Which HAP Senior Plus plan is right for you? This chart summarizes the key hospital and medical benefits for each plan and how they compare.
Download the Summary of Benefits (requires Adobe Reader)
HAP Senior Plus – Henry Ford Health System Network
HAP Senior Plus – Expanded Network
| |
Original Medicare
|
HAP Senior Plus
Henry Ford Health System Network |
HAP Senior Plus
Expanded Network |
Monthly plan
premium*
|
Medicare Part B premium |
|
|
Upfront
deductible
for health
care services
|
Deductibles include $1,068 per hospital stay, medical services $133.50 annually* |
No deductible |
Doctor’s/
specialist’s
office visits |
20% of Medicare-approved amount |
$10/$25 per visit |
Hospital coverage
|
150-day limit.
$1,068 deductible plus copay after first 60 days ranging from $267 to $534 per day |
Unlimited days. $250 per admission |
Skilled nursing
facility
|
Minimum 3-day prior hospital stay.
Copay of $133.50 per day after first 20 days |
No prior hospital stay required
Copay of $133.50 per day after first 20 days |
| Home health care |
$0 |
$0 |
X-rays and lab
tests
|
20%† |
$0 |
Routine physical
exams, eye, and
hearing exams |
Not covered‡ |
$0** |
Mammograms,
pelvic exams,
prostate cancer
and colorectal
screening exams
|
20% of Medicare-approved amounts |
$0** |
Eyeglasses or
contacts (Subject
to limitations) |
Not covered |
One pair every 2 years |
| Hearing aids |
Not covered |
Covers up to $400 per year |
Worldwide emergency/
urgent care
coverage |
Coverage only within U.S. |
$50 /$30
Copay is waived if you are admitted to the hospital |
| Flexible health options |
None |
Benefit of up to $20/ month
($240/ year)*** |
| Optional dental coverage |
|
You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. Your monthly premium may be reduced if you qualify for extra financial assistance.
*Deductibles must be paid before coverage begins.
**Office visit copay may apply when services are rendered in a physician’s office.
***Unused amounts cannot be carried over from month to month.
†Except for approved lab services under Original Medicare
‡Except for “Welcome to Medicare” physical exam with Original Medicare
Benefits provided through individual plans and employer group plans may vary.
For more information (requires Adobe Reader)
Learn more about our plans and plan premiums
Download the HAP Senior Plus booklet
Learn details and key components of our plans
Download the Summary of Benefits
Talk with a plan representative
Our experienced plan representative can answer questions about your coverage, medications, or pharmacies.
Enrollment and customer service, call:
(800) 868-3153 toll free or
TDD (800) 956-4325 toll free
Monday through Friday
8:30 a.m. to 5 p.m.
You can also write to us at:
HAP Client Services
Attn: Medicare
2850 West Grand Boulevard
Detroit, Michigan 48202
Important information
The HAP Senior Plus contract with CMS is renewed annually. The availability of coverage beyond the end of the current contract year is not guaranteed.
