Extra Benefits
This is the cost for the Medical Alert Device
$0 Copay for device and service
To enroll in a Prime HMO plan, the beneficiary must have this to be eligible
LIS or Medicaid
This plan does NOT include Part D coverage
Liberty
DME stands for
Durable Medical Equipment
This company/companies handle our Transportation Benefits
Alivi - FL, OH, TX Kaizen - AZ, IL
For members with LIS who enroll in Prime HMO, which level of subsidy is required to have premium reduced to $0?
100%
$0 PPO is offered in all states in 2023 except
North Carolina
This is your source of truth/details
Guru Card/EOC
This store is where members can use their OTC benefits - online, over the phone and in store.
CVS
These plans are available in the Illinois market for 2023
Core, Essentials (Giveback), PPO
Low monthly premium with 100% allocated to Part D premium with continuous open enrollment
Premium (C-SNP HMO)
These are the 3 categories
Basic, Advanced , Bathroom Safety Equipment
This is where you find what extra benefits are in the plan
SOB - Summary of Benefitts
An individual is eligible to enroll if they meet these 3 requirements
Must live in the plan's service area
Must be eligible for Part A and Enrolled in Part B
Must have a qualifying election period
4.5 stars received on our plans in 2022 in these 2 states
Florida & Texas
This is where you find the authorization codes for DME
Orinoco
This extra benefit vendor is Solutran, received by the member when they qualify.
Healthy Food Cards
2022 Comprehensive dental benefit will cover this___ but not _____
2 word answer
Bridges, Implants
This plan only offers a Full Dual plan
Colorado
Some plans do not cover this benefit but can be found under extra benefits
Bathroom Safety Equipment