|Prescription Coverage||Amount You Will Pay|
|Coverage in the Gap||$3 / $12 / $0 (Tiers 1, 2, 6)|
|Preferred Generic-Tier 1||$3 (30-day)|
|Non-Preferred Generic-Tier 2||$12 (30-day)|
|Preferred Brand-Tier 3||$47 (30-day)|
|Non-Preferred Brand-Tier 4||$100 (30-day)|
|Specialty Drugs-Tier 5||33% coinsurance|
|90-Day Supply Retail||2.5 times 30-day|
Rx Coverage in the Gap
Rx coverage in the gap $3 / $12 / $0 (Tiers 1, 2, 6 only).
Includes preventive and comprehensive dental coverage.
Teladoc Virtual Visits
Access to board-certified doctors in all 50 states, 24/7, 365 days a year for a $0 copay.
Enhanced Preventive Care
Includes a free annual wellness visit and a wide variety of vaccinations and preventative screenings (including cardiovascular and cancer) at no charge.
Hearing & Vision
Includes $45 annual hearing exam and two hearing aids per year; $699 / $999. Also includes routine vision coverage of $25 per exam - $150 allowance.
Durable Medical Equipment
The plan pays 90% of the cost of in-network purchases of durable medical equipment like wheelchairs. If you choose a preferred vendor, your cost may be less.
Material ID: H2960_SCPWebsite_2020 (CMS Accepted) Last Updated 1/03/2020 Note: Some links below may take you out of the Senior Care Plus website
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