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 plan has the protection of a low out-of-pocket limit. It includes Eastern medicine and supplemental coverage.
Prescription drug coverage is included.
| Plan Premium | $0 |
|---|---|
| Medical Deductible (Part A) | $0 |
| Prescription Drug Deductible (Part D) | $0 |
| Maximum-Out-of-Pocket | $888 |
| Prescription Drugs (Part D) | YES |
| Doctor Visits | $0 copay |
| Hospital Stay | $0 copay unlimited days |
| Transportation (Non-Emergency) | $ copay | 28 trips per year (one-way) |
| Flexible Health and Wellness Allowance | $100 allowance every three months |
| Labs/X-ray | $0 copay |
| Dental Coverage | Up to $2000 per year |
| Routine Vision and Eyewear Coverage | $0 copay | $480 every two years |
| Acupuncture | Unlimited visits per year |
| Eastern Wellness Therapies | 12 visits per year |
Looking for more information about the Fortune 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.
