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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 |
$8 copay for |
$4 copay for |
$4 copay for |
| Drug Coverage (Brand) |
No coverage |
$39 copay for |
$30 copay for |
$30 copay for |
| Dental | $0 copay for Preventive Dental |
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| Hearing | Yes |
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| Vision | Yes |
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| Personalized Fitness Program | Yes |
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H3044_H1558_WHPWeb (10/2009)



