This is a medical-only plan. It does not include Medicare Part D drug coverage.
To be eligible for Alterwood Advantage Freedom, you must have Medicare Part A and Part B and reside within one of the following Maryland counties: Anne Arundel, Baltimore, Baltimore City, Caroline, Carroll, Cecil, Charles, Dorchester, Harford, Howard, Kent, Montgomery, Prince George’s, Queen Anne’s, Somerset, Talbot, Washington, Wicomico, and Worcester.
| Benefits | Description |
|---|---|
| Monthly Premium | $0 |
| Medicare Part B Giveback | $40 per month |
| Deductible | $0 – No Deductible |
| Maximum Out-of-Pocket (MOOP) | $7,550 |
| Primary Care Physician Visit | $15 copay – no referrals required |
| Specialist Visit | $40 copay – no referrals required |
| Preventive Services | $0 copay |
| Telehealth | $0 copay for eligible services |
| Inpatient Hospital Stay | Days 1 - 6: $335 copay per day Days 7 - 90: $0 copay per day |
| Outpatient Hospital Facility | $300 copay |
| Ambulatory Surgical Center | $245 copay |
| Emergency Care | $90 copay |
| Urgent Care | $40 copay |
| Diagnostic Tests & Labs | $0 copay |
| X-Rays | $20 copay |
| Diabetic Supplies, Shoes, & Inserts | 0% - 20% coinsurance |
| Durable Medical Equipment | 20% coinsurance |
| Additional Benefits | Description |
|---|---|
| Preventive Dental | $0 copay per visit & $1,000 annual allowance for all dental services |
| Comprehensive Dental | 20% coinsurance per visit & $1,000 annual allowance for all dental services |
| Vision | Routine Exam: $0 copay, 1 per year $150 annual allowance towards eyewear |
| Hearing | Routine Exam: $0 copay, 1 per year Hearing Aids: $475 - $1,950 copay per hearing aid |
| Chiropractic Services | Medicare-Covered: $20 copay Routine Care: $20 copay, 4 per year Chiropractic Evaluation: $0 copay, 1 per year |
| Prescription Coverage | Description |
|---|---|
| Not Covered | |