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 |
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Not Covered |