HAP Medicare Advantage plans include vision, dental, hearing and over-the-counter benefits. And extras such as 24/7 access to a doctor online, $0 gym or fitness center membership and travel benefits.
HAP Senior Plus (HMO) - Medical Only
HAP is here, with HMO plans starting at $0*/ month
This Medicare Advantage plan comes with affordable premiums and copays so you can easily manage your health care costs. With this plan, you'll have access to thousands of leading doctors and hospitals in our full HMO network.
Plan highlights include:
- $0 monthly premium
- $0 annual medical deductible
- $0 copay for most preventive vaccinations
- $0 copay for primary care physician visits and $20 copay for specialists
- Plans include visitor/ traveler benefit extending your coverage to Arizona, Florida, Texas and Michigan (out-of-area). You can keep your current HAP coverage when traveling up to six months a year, and you'll get the same in-network cost sharing rates as at home
- Medical only plan is a great option for veterans
After enrolling in an HMO plan, you'll select a primary care physician from our established network of doctors. They will partner with you to manage your health and wellness, coordinating all the in-network primary and specialty care you need.
HAP Senior Plus (HMO) plan costs at a glance
Plan 019 (Medical Only)
(in addition to your Medicare Part B premium
and any late enrollment penalty you may owe)
Part B premium savings**: $50 per month
|Annual medical deductible||$0|
|Annual prescription drug deductible||N/A|
Primary doctor/ specialty visits
$210 per day
|Over-the-counter medication||$75 allowance/ quarter|
For more 2022 benefit information, download the 2022 summary of benefits.
If you are a veteran, our HAP Senior Plus medical only $0* plan can be combined with your VA benefits to ensure you get the level of care you need. Plus, you'll receive $600 per year in savings toward your Part B premium. Your Part B premium deduction from your Social Security check will be reduced by $50 each month.
You are eligible for this plan if you live in one of the following counties:
- St. Clair
You can join a HAP Medicare Advantage plan if you're eligible for Medicare Part A, enrolled in Medicare Part B, and you live in our service area.
Vision, dental, hearing and over-the-counter benefits
- Enhanced dental: provided by Delta Dental, our plans include includes $0 copays on preventive care: 2 cleanings, 2 exams and 1 set of bite-wing x-rays, plus $1,000 for comprehensive care including root canals, fillings and crown repair at 50%. If you want additional dental benefits, there's an option to add more coverage starting at $18.00.
- $0 vision: A routine vision exam and an annual eyewear allowance of $125 or more.
- $0 hearing: A routine hearing exam and a fitting/ evaluation exam for hearing aids through a NationsHearing provider. Hearing aid coverage available through the plan.
- Over-the-counter benefits: Up to $400 per year allowance for over-the-counter items and medications. Receive up to $100 allowance per quarter to help lower you costs on over-the-counter medications such as aspirin, and cough and cold remedies.
- Our preferred pharmacy network gives you the lowest price on prescriptions.
Extras you don't pay for that help your health
- 24/7 telehealth services – HAP Medicare members can use telehealth services for PCP visits, behavioral health and dermatology. Learn more about HAP's telehealth services.
- Visitor/Traveler benefits – enjoy in-network prices for copays when you visit any Medicare-participating provider when traveling depending on your plan type. HMO plans can travel to Arizona, Florida, Texas and Northern Michigan. PPO plans can travel to the 49 states outside of Michigan.
- Non-emergent transportation to a doctor’s office, pharmacy, or other medically necessary appointment. 24 one-way trips annually.
- Free prescription delivery – all HAP Medicare plans include free delivery of prescription drugs.
- $0 fitness options – With Peerfit® Move, you'll be able to take advantage of a variety of fitness options such as gyms, studios, online classes as well as at-home FitKits.
- Travel and fraud protection – Travel worry-free with global travel emergency services, including identity theft protection, 24/7 professional fraud support and help with unexpected medical expenses. The Assist America program is valid whenever you travel 100 miles or more away from home or outside the U.S. for no longer than 90 days in a row. Learn more about Assist America.
- Personal Emergency Response System (PERS) helps members live independently for those at risk of falls.
- Companion Care for members at risk of social isolation to provide emotional support and socialization.