MEDICARE ADVANTAGE PLANS
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2022 Utah Medicare Advantage Product Highlights
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New Health Risk Assessment (HRA) Payment |
- Enrollments effective January 1, 2022
- $55 payment for assisting members through HRA
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| New Community D-SNP Plan |
- Davis, Salt Lake, Utah, and Weber counties
- Works together with Utah Medicaid plans
- Premium is $0 - 42.90 Premium covered by LIS. Members eligible for full subsidy will still pay $0
- $3,450 MOOP
- PCP/SCP: $0 – 20%
- Includes Silver & Fit gym membership instead of Wellness your way
- Hearing Aids: $0 through Intermountain Health
- Annual pharmacy deductible is $0-$99 depending on LIS. Generic prescriptions are $0, $1.35, or $3.95. Copays depending on LIS. Brand-name are $0, $4, or $9.85 depending on LIS
- Companionship Services through Papa Pals $0
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| New Veteran Advantage Plan |
- Davis, Salt Lake, Utah,, and Weber Counties
- $0 Premium ($30/month Part B reduction)
- $5,400 MOOP
- PCP/SCP: $0/$40
- Hearing Aids through Intermountain Health
- Companionship Services through Papa Pals: $0
- Rx Benefits are not covered on this plan
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| $0 premium for Wasatch Essential |
| $29 premium for Southwest/Central |
| $67 premium for Wasatch Enhanced |
| $0 copay for Primary Care Physician (PCP) visits and preventive care |
| No referrals required |
| Select insulins and diabetes medications moved to Tier 1; this means $0 copay and $0 deductible |
| Rx Saving Solutions® (see details at selecthealth.org/rxsavings) |
- This program, free to members, can provide members large discounts on certain medications.
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| Preventive dental benefits included at no cost and $0 copay |
| Wellness Your Way for Wasatch Enhanced plan increased to $480—includes reimbursement for greens fees, lift tickets, and national parks passes |
| Companionship Services through Papa Pals: $0 |
| Comprehensive dental included in the Wasatch Enhanced plan at no additional cost |
| Seamless access to care in Nevada, Utah, and Idaho using network providers through our regional Select Health Advantage® network |
2022 Idaho Medicare Advantage Product Highlights
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New Health Risk Assessment (HRA) Payment |
- Enrollments effective January 1, 2022
- $55 payment for assisting members through HRA
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| St. Luke’s Lifestyle Medicine Program |
- Tailored support from a team of experts
- Virtual exercise and cooking classes
- Health coaching to sustain behavior change
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| Companionship Services through Papa Pals: $0 |
| Connect Care $0 copay |
| Rx Saving Solutions® (see details at selecthealth.org/rxsavings) |
- This program, free to members, can provide members large discounts on certain medications.
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| Flexible Wellness Your Way – $240 |
| Healthy Living℠ reimbursement – $50 |
| Participation in the Senior Savings Model for insulin |
| Treasure Valley Essential and Enhanced plans in Ada, Boise, and Canyon counties |
| Treasure Valley Essential and Enhanced Plans now includes comprehensive dental and $150 vision hardware benefit. |
| Select Health Advantage Southwest Idaho—Adams, Elmore, Gem, Owyhee, Payette, Valley, and Washington counties: $45 premium |
| Magic Valley plan in Twin Falls County: $88 premium |
| Select Health Advantage South Central—Cassia, Gooding, Jerome, and Minidoka Counties: $107 premium |
| Seamless access to care in Nevada, Utah, and Idaho using network providers through our regional Select Health Advantage network |
2022 Nevada Medicare Advantage Product Highlights
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As part of an integrated health system with Intermountain Health®, we are a long-term partner in the community |
| Extremely competitive formulary provides substantial cost savings for your clients |
| Rx Saving Solutions® (see details at selecthealth.org/rxsavings) |
- This program, free to members, can provide members large discounts on certain medications.
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| New Health Risk Assessment (HRA) Payment |
- Enrollments effective January 1, 2022
- $55 payment for assisting members through HRA
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| $0 premium, solid hospital network, vision, comprehensive dental, wellness reimbursement up to $240 annually, over-the-counter benefit, and much more |
| Increased dental benefit, now $3,000 (preventative not included) |
| MRI/CT Scan: $75 for office/outpatient facility |
| Access to 30 myGeneration Clinics with more than 100 providers; myGeneration Clinics specialize exclusively in healthcare for people with Medicare Advantage |
| Companionship Services through Papa Pals $0 |
| Seamless access to care in Nevada, Utah, and Idaho using network providers through our regional Select Health Advantage network |