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 pays some of your Part B plan premium. 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 | $3,000 |
| Prescription Drugs (Part D) | YES |
| Doctor Visits | $0 copay |
| Hospital Stay | $75 copay for days 1-5 | $0 copay for days 6 and more |
| Transportation (Non-Emergency) | $0 copay | 24 trips per year (one-way) |
| Flexible Health and Wellness Allowance | $60 allowance every three months |
| Labs/X-ray | $0 copay |
| Dental Coverage | Up to $500 per year |
| Routine Vision and Eyewear Coverage | $0 copay | $320 every two years |
| Acupuncture | 24 visits per year |
| Eastern Wellness Therapies | 12 visits per year |
Looking for more information about the Value 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.
