Pay Bill2024 Encompass 65® HMO (without prescription coverage)
Plan Highlights
MONTHLY PREMIUM
PRIMARY/SPECIALTY COPAY (In-Network)
INPATIENT HOSPITAL COPAY (In-Network)
PART D PRESCRIPTION BENEFIT
(Tier 1 / 2 / 3 / 4 / 5)
MONTHLY PREMIUM
$0
PRIMARY/SPECIALTY COPAY (In-Network)
$0/$10
INPATIENT HOSPITAL COPAY (In-Network)
Days 1-5: $150 per day. Additional days: $0. Unlimited Days for Medicare covered stays. ($750 Annual Member Copay Maximum).
PART D PRESCRIPTION BENEFIT
No Part D prescription drug benefit.