Clever Care Health Plan

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Medicare Advantage plan

Plan ID: H7607-014 · Plan year 2026

2026 Clever Care Longevity

Our flagship plan with comprehensive benefits — extensive coverage including rich supplemental and Eastern wellness benefits for a $0 monthly premium and low out-of-pocket costs for services.

$0

Monthly premium

$0

Part-C deductible

$500

Max out-of-pocket

Cost at a Glance

Flagship plan

$0

Member Premium

No monthly cost to you

$0

Inpatient Hospital

Unlimited days, $0 copay

$0

Doctor Visits

$0 copay per visit

$0

Specialist Visits

$0 copay per visit

$0

Urgent Care

$0 copay per visit

$90

Emergency Care

$90 copay ($0 if admitted)

Limits and exclusions may apply. Refer to the Evidence of Coverage for a full description of benefits. Your cost-sharing may differ depending on the pharmacy you choose (e.g., standard retail, out-of-network, mail-order) or whether you receive a 30- or 100-day supply.

Benefits Overview

For more information, view the Summary of Benefits.

  • Inpatient Hospital Stay

    $0 copay per benefit period, unlimited days

  • Outpatient Hospitalization

    $0 copay per stay

  • Doctor Visits

    $0 copay per visit

  • Specialist Visits

    $0 copay per visit

  • Emergency Care

    $90 copay ($0 if admitted within 72 hours)

  • Urgent Care

    $0 copay per visit

  • Labs & X-Ray

    $0 copay

  • Hearing Coverage & Hearing Aids

    $0 copay · $600 per ear, per year

  • Dental Coverage

    $1,100 biannually, with rollover (up to $2,200 annually)

  • Routine Vision & Eyewear

    $0 copay · $300 annually

  • Transportation (Non-Emergency)

    $0 copay · 48 one-way trips/year, 30-mile radius

  • Flexible Health & Wellness Allowance

    $315 per quarter, with rollover (up to $1,260 annually)

  • Acupuncture

    $0 copay · $2,000 max allowance, unlimited visits

  • Eastern Wellness Therapies

    $0 copay · up to 24 services per year

  • Worldwide Emergency Coverage

    Up to $100,000 annual limit

  • Prescription Drug Coverage (Part D)

    Included

  • Prescription Drug Deductible

    $0 (no deductible)

  • Part B Premium Buy-Down

    Not included

Eastern Wellness Therapies

Included

Clever Care uniquely integrates traditional Eastern medicine with Western care—covered at $0 copay for up to 24 services per year, plus unlimited acupuncture.

  • Acupuncture

    $0 copay · Unlimited visits

  • Traditional Chinese Medicine

    Herbal consultations and treatments

  • Mind-Body Therapies

    Tai chi, qigong, and meditation support

  • Therapeutic Massage

    Part of annual Eastern wellness benefit

Additional Benefits Included

  • Meal Delivery

    Special Supplemental Benefit for the Chronically Ill (SSBCI)

  • Social Needs Benefits

    Non-clinical personal caregivers

  • Telemonitoring Services

    Remote health tracking

  • In-Home Safety Assessment

    Annual home visit

  • In-Home Support Services

    Personal care support

  • Support for Caregivers

    Caregiver resources

  • Personal Emergency Response

    24/7 alert system

  • Telehealth Visits

    Virtual care access

  • Post-Discharge Meals

    After hospital stay

Talk to a Medicare advisor

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