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HAP Medicare Complete Duals (HMO D-SNP)

4
Service Area
(888) 447-3850 Schedule virtual appointment
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Monthly Premium You must continue to pay your Medicare Part B premium. If you have a late enrollment penalty, it will still apply.
$0*
Max out of pocket
$8,850
Deductible
$0**
Copays (PCP/Specialist) You do not pay anything for services listed, as long as you are eligible for cost-sharing assistance under Medicaid.
$0**
Over-the-counter (OTC) benefit
$200 allowance/quarter and can rollover. Must use NationsOTC.
Vision
$0 routine exam. $300 yearly allowance for eyeglasses or contact lenses. 20% discount over $300 base allowance for frames, lenses, lens options. 40% discount applies on the purchase of any additional eyeglasses. Must obtain eyewear from an EyeMed provider.
Hearing / Hearing Aids
$0 routine exam. $1,000 allowance; 2 hearing aids/calendar year. Member must obtain hearing aids from a NationsHearing provider.
Inpatient Hospital You do not pay anything for services listed, as long as you are eligible for cost-sharing assistance under Medicaid.
$0**
Preventive Care
No copay for services considered preventive.
Outpatient Diagnostics Labs, Procedures, Tests You do not pay anything for services listed, as long as you are eligible for cost-sharing assistance under Medicaid.
$0**
Emergency Room / Urgent Care You do not pay anything for services listed, as long as you are eligible for cost-sharing assistance under Medicaid.
$0** no limit; worldwide coverage
Physical, Occupational and Speech Therapy You do not pay anything for services listed, as long as you are eligible for cost-sharing assistance under Medicaid.
$0**
Flex Card
$1300/yr benefit for dental, pest control, utilities, healthy food, home modifications
Call (888) 447-3850 to speak with a HAP Medicare Expert

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Call a HAP Medicare expert

(888) 447-3850 (TTY: 711)

Oct. 1 – March 31
8 a.m. to 8 p.m., Seven days a week

April 1 - Sept. 30
8 a.m. to 8 p.m., Monday through Friday

 
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By filling out this form and providing your telephone number, you agree HAP may call or text you to answer questions and provide additional information about Medicare products, health plan benefits and programs. Standard cellular phone and/or text message charges may apply from your wireless provider.

* You must continue to pay your Medicare Part B premium. If you have a late enrollment penalty, it will still apply.

** You do not pay anything for services listed, as long as you are eligible for cost-sharing assistance under Medicaid.

Health Alliance Plan (HAP) has HMO, HMO-POS, PPO plans with Medicare contracts. HAP Medicare Complete Duals (HMO D-SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Enrollment depends on contract renewals.