With some of the lowest out-of-pocket costs in the state.
All $0 Premium Medicare plans are not the same. If you're not
careful, you could get stuck with higher than expected
out-of-pocket costs. A $0 per month1 plan from VIVA
Medicare Plus comes with money saving features like
inpatient copays charged "per stay" as opposed to "per day" like
some other competing plans. Call us today to get a plan that is
designed to keep more money in your pocket, not out.
Need help choosing a plan? Call us today at 1-888-830-VIVA
(8482) or click here to contact us.
Enroll Now »
|
Amount You Pay |
| Premium |
$0 (Must still pay Part B premium) |
$0 (Must still pay Part B premium) |
$0 in addition to Part B monthly premium (Cost
sharing based on Medicaid eligibility) |
| Inpatient Copay (includes Mental Health) |
$500 per stay (Not per day)
$2,500 Max OOP |
$450 per stay (Not per day)
$2,250 Max OOP |
$0
|
| SNF Copay |
$85/day for days 1-30;
$0/day for days 31-100.
$2,550 Max OOP |
$85/day for days 1-30;
$0/day for days 31-100.
$2,550 Max OOP |
$0 |
| PCP Copay |
$20 |
$15 |
$0 |
| Specialist Copay |
$30 |
$25 |
$0 |
| Outpatient Surgery Copay |
$335 per procedure $2,010 Max OOP |
$250 per procedure $1,500 Max OOP |
$0 |
| Ambulance Services |
$175 per one-way trip |
$150 per one-way trip |
$0 |
| ER Visit |
$50 (Waived if admitted to hospital within 24
hours) |
$50 (Waived if admitted to hospital within 24
hours) |
$0 |
| Lab and X-Ray Copays |
$0 |
$0 |
$0 |
| Diagnostic procedures/tests |
$0 |
$0 |
$0 |
| Diagnostic Radiology |
$40 |
$40 |
$0 |
| Radiation Therapy |
$40 |
$40 |
$0 |
| Prescription Coverage |
Yes |
No |
Yes. Cost sharing depends on income and
institutional status |
| Part D Deductible |
$265 |
N/A |
$0 |
| 1-Generics |
$5 |
N/A |
$0, $1.10, $2.50 |
| 2-Preferred Brand |
$30 |
N/A |
$0, $3.30, $6.30 |
| 3-Non-Preferred Brand |
$55 |
N/A |
$0, $3.30, $6.30 |
| 4-Specialty |
26% |
N/A |
$0, $1.10, $2.50 (Generics)
$0, $3.30, $6.30 (Brands) |
| Prescription Gap Coverage |
You pay 100% |
N/A |
All drugs covered in the gap
|
| Health/Wellness Education |
$20 per month at a participating health club |
$20 per month at a participating health club |
$20 per month at a participating health club |
This table is a brief comparison of copays for frequently used
benefits among the $0 premium plans offered by VIVA Medicare Plus.
Other plans not shown here with a monthly premium are available if
you would like a plan with lower copays. This is a summary only.
For complete details on plan benefits and limitations, please see
the Evidence of
Coverage.
1You continue to pay your Part B premium to
Medicare (In some instances, Medicaid may assist in paying your
Part B Premium).
**These plans ONLY available if you have Medicare & Medicaid
(Full Medicaid, QMB/QMB+, SLMB/SLMB+, QDWI, QI-I)