Skip to main content
 

A balanced plan with affordable premium. You pay $15 copays for most services.
 

Prescription drug (Part D) coverage is available with Freedom Balance, as well as dental coverage.

Optional prescription drug coverage

  • You have a deductible of $125
  • You pay $10 for generics, $45 for preferred brand, $95 for non-preferred brand and 33 percent for specialty drugs

Optional supplemental dental coverage

  • In addition to what is covered under your medical plan, you get two additional preventive cleanings/exams per year
  • You pay 50 percent coverage for fillings, oral surgery, crowns, dentures and other services

Other features of this plan include:

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premiums and/or copayments may change in on January 1 of each year. You must continue to pay your Medicare Part B premium.