WebThis plan (Optima Medicare Value (HMO)) offers No Coverage during the Coverage Gap phase. The Optima Medicare Value (HMO) offers many Health and Prescription Drug Coverage Benefits. The following section will describe these benefits in detail. ** Base Plan ** Premium • Health plan premium: $0 • Drug plan premium: $0 WebOptima Health Benefits Dental Benefits Description Benefit General FeaturesDeductible and benefit maximum $50 individual; $150 family $2,000 Annual Benefit Maximum Diagnostic/PreventiveCleanings, X-rays, fluoride Covered at 100% Basic ServicesFillings, root canals, extractions, periodontics 20% after deductible
Evidence of Coverage 2024
WebOptimaFit Individual and Family Plans Medicare Advantage Plans* Material Option Evidence of Coverage (EOC) Annual Notice of Changes Pharmacy Formulary Please contact member services at 1-800-927-6048 (TTY:711) to request a printed provider directory. Member Services hours vary by time of year: October 1–March 31 7 days a week 8 AM–8 PM WebFeb 1, 2024 · The Coverage Summaries are based upon: (1) Medicare publications relating to coverage determinations; (2) laws and regulations which may be applicable to … impact village baltimore
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WebEvidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of our plan This document gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2024. This is an important legal document. Please keep it in a safe place. WebWelcome to Optima Health. We are happy to be providing Your health benefits. This is Your Optima Health Evidence of Coverage or EOC. The EOC tells You how to make the most of … WebPlan Name. Optima Medicare Advantage Plans. OptimaFit Individual and Family Plans. Medicare Advantage Plans*. Material Option. Evidence of Coverage (EOC) Annual Notice … impact vision pilot