(800) 868-9885 (TTY: 711)
This Medicare Advantage HMO-POS (point of service) plans combines the best feature of an HMO plan with an out-of-network benefit. Similar to an HMO plan, you'll need to select an in-network primary care physician (PCP) to manage your care. You can use doctors, hospitals and providers outside of the network for an additional cost.
Plan highlights include:
After enrolling in an HMO-POS Medicare Advantage plan, you'll select a primary care physician from our established network of doctors. HAP Senior Plus (HMO-POS) offers the option to seek care outside of the plan’s wide network. However, you’ll save money by staying in the network and using any of the doctors, specialists and contracted hospitals within the 30-county Michigan area.
| Option 1 | Option 2 | |
| Monthly premium (in addition to your Medicare Part B premium any late enrollment penalty you may owe) |
$85 | $190 |
| Annual medical deductible | $100 in-network | $0 in-network |
| Annual prescription drug deductible | $0 | $0 |
| Maximum out-of-pocket | $4,200 | $4,000 |
| Primary doctor/ specialty visits | $15/$35 | $10/$30 |
| Inpatient Hospital |
$160 per day |
$135 per day |
| Over-the-counter medication | $75 allowance per quarter |
$75 allowance per quarter |
For more 2021 benefit information, download the 2021 summary of benefits and 2021 Medicare formulary.
You can enroll in this plan if you reside in the following counties:
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.
Speak with a licensed Medicare expert at 800-868-9885 (TTY: 711) to learn more or schedule an in-person appointment.
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Join a HAP Medicare Expert for an introduction to the basics of Medicare. This webinar will go over the parts of Medicare, explain the different
Join a HAP Medicare Expert for an introduction to the basics of Medicare. This webinar will go over the parts of Medicare, explain the different
Last updated 10/1/2020
*$0 copay applies for Tier 1 preferred generic prescriptions from preferred pharmacies only. A $6 copay will apply if a non-preferred pharmacy is used.
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Health Alliance Plan (HAP) has HMO, HMO-POS, PPO plans with Medicare contracts. HAP Empowered Duals (HMO SNP) is a Medicare health plan with a Medicare contract and a contract with the Michigan Medicaid Program. Enrollment depends on contract renewals.
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