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Find a 2018 Plan

Health Partners Medicare gives you a choice of Medicare Advantage plans designed to meet your unique health care needs, including plans with prescription drug coverage. Our plans provide more benefits than Original Medicare with no or low monthly plan premiums. One is sure to be right for you.

No matter which of our plans you choose, you’ll enjoy:

  • $0 or low copay for all PCP visits
  • $0 copay for routine hearing and vision exams
  • $0 fitness center memberships
  • 24/7 customer service and medical advice lines

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Here are some key benefits and services offered by Health Partners Medicare.

Benefit/Service Health Partners Medicare Prime (HMO) Health Partners Medicare Value (HMO) Health Partners Medicare Basic (HMO)*

Monthly Premium

$37

$0

$0

Annual Medical Deductible

$0

$0

$0

Inpatient Hospital

$290 a day, days 1–6; $0, days 7–90. Except Lancaster, Lehigh & Northampton counties: $240 a day, days 1–7; $0, days 8-90

$295 a day, days 1–6; $180 day 7; $0, days 8–90

$260 a day, days 1–7; $0, days 8–90

Primary Care Provider (PCP) Visit

$0

$10

$0

Specialist Visit

$45

$50

$40

Diagnostic Testing and Lab Services

$0

$0

$0

Prescription Drugs – For each 30-day supply (during initial coverage period)

$350 deductible on Brand, Non-Preferred Drug and Specialty tiers only

 

$7 Preferred Generic

$20 Generic

$47 Preferred brand

29% Non-Preferred Drug

26% Specialty

$350 deductible on Brand, Non-Preferred Drug and Specialty tiers only

 

$4 Preferred Generic

$20 Generic

$47 Preferred brand

27% Non-Preferred Drug

26% Specialty

Not included

Vision Services

$0 copay for one routine exam yearly, plus eyeglasses or contact lenses (up to $260 every two years)

$0 copay for one routine exam yearly, plus eyeglasses or contact lenses (up to $75 every two years)

$0 copay for one routine exam yearly

*Basic plan is available in Bucks, Chester, Delaware, Montgomery and Philadelphia counties only.

Health Partners Medicare serves residents of Bucks, Chester, Delaware, Lancaster, Lehigh, Montgomery, Northampton and Philadelphia counties.

Health Partners Medicare Special (HMO SNP)

If you have both Medicare and Medicaid, our popular Dual-Eligible Special Needs Plan (D-SNP) includes extra benefits not offered by Medicare or Medicaid alone:

  • $0 plan premium
  • $0 copay for PCP and specialist visits
  • $50 monthly over-the-counter pharmacy allowance with no carryover into the following month (view details)
  • Transportation benefit (48 one-way trips to plan-approved locations yearly)
  • $0 copay for two dental exams and cleanings and one set of X-rays yearly; up to $1,000 for major and restorative services every year
  • $0 copay for routine hearing exam yearly plus $1,000 hearing aid allowance every three years
  • $0 copay for routine eye exam yearly plus up to $200 for eyeglasses or contact lenses every year

Please note: cost-sharing amounts above apply to full-dual members only. Your costs may vary.

Not sure which plan is right for you?

If you need help to decide what plan is right for you, we are happy to explain plan benefits in detail. Just call us at 1-866-901-8000 (TTY 711). You can call 8 a.m. – 8 p.m., seven days a week, from October 1 through February 14. Call 8 a.m. – 8 p.m., Monday – Friday, the rest of the year.

Or use the links below to schedule a home visit or phone call:

Find a 2017 Plan

Request More Information

To receive an information kit, schedule a phone call or home visit, or attend a no-obligation seminar:

REQUEST MORE INFORMATION

Find a Medicare Plan

Learn more about the benefits and services of our four Medicare Advantage plans. 

FIND A MEDICARE PLAN

About Health Partners Plans

A quick snapshot of our company and how we’re doing it right.
 

LEARN MORE ABOUT HPP