus
$0 Plan Premium
Provider Office Visits

w/$226 deductible
20% coinsurance

no deductibles
no referral to specialists
$0 primary care
$20 specialists
Inpatient Hospital Coverage

w/$1,600 deductible plus coinsurance and a lifetime maximum benefit.

no deductibles
$50 – $250 per day, days 1-5**
$0 per day, days 6-90
Telemedicine Visits

$0 copay per visit
$0 Lab Tests
Out-of-Pocket Maximum
(Limit to the amount you pay
for
 medical services each year)

$3,700
Prescription Drug Coverage

Now even more prescriptions available for $0
Preventive and Comprehensive
Dental Coverage

$2,000 per year
Vision Coverage
$200 yearly eyewear allowance
Hearing Aid Coverage
$600 per ear yearly allowance
Fitness Center Membership
Annual Comprehensive
Physical Exam
Over the Counter
Medications and Supplies
$10 monthly allowance

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

See additional plan and benefit information

Ready to Enroll?

You can enroll in Prominence Health Plan’s 2023 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!

2023 North Texas Benefits

Provider Office Visits
w/$226 deductible
20% coinsurance

Inpatient Hospital Coverage
w/$1,600 deductible plus coinsurance and a lifetime maximum benefit

$0 Plan Premium

Provider Office Visits
no deductibles
no referral to specialists
$0 primary care
$20 specialists

Inpatient Hospital Coverage
no deductibles
$50 – $250 per day, days 1-5**
$0 per day, days 6-90

Telemedicine Visits
$0 copay per visit

$0 Lab Tests

Out-of-Pocket Maximum (Limit to the amount you pay for medical services each year)
$3,700

Prescription Drug Coverage
Now even more prescriptions available for $0

Preventive and Comprehensive Dental Coverage
$2,000 per year

Vision Coverage
$200 yearly eyewear allowance

Hearing Aid Coverage
$600 per ear yearly allowance

Fitness Center Membership

Annual Comprehensive Physical Exam

Over the Counter Medications and Supplies
$10 monthly allowance

Y0109_WEBSITE23
Last update 12/5/2022