Immunizations Covered Medicare Part B services include: There is no coinsurance, Pneumonia vaccine copayment, or Flu shots, once a year in the fall or winter deductible for the Hepatitis B vaccine if you are at high or intermediate risk of pneumonia, influenza, getting Hepatitis B and Hepatitis B Other vaccines if you are at risk and they meet Medicare Part B vaccines. coverage rules We also cover some vaccines under our Part D prescription drug benefit. Inpatient hospital care You pay a $1316 Includes inpatient acute, inpatient rehabilitation, long-term care deductible for days hospitals and other types of inpatient hospital services. Inpatient hospital care starts the day you are formally admitted to the hospital with a order. The day before you are discharged is your last doctor’s You pay a $329 copay inpatient day. per day for days 61-90 Our plan covers 90 days for an inpatient hospital stay. Our plan covers 60 lifetime reserve days. You pay a $658 per Covered services include but are not limited to: lifetime reserve day Semi-private room (or a private room if medically necessary) Meals including special diets These are 2017 Regular nursing services amounts Costs of special care units (such as intensive care or coronary care which may change for units) 2018. Drugs and medications Lab tests Cost shares are applied X-rays and other radiology services starting on the first day Necessary surgical and medical supplies of admission and do Use of appliances, such as wheelchairs not include the date of Operating and recovery room costs discharge. Physical, occupational, and speech language therapy Inpatient substance abuse services
Immunizations Covered Medicare Part B services include: Pneumonia vaccine Flu shots, once a year in the fall or winter Hepatitis B vaccine if you are at high or intermediate risk of getting Hepatitis B Other vaccines if you are at risk and they meet Medicare Part B coverage rules We also cover some vaccines under our Part D prescription drug benefit. There is no coinsurance, copayment, or deductible for the pneumonia, influenza, and Hepatitis B vaccines. Inpatient hospital care Includes inpatient acute, inpatient rehabilitation, long-term care hospitals and other types of inpatient hospital services. Inpatient hospital care starts the day you are formally admitted to the hospital with a doctor’s order. The day before you are discharged is your last inpatient day. Our plan covers 90 days for an inpatient hospital stay. Our plan covers 60 lifetime reserve days. Covered services include but are not limited to: Semi-private room (or a private room if medically necessary) Meals including special diets Regular nursing services Costs of special care units (such as intensive care or coronary care units) Drugs and medications Lab tests X-rays and other radiology services Necessary surgical and medical supplies Use of appliances, such as wheelchairs Operating and recovery room costs Physical, occupational, and speech language therapy Inpatient substance abuse services You pay a $1316 deductible for days You pay a $329 copay per day for days 61-90 You pay a $658 per lifetime reserve day These are 2017 amounts which may change for 2018. Cost shares are applied starting on the first day of admission and do not include the date of discharge.
H8067_ISNP_HMO_NONPOS_Model_wRx_v2-MD_EOC.docx