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Product Information

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2024 Clever Care Total+ (HMO C-SNP)

The Clever Care Total+ (HMO C-SNP) plan is a chronic heart/diabetes Special Needs Plan with VBID prescription drug cost reduction.

2024 Clever Care Active (HMO)

The Clever Care Active (HMO) plan is a wellness-focused MA-PD plan with a Part B buydown.

2024 Clever Care Longevity (HMO)

The Clever Care Longevity (HMO) plan is a comprehensive MA-PD plan.

2024 Clever Care Value (HMO)

The Clever Care Value HMO plan is an MA-PD plan with Part B premium reduction.
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Plan Details

2024 Clever Care Total+ (HMO C-SNP)

2024 Clever Care Active (HMO)

2024 Clever Care Longevity (HMO)

2024 Clever Care Value (HMO)

Original Medicare (Part A & Part B)

Description
The Clever Care Total+ (HMO C-SNP) plan is a chronic heart/diabetes Special Needs Plan with VBID prescription drug cost reduction.
The Clever Care Active (HMO) plan is a wellness-focused MA-PD plan with a Part B buydown.
The Clever Care Longevity (HMO) plan is a comprehensive MA-PD plan.
The Clever Care Value HMO plan is an MA-PD plan with Part B premium reduction.
This is a basic medicare plan. Get more benefits with Clever Care.
Member Premium
$15.70
$0
$0
$0
$0 for Part A. $164.90 for Part B
Part B premium buy-down
Not included
$50 paid by the plan
Not included
$130 paid by the plan
Not included
Deductible
$0 (some services and Part D drugs may have a deductible)
$0
$0
$0
$1,632 for Part A | $240 for Part B
Maximum-Out-of-Pocket
$8,850
$2,500
$1,700
$2,900
No maximum
Inpatient Hospital Stay
$1,632 deductible | $0 copay for days 1-60 | $408 copay for days 61-90
$100 copay per day for days 1–5 | $0 copay per day for days 6–90
$0 copay unlimited days
$120 copay per day for days 1–5 | $0 copay per day for days 6–90
$0 Copay for days 1-60 | $408 copay for days 61-90 | $800 copay for days 91-150 (lifetime reserve days) | After day 150, you pay all costs
Outpatient Hospitalization
20% coinsurance
$0 copay per visit
$0 copay per visit
$0 copay per visit
20% coinsurance
Doctor Visits
$0 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
20% Coinsurance
Specialist Visits
$0 copay per visit
$5 copay per visit
$0 copay per visit
$10 copay per visit
20% coinsurance
Emergency Care
$95 copay per visit
$75 copay per visit
$75 copay per visit
$110 copy per visit
20% coinsurance
Urgent Care
$25 copay per visit
$0 copay per visit
$0 copay per visit
$0 copay per visit
20% coinsurance
Labs | X-ray
$0 copay | 20% coinsurance
$0 copay
$0 copay
$0 copay
20% coinsurance
Hearing Coverage | Hearing Aids
$0 copay | $600 per ear per year
$0 copay | $600 per ear per year
$0 copay | $600 per ear per year
$0 copay | $600 per ear per year
Not covered
Dental Coverage
$575 allowance per quarter
$300 allowance per quarter
$600 allowance per quarter
$200 allowance per quarter
Not covered
Routine Vision and Eyewear Coverage
$0 copay | $200 every year
$0 copay | $200 every year
$0 copay | $200 every year
$0 copay | $200 every year
Not covered
Transportation (Non-Emergency)
$0 copay for 48 one-way trips
$0 copay for 16 one-way trips
$0 copay for 24 one-way trips
$0 copay for 16 one-way trips
Not covered
Flexible Health and Wellness Allowance
$275 allowance every three months
$250 for fitness, $75 for OTC & Herbal supplements every three months
$275 allowance every three months
$100 allowance every three months
Not covered
Acupuncture
$0 copay
$0 copay
$0 copay
$0 copay
Not covered
Eastern Wellness Therapies
$0 copay up to 24 services per year
$0 copay up to 18 services per year
$0 copay up to 24 services per year
$0 copay up to 12 services per year
Not covered
Worldwide Emergency Coverage
Up to $100,000 annual limit
Up to $100,000 annual limit
Up to $75,000 annual limit
Up to $50,000 annual limit
Not covered
Prescription Drug Coverage (Part D)
Included*
Included*
Included*
Included*
Not covered
Prescription Drug Deductible (Part D)
$545
$0
$0
$0
N/A

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