Medicare Select delivers…more benefits for less money!
Receive all your Medicare-approved health care, Part D Prescription Drugs, plus extra benefits—all within the Denver Health System
If you think you may qualify for Extra Help and to receive Low Income Subsidy (LIS), talk to your Clinic staff or contact Social Security at 1-800-772-1213 for an application.
EXTRA BENEFITS
• $31.00/ month for Part D Premium (waived for LIS qualified)
• Primary Care copay is $10
• $1300 Dental Benefit
• $1500 every 3 years for hearing aids
• $200 every 2 years for eyewear/contacts
• Roundtrip transportation to 10 medical visits per year at DH facilities
• 4 routine Podiatry visits per year ($0 copay)
People who have limited incomes, who live in long term care facilities or who have access to Indian Health Services may have different out-of-pocket drug costs. Contract Medicare Select at 720-956-2173 or toll-free at 866-417-2173 for details.
Enrollment lock-in requirements apply to the Plan.
Health Plan Copays
| PCP Visit |
$10 |
| Lab |
$0 |
| Home Health Care |
$0 |
X-Ray
|
20% coinsurance OR your CICP* co-payment, whichever is less |
Specialist Visit
|
20% coinsurance OR your CICP* co-payment, whichever is less |
| Part B Prescriptions |
20% coinsurance OR your CICP* co-payment, whichever is less on diabetic supplies, vaccines and oral cancer drugs |
Inpatient Stay
|
$1100 deductible OR your CICP* co-pay, whichever is less |
| Emergency Room Visit |
Maximum of $50 |
| 2010 Outpatient Deductible is $155 |
|
*CICP: Colorado Indigent Care Program
Click here to learn more about Medicare Part D benefits.