Possible Part D Prescription Benefits
A key component of some Medicare Advantage Plans may have the possibility of including a Part D prescription benefit. These potential benefits may offer prescription drug coverage, thus possibly aiding beneficiaries in managing their medication expenses.
Prescription Benefit Tier 1
Typically, Prescription Benefit Tier 1 may include generic medications, a potential economical alternative to brand-name drugs. Details about the coverage and copays for Tier 1 prescription drugs in Independent Health’s Medicare Advantage Plans will be released soon.
Stay tuned for updates.
Part B Medications or Radiation Therapy
Under some of the medical benefits of Medicare, Part B medications and radiation therapy will likely be covered and may be separate from the potential Part D prescription drug benefits. These could include drugs administered by a healthcare provider and certain types of radiation therapy for cancer treatment, such as general x-ray advanced techniques.
Under the Medicare Passport Advantage PPO plan, members could be responsible for paying up to 20% of the cost of genetic testing, a service that will likely fall under Part B medications, and also the potential Ray advanced radiology copay.
More details about the coverage and cost-sharing for Part B medications, radiation therapy, and x-ray advanced radiology in Independent Health’s plans will be released soon.
Potential Benefits
Certain Independent Health’s Medicare Advantage Plans will likely provide standard medical and prescription drug coverage but it could potentially also offer additional benefits that may enrich the life quality of beneficiaries.
Some of these plans may incorporate changes brought by the Inflation Reduction Act, potentially including:
- Eliminating the 5% coinsurance requirement for catastrophic coverage
- Possibly setting a further cap on out-of-pocket spending
- Allowing certain services or items to carry over quarterly, but may not be beyond the annual year-end.
We’ll explore some of these possible benefits – the Hearing Aid Benefit and Dental Coverage – that could distinguish Independent Health’s Medicare Advantage Plans.
Hearing Aid Benefit
Hearing health will likely play a critical role in overall well-being, and Independent Health recognizes this by potentially providing a hearing aid benefit in some of their Medicare Advantage plans. This potential benefit may offer high-quality hearing aids that could come at a reduced cost, which may not be covered by Original Medicare.
Potential Dental Coverage
Oral health forms an integral part of overall health, and Independent Health’s Medicare Advantage plans understand this. Most of these plans may cover preventive dental services, possibly including oral examinations every six months, routine cleanings and fluoride treatments every six months, and bitewing X-rays twice per calendar year.
In addition to these potential preventive services, comprehensive dental coverage up to 50% coinsurance may also be included. This coverage could potentially cover services like:
These potential services may be covered up to the service coverage limit. To use these potential benefits, members must visit participating dentists who will likely bill the services directly to Liberty Dental, Independent Health’s dental provider. This could potentially simplify the process, possibly making it easier for members to maintain their oral health.