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# Central Health Medicare Plan
Monthly Premium$0
Annual Deductible$0
Annual Out of Pocket Maximum $990
Doctor Visit Copay
(Family\ Internal)
$0 per visit
Doctor Visit Copay
(Specialist)
$0 per visit
Urgent Care Visit Copay$0 per visit
Preventive Care$0 (Once Per Year)
Laboratory fee Copay$0 per visit
Inpatient Fee$0 per day for unlimited days
Outpatient Fee$0
Prescription Drug Fee$0/$0/$35/$75/33%/$10
(Tier 1/2/3/4/5/6)
Emergency Room Visit Copay$50 ($0 if admitted within 24 hours)
Ambulance$40 per one-way trip
X Ray/Ultrasound$0
CT Scan/MRI Imaging$0
Acupuncture$0 for up to 24 treatments per year
Over-the-counterUp to $125 allowance every three months
NoticeAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agents
Plan detail information PDF
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〈Central Health〉
# Medicare Advantage SecureHorizons Focus (HMO) Medicare Advantage Harmony (HMO)
Monthly Premium$0 $0
Annual Deductible$0 $0
Annual Out of Pocket Maximum $800$800
Doctor Visit Copay
(Family\ Internal)
$0 per visit $0 per visit
Doctor Visit Copay
(Specialist)
$0 per visit $0 per visit
Urgent Care Visit Copay$20 per visit$20 per visit
Preventive Care$0 (Once Per Year)$0 (Once Per Year)
Laboratory fee Copay$0 per visit $0 per visit
Inpatient Fee$100 per stay for unlimited days$0 per stay for unlimited days
Outpatient Fee$0$0
Prescription Drug Fee$0/$0/$35/$100/33%
(Tier 1/2/3/4/5)
$0/$0/$35/$100/33%
(Tier 1/2/3/4/5)
Emergency Room Visit Copay$90$90
Ambulance$130 per one-way trip$130 per one-way trip
X Ray/Ultrasound$0$0
CT Scan/MRI Imaging$0$0
Acupuncture$0 for up to 20 visits per year $0 for up to 20 visits per year
Over-the-counter$50 credit every quarter$50 credit every quarter
NoticeAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agentsAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agents
Plan detail information PDF PDF
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〈UHC AARP〉
# Blue Shield AdvantageOptimum Blue Shield Inspire
Monthly Premium$0 $0
Annual Deductible$0 $0
Annual Out of Pocket Maximum $999 $799
Doctor Visit Copay
(Family\ Internal)
$0 per visit $0 per visit
Doctor Visit Copay
(Specialist)
$0 per visit $0 per visit
Urgent Care Visit Copay$0 per visit $0 per visit
Preventive Care$0 (Once Per Year)$0 (Once Per Year)
Laboratory fee Copay$0 per visit $0 per visit
Inpatient Fee$0 per day for unlimited days$0 per day
Outpatient Fee$100$150
Prescription Drug Fee$0/$3/$40/$95/33%
(Tier 1/2/3/4/5)
$0/$3/$35/$95/33%
(Tier 1/2/3/4/5)
Emergency Room Visit Copay$85$85
Ambulance$125 per one-way trip$100 per one-way trip
X Ray/Ultrasound$0$0
CT Scan/MRI Imaging$0$0
Acupuncture$0 for up to 24 visits per year $0 for up to 24 visits per year
Over-the-counterUp to $105 every quarterUp to $100 every quarter
NoticeAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agentsAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agents
Plan detail information PDF PDF
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〈Blue Shield〉
# Anthem MediBlue Select Anthem Value Plus
Monthly Premium$0 $0
Annual Deductible (1/1~12/31)$0 $0
Annual Out of Pocket Maximum (1/1~12/31)$900$900
Doctor Visit Copay
(Family\ Internal)
$0 per visit$0 per visit
Doctor Visit Copay
(Specialist)
$0 per visit $0 per visit
Urgent Care Visit Copay$30 per visit $0 per visit
Preventive Care$0 (Once Per Year)$0 (Once Per Year)
Laboratory fee Copay$0 per visit $0 per visit
Inpatient Fee$0 per day for unlimited days$0 per day
Outpatient Fee$0$0
Prescription Drug Fee$0/$5/$42/$95/33%
(Tier 1/2/3/4/5)
$0/$9.5/$37.5/$85/33%
(Tier 1/2/3/4/5)
Emergency Room Visit Copay$90$120
Ambulance$200 per one-way trip$100 per one-way trip
X Ray/Ultrasound$0$0
CT Scan/MRI Imaging$0$75
Acupuncture$0 for up to 24 visits per year 0Not Covered
Over-the-counterUp to $80 every quarterUp to $125 every quarter
NoticeAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agentsAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agents
Extra Benefits, Please refer to PDF PDF
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〈Anthem Blue Cross〉

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