Understanding $0 Medicare plans

ApexBlog - Understanding $0 Medicare plans

We’re in the middle of Medicare’s Annual Election Period (AEP) – the time when you can choose or update your Medicare coverage. And we know you’ve probably seen ads for Medicare Advantage plans with $0 premiums. What does this mean? ApexHealth wants to make Medicare simple to understand, including understanding $0 Medicare plans, the costs associated with these plans and what ApexHealth has to offer.

What does a $0 premium Medicare Advantage plan mean?

A premium is an amount you pay monthly to have insurance, whether you use the covered services or not. So, a $0 premium Medicare Advantage plan is a plan that charges $0 monthly to have that plan. Just remember that you’ll still need to pay your Medicare Part B premium each month, which is set annually by the Centers for Medicare & Medicaid Services (CMS). Additional costs associated with Medicare Advantage plans are deductibles, copays and coinsurance. All of these costs vary by plan, so look closely. Also, remember that Medicare Advantage plans include an out-of-pocket maximum, which is the maximum amount you’ll pay annually for deductibles, copayments and coinsurance for covered medical services.

What do ApexHealth Medicare Advantage plans have to offer?

ApexHealth designed our Medicare Advantage plans with you in mind, with benefits you need for the life you lead. Highlights for 2023 include:

  • Monthly premiums as low as $0
  • $0 medical and prescription drug deductible
  • $0 copay for primary care visits
  • $30 or $35 copay for specialty care visits (depending on the plan)
  • $0 prescription drugs for preferred generic (Tier 1) and select maintenance medications for diabetes, hypertension and cholesterol (Tier 6)
  • $0 Viagra (generic) including 6 tablets per month, up to 72 per year.

Visit our plans and benefits page for more information.

ApexExtras also give you more for your Medicare dollar, including:

  • Dental coverage
    • $0 copay for preventive dental services like cleanings, exams, x-rays and fluoride treatment
    • $1,500 or more in comprehensive dental services like fillings and extractions (depending on the plan you choose)
  • Hearing coverage
    • $0 copay for a routine hearing exam
    • Up to $1,350 in hearing aid coverage with no co-insurance or deductible
  • $150 or more for glasses and/or contacts plus $0 copay for routine eye exams (depending on the plan you choose)
  • Free single-center gym membership or Home Fitness Kit
  • Acupuncture, chiropractic and therapeutic massage coverage — As low as $30 per visit, up to 20 visits/ year (combined)
  • Up to $60 every three months for over-the-counter health and wellness products (and any unused amount rolls over to the next three months but must be used by the end of the year or by the end of your coverage with an ApexHealth plan)
  • Apex PayFlex pre-paid debit card with $240-$360 (depending on plan) for eligible expenses. Eligible expenses include transportation services to/from any health location and out-of-pocket expenses that exceed what we cover for your vision and dental benefits. This is a combined benefit up to an annual limit to be used on any or all of the eligible expenses listed above.

Learn more about how we designed ApexExtras to help you get more out of life.

Any questions?

When you call ApexHealth with an interest in enrolling in one of our Medicare Advantage plans, you’ll speak with a licensed representative who can assist you through the enrollment process. We also have an online enrollment application on our website which allows you to view our plan benefits and enroll from the comfort of your home.

Not ready to commit? Call and speak with our team of ApexAssistants to learn more about 2023 plan options from ApexHealth today! You can view our 2023 plan benefit materials here or we can mail you printed materials to aid in your decision – just ask!

Give us a call at (844) 279-0508 (TTY: 711). Our hours of operation are Monday through Friday 8 a.m. – 8 p.m. (local time) from Apr. 1 through Sept. 30 and seven days a week 8 a.m. – 8 p.m. (local time) from Oct. 1 through Mar. 31.

**The information presented is accurate as of October 1, 2022, and may change at a future date.


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