SummaCare Medicare Advantage plans cover everything Original Medicare covers and more! See the Summaries of Benefits for coverage amounts, limitations and copays for each of these:
Preventive Dental Coverage
In general, Part A covers: Inpatient care in a hospital. Skilled nursing facility care. Nursing home care (inpatient care in a skilled nursing facility that’s not custodial or long-term care) Hospice care. Home health care. 2 ways to find out if Medicare covers what you need. Talk to your doctor or other health care provider about why you. Medicare uses the modified adjusted gross income reported on your IRS tax return from 2 years ago. This is the most recent tax return information provided to Social Security by the IRS. The standard Part B premium amount in 2021 is $148.50. Most people pay the standard Part B premium amount. Most 2020 Medicare members must pay a monthly premium of $144.60. If you don't enroll in Medicare Part B as soon as you are eligible, you could be assessed a late enrollment penalty when you do enroll. The penalty could be as high as a 10% increase in your premium for each 12-month period that you were eligible but not enrolled.
You’re covered for a cleaning, an X-ray and an exam every year plus visits for dental pain through the Delta Dental Medicare Advantage PPO network. Enhanced dental coverage can be purchased for an additional monthly premium.
Prescription Eyewear Allowance
You’ll receive an annual allowance to use toward the purchase of frames/lenses or contact lenses – with the freedom to visit any vision provider you choose. Simply submit a reimbursement form and your receipt to us and you’ll be reimbursed up to your annual allowance.
Medicare Part A Deductible 2020
Hearing Aid CoverageYou’re covered for select models of one hearing aid per ear every three years, after paying a $795 copay per hearing aid.
Free Gym Memberships through SilverSneakers®
The SilverSneakers fitness program is the nation’s leading wellness program for Medicare beneficiaries. You’ll receive a free fitness membership with access to basic amenities, group exercise
classes and online resources. Learn More.
Services through Teladoc®
You’re covered to speak with a licensed physician by web, phone or mobile app through Teladoc for primary care physician, dermatology and/or behavorial health visits that can be scheduled 24 hours a day, 365 days a year. Learn more.
You’re covered for trips to routine medical appointments to an in-network provider or a provider within SummaCare’s service area through SummaCare’s transportation vendor, Homelink.
Home Safety Devices
If you have certain diagnoses (as defined in the Summary of Benefits documents), you may qualify for coverage for home safety devices, such as grab bars, shower stools and more, if ordered by
Part D Prescription Drug Coverage*
SummaCare Medicare Advantage Prescription Drug plans include Part D Prescription Drug Coverage, including coverage for Tier 1 preferred generic drugs, Tier 6 vaccines and common generic over the-counter (OTC) drugs at applicable copays – even through the coverage gap!
New for 2020! Over-the-Counter (OTC) Items*
You’ll have a quarterly amount to spend on non-prescription OTC health-related items like vitamins, pain relievers, cough and cold medicines and first aid supplies. View covered items.
New for 2020! Acupuncture Services*
Medicare Part A Coverage 2020
Select plans offer coverage for general acupuncture services performed by in-network providers.
Medicare Co Payment 2020
New for 2020! Therapeutic Massage Services*
Share contacts between gmail accounts. Select plans offer coverage for therapeutic massage services performed by in-network providers.
*Included with most plans.