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2018 University of Maryland Health Advantage Complete (HMO)

The University of Maryland Health Advantage Complete plan (HMO) is a Medicare Advantage Prescription Drug Plan for those with Medicare A and B. This plan combines your Medical, Hospital and Prescription Drug coverage with extra services and personalized programs focused on improving your health.

To be eligible for University of Maryland Health Advantage Complete (HMO) plan, you must have Medicare Parts A & B and reside in the following Maryland counties: Anne Arundel, Baltimore, Baltimore City, Caroline, Carroll, Cecil, Charles, Dorchester, Howard, Harford, Kent, Montgomery, Prince Georges, Queen Anne’s, and Talbot.

Benefits What You Pay with University
of Maryland Health Advantage Complete

Monthly Plan Premium

$41 (may be lower depending
on Extra Help)

Part B Benefits Deductible

$0

Primary Care Physician Visit

$10 copayment

Specialist Visit

$45 copayment

Inpatient Hospital Care

Days 1-7: $275 copayment per day;
Days 8-90: $0 copayment;
Days 91-150: $0 (Lifetime Reserve Days)

Emergency Care

$80 copayment

Durable Medical Equipment

20% coinsurance

Part D Deductible

$0

Prescription Drug Coverage (30-day supply)

Preferred Generics: $4 copayment
Generics: $15 copayment
Preferred Brands: $47 copayment
Non-preferred Brands: $100 copayment
Specialty: 33% coinsurance

Preventive Services

$0 copayment

Preventive Dental

$45 copayment
  • Periodic oral exams (every 6 months)
  • Cleaning every 6 months
  • Dental x-rays (every 12 months)

 

Comprehensive Dental

$50 copayment

  • Comprehensive oral evaluation (every 3 years)
  • Bitewing x-rays (2 or 4 films) once per year
  • Endodontics (once per lifetime, per tooth)
  • Extractions (no limit)
  • Restorative services (4 per year, not to exceed 6 surfaces per year)
  • Periodontics (once per year)

Routine Eye Exam

$0 copayment

Contact Lenses & Eyeglasses
(Lenses and frames)

$150 allowance (every 2 years)

Routine Hearing and Hearing Aids

$0 copayment for 1 hearing test, once per year

$750 annual maximum allowance toward hearing aids

Care Management

$0 copayment

Annual Physical Exam

$0 copayment

 

University of Maryland Health Advantage Complete (HMO) covers all Medicare benefits plus:

  • Prescription Drugs
  • Preventive Dental
  • Vision
  • Hearing Exam and Hearing Aids
  • Annual Physical Exam
  • Care Management
  • 24/7 Nurse Hotline
  • And much more than Original Medicare, with lower out-of-pocket costs.