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Monthly Premium
Part C: $0, Part D: $8.80 TARGETED LIPSA
Max Out-of-Pocket
$9,050
Deductible
$0
Copays (PCP / Specialist)
$0
Dental
$0 preventive (e.g., exams, cleanings, x-rays and fluoride) and comprehensive dental (e.g., simple extractions, minor restorations, periodontics and other non-Medicare covered comprehensive dental services including extractions, crowns, implants and dentures).
Over-the-Counter Benefit
Flex card available
Vision
In-network: No cost routine eye exam every 2 years. Eyeglasses and contacts are covered: 1 paid every 2 years.
Hearing / Hearing Aids
$0 routine exam. Two hearing aids every 3 years (limit 1 hearing aid per ear every 3 years)
Inpatient Hospital
$0; Unlimited days
Preventive Care
No copay for services considered preventive.
Outpatient Diagnostics Labs, Procedures, Tests
$0
Emergency Room / Urgent Care
$0; Worldwide coverage; $10,000 limit
Physical, Occupational and Speech Therapy
$0
Prescription Coverage
Yes
Flex Card
Members get $210 per month† on a Healthy Benefits+ debit card to purchase approved services and items from eligible locations, including healthy food/produce*, over-the-counter (OTC) items, utility expenses*, personal care items*, pet care items* (excluding veterinary care and grooming), household cleaning items*, pest control items*, indoor air quality items*, home and bathroom safety items*, and dental, vision and hearing services and accessories.
Transportation
Unlimited one-way trips

Call HAP's licensed Medicare Advantage agents today.

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

(888) 447-3850 (TTY: 711)
or
Schedule an appointmentScheduleEnroll now

Call HAP's licensed Medicare Advantage agents today.

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

(888) 447-3850 (TTY: 711)

†Unused funds do not rollover to the next month.

*This benefit is a special supplemental benefit for the chronically ill (SSBCI) and is made available to members with one or more qualifying chronic conditions. Not all members will qualify for this benefit. Qualifying chronic conditions include but are not limited to diabetes, cardiovascular disorders, chronic lung disorders, cancer and dementia. For a complete list of qualifying chronic conditions please see the plan’s Evidence of Coverage (EOC). Professional Services are not included for pest control, indoor air quality, and home and bathroom safety devices.

Health Alliance Plan (HAP) has HMO, HMO C-SNP, HMO-POS, and PPO plans with Medicare contracts. HAP Medicare Complete Duals (HMO D-SNP), HAP Medicare Complete Assist (PPO D-SNP), and HAP CareSourceTM MI Coordinated Health (HMO D-SNP) are Medicare health plans with a Medicare contract and a contract with the Michigan Medicaid Program that provides benefits of both programs to enrollees. Enrollment depends on contract renewals.