- find a plan
- Berks, PA
Medicare Advantage Plans in Berks, PA
Not seeing what you want?
Want help enrolling? Give us a call.
Devoted CHOICE GIVEBACK Pennsylvania (PPO)Summary of Benefits (PDF)Updated September 12, 2024 | Devoted CHOICE Pennsylvania (PPO)Summary of Benefits (PDF)Updated September 12, 2024 | Devoted CHOICE PLUS Pennsylvania (PPO)Summary of Benefits (PDF)Updated September 12, 2024 | |
|---|---|---|---|
Monthly premium | $0 | $0 | $18.90 If you receive Extra Help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium may be reduced to $0. |
Part B premium reduction | $152.70 per month back in your Social Security check | None | None |
Annual out-of-pocket maximum | $9,350*, in-network $14,000, in- and out-of-network | $7,550*, in-network $11,300, in- and out-of-network | $7,550*, in-network $11,300, in- and out-of-network |
Food & Home CardPre-loaded card for purchase of food, over-the-counter, utilities, and mortgage or rent.** | Not covered | $77 per month | $100 per month |
Dental & Eyewear | $250 per year for dental and eyewear coverage, for use at any dentist or eyewear retailer | $1,000 per year for dental and eyewear coverage, for use at any dentist or eyewear retailer | $1,250 per year for dental and eyewear coverage, for use at any dentist or eyewear retailer |
Primary care provider (PCP) visits | $0 copay*, in-network $0 copay, out-of-network | $0 copay*, in-network $0 copay, out-of-network | $0 copay*, in-network $0 copay, out-of-network |
Specialist visitsCost shares for Balance Exams with a Specialist may differ. See your Summary of Benefits for details. | $50 copay*, in-network $50 copay, out-of-network | $35 copay*, in-network $35 copay, out-of-network | $35 copay*, in-network $35 copay, out-of-network |
Inpatient hospital stays | In-network*: | In-network*: | In-network*: |
Pharmacy (Part D) Deductible | $590 for Tiers 3-5 only If you receive Extra Help from Medicare, your deductible is $0. The deductible does not apply to covered Part D insulins and most adult Part D vaccines. | $590 for Tiers 3-5 only If you receive Extra Help from Medicare, your deductible is $0. The deductible does not apply to covered Part D insulins and most adult Part D vaccines. | $590 for Tiers 3-5 only If you receive Extra Help from Medicare, your deductible is $0. The deductible does not apply to covered Part D insulins and most adult Part D vaccines. |
30-Day Supply Retail PharmacyFor Part D prescriptions. If you get Extra Help from Medicare, your costs may be lower. |
|
|
|
*When you use an in-network provider or pharmacy.
Next Steps
Now that you know what our plans are all about, you can:
- See if your doctors are in our network
- Make sure we cover your medications
And if you have any questions, call us at (1-800-990-0723) (TTY 711) You can also see and compare more plan options at www.Medicare.gov.