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KelseyCare Advantage Rx+Choice

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Rx + ChoiceThis is a Medicare Advantage plan with Part D benefits. KelseyCare Advantage Rx+Choice provides prescription drug coverage in addition to the medical benefits of Medicare parts A and B, plus much more.

With this plan, you have the option of accessing doctors who are in or out of the KelseyCare Advantage provider network.

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  Description
Plan Summary The KelseyCare Advantage Rx+Choice plan works well for Medicare beneficiaries that need comprehensive coverage and low out of pocket expenses for their hospital, medical and prescription drug benefits. This plan also offers coverage for routine vision, routine hearing and medical transportation.
Eligibility
  • Be eligible for Medicare Part A and enrolled in Part B,
  • Continue to pay Part B premiums,
  • Live in the plan service area, and
  • Not have end-stage renal disease.
Premium The monthly plan premium to enroll in the Rx plan is $49.00. Additionally, you must maintain your Medicare Part B coverage to be a member of the Rx+Choice plan. The 2010 premium for Medicare Part B is $110.50 per month.
Doctor and Hospital Choice KelseyCare Advantage Rx+Choice has formed a network of doctors, specialists and hospitals. You can use doctors who are in or out of the KelseyCare Advantage provider network. The health providers in our network can change at any time. Members can elect to have their Kelsey-Seybold Clinic physician "coordinate" their care and receive a higher level of benefits coverage, or they can choose to "self-refer" for care outside of Kelsey-Seybold Clinic. Participants receive a higher level of benefits and pay lower out-of-pocket costs when they use network providers.
Documents for Download For a description of the KelseyCare Advantage Rx+Choice benefits, download the Summary of Benefits PDF  PDF 2010 . For comprehensive documentation of the benefits, limitations and exclusions for this plan, download the Evidence of Coverage PDF  PDF 2010 .
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Last Updated: 10/01/09