Table 1. Definitions of Medicare+Choice Plan Benefits Examined.
Benefit | Description |
---|---|
Premium | The amount beneficiaries pay each month in addition to the Medicare Part B monthly payment of $45.50. |
Prescription Drugs | Beneficiary has coverage—at no additional monthly cost. This coverage may vary for generic or brand name drugs and may include copayments and limits. |
Physical Exams | Beneficiary has coverage—this may include limits on the number of exams with an additional per exam copayment. |
Vision Services | Beneficiary has coverage—this may include a limited number of eye exams with an additional per exam copayment as well as coverage for all or a portion of costs for glasses or contacts. |
Dental Services | Beneficiary has coverage—this may include limits on the number of oral exams with an additional per exam copayment. |
Hearing Services | Beneficiary has coverage—this may include limits on the number of hearing exams and routine hearing tests as well as coverage for all or a portion of hearing aids. |
Health Education | Beneficiary has coverage—this may include a limited number of classes and an additional copayment may be charged. |
SOURCE: KPMG Consulting, Inc.