Find a plan that fits your needs and your life
When you enroll in an Advocare plan, you’ll have just what the name implies. Our people will serve as your “advocates” and partners in working with Medicare to bring you high-quality health care at an affordable cost.
Advocare plans with Part D prescription drug coverage
| |
Vitality Rx
(HMO-POS) |
Spirit Rx
(HMO-POS)
|
Essence Rx
(HMO-POS) |
| 2012 monthly premium |
$254* |
$167* |
$39* |
| Out-of-pocket maximum |
$0 |
$900 |
$3,400 |
|
Primary care office visit
|
$0 |
$0 |
$0 |
|
Specialist visit
|
$0 |
$20 |
$20 |
|
Diagnostic tests, X-rays, lab services
|
$0 |
$0 |
$0 |
| Hospital stay |
$0 |
$50/day,
days 1-5
$0/day
days 6+
|
$300/day,
days 1-5
$0/day
days 6+ |
| Emergency room visit |
$0 |
$50 |
$50 |
| Skilled nursing facility stay |
$0 |
$0 for days 1-14
$100/day for days 15-23
$0/day for days 24-100
|
$0 for days 1-14
$100/day for days 15-45
$0/day for days 46-100 |
| Ambulance services |
$0 |
$0 |
$150 |
|
Diabetes supplies
|
$0 |
$0 |
$0 |
|
Physical, occupational & speech therapies
|
$0 |
$0 |
$0 |
| Outpatient ambulatory surgery center visit |
$0 |
$0 |
$0 or $250 |
|
Durable medical equipment & prosthetics
|
$0 |
0% or 20% |
0% or 20% |
| MRI tests, CT and PET scans |
$0 |
$100/day for
each type |
$100/day for
each type |
* Limitations, copayments and restrictions may apply. You must continue to pay your Medicare Part B premium.
Advocare plans without Part D prescription drug coverage
| |
Vitality
(HMO-POS)
|
Spirit
(HMO-POS)
|
Essence
(HMO-POS) |
| 2012 monthly premium |
$192* |
$118* |
$0* |
| Out-of-pocket maximum |
$0 |
$900 |
$3,400 |
| Primary care office visit |
$0 |
$0 |
$0 |
| Specialist visit |
$0 |
$20 |
$20 |
| Diagnostic tests, X-rays, lab services |
$0 |
$0 |
$0 |
| Hospital stay |
$0 |
$50/day,
days 1-5
$0/day
days 6+
|
$300/day,
days 1-5
$0/day
days 6+ |
| Emergency room visit |
$0 |
$50 |
$50 |
| Skilled nursing facility stay |
$0 |
$0 for days 1-14
$100/day for days 15-23
$0/day for days 24-100
|
$0 for days 1-14
$100/day for days 15-45
$0/day for days 46-100 |
| Ambulance services |
$0 |
$0 |
$150 |
| Diabetes supplies |
$0 |
$0 |
$0 |
| Physical, occupational & speech therapies |
$0 |
$0 |
$0 |
| Outpatient ambulatory surgery center visit |
$0 |
$0 |
$250 |
| Durable medical equipment & prosthetics |
$0 |
0% or 20% |
0% or 20% |
| MRI tests, CT and PET scans |
$0 |
$100/day for
each type |
$100/day for
each type |
* Limitations, copayments and restrictions may apply. You must continue to pay your Medicare Part B premium.
Separate out-of-pocket maximums/deductibles apply to in-network and out-of-network services. Payments made on the out-of-network deductible will automatically be applied toward satisfaction of the in-network out-of-pocket maximum.
Payments on the in-network maximum cannot be applied toward meeting the out-of-network deductible.
5 STARS FROM MEDICARE MEANS A BETTER CHOICE FOR YOU
Rated 5 out of 5 stars for two consecutive years by Centers for Medicare & Medicaid Services: Quality and Performance Plan Ratings, 2011 & 2012†
AWARDED HIGHEST ACCREDITATION STATUS OF EXCELLENT FOR SERVICE AND CLINICAL QUALITY. National Committee for Quality Assurance, 2005–2011
NEW FOR 2012
Out-of-network coverage gives you added flexibility to see the doctor of your choice.
Out-of-network coverage is subject to a $5,000 deductible. Some services covered in full include preventive screenings.
Ten Reasons to Choose Advocare
In today’s world, people are looking to get more out of their Medicare coverage than ever before. Nobody understands this more than Security Health Plan. With Security Health Plan’s Advocare plans, you’ll experience a new level of care and support, plus a wide array of benefits to meet your health plan needs. See 10 reasons why more than 30,000 Wisconsin residents count on the coverage and security they get with our Advocare plans. It’s quality care from people who care.
† Plan performance summary star ratings are assessed each year and may change from one year to the next.