Clever Care Community Centers are now open in San Gabriel, Westminster, and Koreatown! Click here to learn more.
Clever Care Community Centers are now open in San Gabriel, Westminster, and Koreatown! Click here to learn more.
This is similar to Original Medicare; however, it includes Eastern medicine and supplemental benefits.
Prescription drug coverage is included.
| Plan Premium | $33.20 |
|---|---|
| Medical Deductible (Part A) | $1,556 |
| Prescription Drug Deductible (Part D) | $480 |
| Maximum-Out-of-Pocket | $5,999 |
| Prescription Drugs (Part D) | YES |
| Doctor Visits | $0 copay |
| Hospital Stay | $0 copay for days 1-60 | $389 copay for days 61-90 |
| Transportation (Non-Emergency) | $0 copay | 48 trips per year (one-way) |
| Flexible Health and Wellness Allowance | $300 allowance every three months |
| Labs/X-ray | 20% Coinsurance |
| Dental Coverage | Up to $2,500 per year |
| Routine Vision and Eyewear Coverage | $0 copay | $300 every year |
| Acupuncture | Unlimited visits per year |
| Eastern Wellness Therapies | 24 visits per year |
*The Medicare defined amounts for hospital stays are for 2021 and may change for 2022. We will provide updated rates as soon as Medicare releases them.
Looking for more information about the Balance Medicare Advantage (HMO) plan?
Last updated: 10/01/2020 H7607_21_CM0028A_EN_M Accepted 09292020
Clever Care of Golden State is an HMO plan with a Medicare contract. Enrollment in Clever Care of Golden State depends on contract renewal.
October 1 to March 31:
8 a.m. to 8 p.m., 7 days a week
April 1 to September 30:
8 a.m. to 8 p.m., Monday-Friday
© 2021 ALL RIGHTS RESERVED. CLEVER CARE OF GOLDEN STATE, INC. IS A WHOLLY OWNED SUBSIDIARY OF CLEVER CARE HEALTH PLAN, INC.
