See your county’s
plan options.

4 Plans Available for 2025
Medical Rx
PCP: $0
Specialist: $25

Generic drugs starting at $0; $300 deductible for Tier 3, Tier 4, and Tier 5 drugs (the deductible does not apply to Tier 1 and Tier 2 drugs); $0 for generic and brand name drugs in the Catastrophic Phase.

Monthly Premium: $0

Part B Premium Buy-Down
Lower your Part B premium by $20 a month
Over the Counter (OTC)
$25 allowance per calendar quarter
Outpatient Services
$375 ($0 at an Ambulatory Surgical Center and $0 for colonoscopies)
Inpatient Hospital
$375 per day, days 1-6; $0 additional days
Dental
$900 annual dental allowance
Eyewear
$100 annual eyewear allowance
Fitness
The Silver&Fit® Program; No cost

PCP: $0
Specialist: $25

Generic drugs starting at $0; $200 deductible for Tier 3, Tier 4, and Tier 5 drugs (the deductible does not apply to Tier 1 and Tier 2 drugs); $0 for generic and brand name drugs in the Catastrophic Phase.

Monthly Premium: $53

Over the Counter (OTC)
$45 allowance per calendar quarter
Outpatient Services
$325 ($0 at an Ambulatory Surgical Center and $0 for colonoscopies)
Inpatient Hospital
$325 per day, days 1-6; $0 additional days
Dental
$1100 annual dental allowance
Eyewear
$150 annual eyewear allowance
Fitness
The Silver&Fit® Program; No cost

PCP: $0
Specialist: $20

Generic drugs starting at $0; $100 deductible for Tier 3, Tier 4, and Tier 5 drugs (the deductible does not apply to Tier 1 and Tier 2 drugs); $0 for generic and brand name drugs in the Catastrophic Phase.

Monthly Premium: $103

Over the Counter (OTC)
$70 allowance per calendar quarter
Outpatient Services
$275 ($0 at an Ambulatory Surgical Center and $0 for colonoscopies)
Inpatient Hospital
$275 per day, days 1-6; $0 additional days
Dental
$1250 annual dental allowance
Eyewear
$200 annual eyewear allowance
Fitness
The Silver&Fit® Program; No cost

PCP: $0
Specialist: $35

None

Monthly Premium: $0

Part B Premium Buy-Down
Lower your Part B premium by $65 a month
Over the Counter (OTC)
$40 allowance per calendar quarter
Outpatient Services
$390 ($0 at an Ambulatory Surgical Center and $0 for colonoscopies)
Inpatient Hospital
$390 per day, days 1-6; $0 additional days
Dental
$1000 annual dental allowance
Eyewear
$150 annual eyewear allowance
Fitness
The Silver&Fit® Program; No cost

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