Summary

Freedom Basic PPO

A Medicare Advantage Plan (Local Coordinated Care Plan) with enhanced preventive benefits, an out-of-pocket limit, worldwide emergency care, and a $20 Part B Premium Rebate.  You also have the freedom to choose a provider inside or outside our network.  Plan includes vision and hearing aid coverage.

This is a $0 premium plan which means there is no monthly premium.

This is a partial list of benefits and should not be construed as a complete list. Please refer to the Evidence of Coverage on the Plan Downloads page for complete plan details.

Out-Of-Network Providers
If you use an out-of-network provider, your share of the costs for your covered services may be higher. Out-of-network providers are under no obligation to treat members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre-service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.

Coverage Determinations & Appeal Information
Please visit our Coverage Determination & Appeal Information page to learn more coverage determinations and appeals.

Low Income Subsidy – Extra Help
For Information regarding Low Income Subsidy, please visit our Extra Help page

Freedom Basic PPO
2019 Rural Counties
Click here for plan details