SilverSneakers

Fitness Program Included
What is this?

Freedom of choice:

  • No referrals for specialists
  • More than 95% of Alabama physicians and 98% of hospitals
  • Travel coverage anywhere in the U.S. where Medicare is accepted

C Plus benefits include:

  • $0 copays for Medicare-eligible in-network doctor visits, outpatient hospital stays and emergency room visits
  • Medicare-eligible inpatient hospital stays – covered in full
  • No out-of-pocket costs**

C Plus can be combined with BlueRxSM, a Medicare-approved Part D Plan.

2018 Plan Benefits for Age

Original
Medicare

C Plus
Plan B

$140.00 per month

Enroll

C Plus
Plan F

$176.00 per month

Enroll
YOU PAY: YOU PAY: YOU PAY:
Initial Part A Hospital Deductible
Initial Part A Hospital Deductible $1,316 $0 $0
Daily Copay For Days 61-90 In A Hospital
Daily Copay For Days 61-90 In A Hospital $329 per day $0 $0
Daily Copay For Days 91-150 In A Hospital
Daily Copay For Days 91-150 In A Hospital $658 per day $0 $0
Additional 365 Days Once Lifetime Reserve Days Are Used
Additional 365 Days Once Lifetime Reserve Days Are Used All costs $0 $0
Daily Copay For Days 21-100 In A Skilled Nursing Facility
Daily Copay For Days 21-100 In A Skilled Nursing Facility $164.50 per day $164.50 per day $0
Annual Part B Deductible
Annual Part B Deductible $183 $183 $0
20% Of The Medicare - Approved Amounts (Medicare Pays For 80%)
20% Of The Medicare - Approved Amounts (Medicare Pays For 80%) 20% $0 $0
Medically Necessary Emergency Care Services During The First 60 Days Of Each Trip Outside The United States
Medically Necessary Emergency Care Services During The First 60 Days Of Each Trip Outside The United States All costs All costs $250 deductible, then 20%, and all costs over $50,000

**You must continue to pay your Part B deductible with Plan B.

**SilverSneakers® Fitness Program is provided by Tivity Health Inc.™ ©2017, an independent company with subsidiaries and affiliates worldwide. All rights reserved.

This is a solicitation of insurance. Contact may be made by an issuer or insurance producer or another acting on behalf of the issuer or producer. C PlusSM is a Medicare Select plan and is a private insurance plan regulated by the Alabama Department of Insurance. It is not connected with or endorsed by the U.S. government or the federal Medicare program.

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