PHP, California

Rachel Sakai
AHF Provider

Added Benefits

PHP (HMO SNP) offers additional benefits that Original Medicare doesn’t for no cost.  These additional benefits are designed to provide comprehensive health coverage for plan members where Original Medicare doesn’t.

Benefit

Original Medicare

PHP 2018

PHP 2019

Health and Wellness Supplemental health and wellness programs not covered. $0 copay for choice of gym membership at 24 Hour Fitness OR up to $200 in over-the-counter pharmacy merchandise, such as vitamins, fiber supplements, first aid supplies, sunscreen, tooth brushes and pastes, cold medication, antacids, etc.

$0 copay for access to 24 hour nurse hotline.

$0 copay for choice of gym membership at 24 Hour Fitness OR up to $200 in over-the-counter pharmacy merchandise, such as vitamins, fiber supplements, first aid supplies, sunscreen, tooth brushes and pastes, cold medication, antacids, etc.

$0 copay for access to 24 hour nurse hotline.

Dental Services Preventive dental services (such as cleaning) not covered.

$0 copay for preventive dental services such as oral exams, cleanings, fluoride treatments and dental x-rays, and other dental services.

In addition to the preventive services above, plan covers up to $800 a year for comprehensive dental services such as non-routine, diagnostic, and restorative services; endontics, periodontics, and extractions; and prosthodontics, oral and maxillofacial surgery, etc.

$0 copay for preventive dental services such as oral exams, cleanings, fluoride treatments and dental x-rays, and other dental services.

In addition to the preventive services above, plan covers up to $800 a year for comprehensive dental services such as non-routine, diagnostic, and restorative services; endontics, periodontics, and extractions; and prosthodontics, oral and maxillofacial surgery, etc.

Vision Services Supplemental routine eye exams and glasses not covered. $0 copay for one routine eye exam every year.

$0 copay for glasses, lenses or contacts.

Plan covers up to $100 a year for eye wear.

$0 copay for one routine eye exam every year.

$0 copay for glasses, lenses or contacts.

Plan covers up to $100 a year for eye wear.

Hearing Services Supplemental routine hearing exams and hearing aids not covered. $0 copay for a routine hearing exam every year.

$0 copay for up to 2 hearing aids every year including a fitting evaluation.

Plan covers up to $400 a year for hearing aids.

$0 copay for a routine hearing exam every year.

$0 copay for up to 2 hearing aids every year including a fitting evaluation.

Plan covers up to $400 a year for hearing aids.

Non-Emergency Transportation Not covered. $0 copay for up to 12 round trips to plan-approved locations every year. $0 copay for up to 12 round trips to plan-approved locations every year.
Acupuncture Not covered. This benefit not available in 2018. $0 copay for up to 2 acupuncture visits per month.
Transportation to Cancer Treatment Visits Not covered. This benefit not available in 2018. $0 copay for unlimited transportation to cancer treatment visits at plan-approved locations.
Transportation to Dialysis Visits Not covered. This benefit not available in 2018. $0 copay for unlimited transportation to dialysis visits at plan-approved locations.

 

This information is not a complete description of benefits.  Call (800) 263-0067 (TTY 711) for more information.  More information about the additional benefits is in the 2018 Summary of Benefits and 2019 Summary of Benefits.

If all of this looks good to you and you’d like to enroll, we make it easy and convenient.


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H5852_4006 2019 101518