FeelWell Benefits

• $0 monthly plan premium*

• $0 Part D deductible*

• Medicare Prescription Drug Coverage (Part D)

Generic*:

Copays-$0 or $1.25 or $3.40

All other drugs*:
Copays—$0 or $3.80 or $8.50

• $0 for Primary Care visits*

• $0 for Specialist visits*

• $0 Screenings and immunizations

• $0* Annual Eye Exam— Eyewear only after cataract surgery after cataract surgery

• $0 Dental comprehensive Services*

• $0 for Hearing Exam— Our plan pays up to $1,000 every 2 years for hearing aids

• $0 Copay Acupuncture – 6 treatments per year

• $0 Chiropractor

• Wellness/Fitness Program

• Rewards & Incentive Program

• Personal Care Manager

For more information about covered services associated and cost-sharing (e.g., co-payments, co-insurance and deductibles) including any conditions and limitations please refer to the  2019 FeelWell Summary of Benefits

* Depending on your Medicaid eligibility.
This plan uses a formulary. Limitations may apply.