CareWell Benefits

  • $0 or up to $36.60 monthly plan premium*

  • $0 or $89 or $435 Part D deductible*

  • Medicare Prescription Drug Coverage (Part D)— 0 or 25% coinsurance*

    • Generic copay: $0 or $1.25 or $3.40
    • All other drugs copay: $0 or $3.80 or $8.50

  • $0 or 20% coinsurance for Primary Care visits*

  • $0 or 20% coinsurance for Specialists visits*

  • $0 Screenings and Immunizations

  • $0 or 20% coinsurance for eye exam* Our plan pays up to $500 every 2 years for hearing aids

  • $0 Dental Comprehensive Services – $1,200 Maximum Benefit Limit

  • $0 annual routine Hearing Exam— Our plan pays up to $500 every 2 years for hearing aids

  • 0 or 20% coinsurance podiatry (foot care)*

  • $0 (FreeStyle and OneTouch) diabetic supplies

  • Nurse Practitioner and Social Worker to care manage and coordinate benefits

For more information about covered services associated and cost-sharing (e.g., co-payments, co-insurance and deductibles) including any conditions and limitations please refer to the  2020 CareWell Summary of Benefits

* Depending on your Medicaid eligibility, you may pay a lower cost share amount.
This plan uses a formulary. Limitations may apply.