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Comparison of 2010 Medicare Plans

 

WHP Silver (HMO)

WHP Silver Rx (HMO)

WHP Platinum Rx (HMO)

Platinum Select Rx (HMO-POS)

Monthly Premium

$0

$60

$95

$150

Access to certain benefits out of the network.
Annual Deductible

$0

$0

$0

$0

PCP Office Visit

$20

$20

$15

$15

Specialist Office Visit

$35

$35

$25

$25

Inpatient Hospital Care
Days 1-5: $150/day
Days 6-10: $80/day

Days 11+: $0/day

Days 1-5: $150/day
Days 6-10: $80/day

Days 11+: $0/day

$400/hospital stay

$400/hospital stay

Emergency Room Visit - Not Admitted

$50 Worldwide

$50 Worldwide

$50 Worldwide

$50 Worldwide

Drug Coverage
(Generic)

No coverage
(you pay 100%)

$8 copay for
30-day supply

$4 copay for
30-day supply

$4 copay for
30-day supply

Drug Coverage
(Brand)

No coverage
(you pay 100%)

$39 copay for
30-day supply

$30 copay for
30-day supply

$30 copay for
30-day supply

Dental

$0 copay for Preventive Dental

Hearing

Yes

Vision

Yes

Personalized Fitness Program

Yes

 

H3044_H1558_WHPWeb (10/2009)

Welborn Health Plans
Welborn Health Plans

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