Brand New Day Valor Care Plan (HMO)
H0838 - 048 - 0
(2.5 / 5)
Brand New Day Valor Care Plan (HMO) is a Medicare Advantage (Part C) Plan by Brand New Day.
This page features plan details for 2024 Brand New Day Valor Care Plan (HMO) H0838 – 048 – 0 available in Select counties in Central and Southern CA.
IMPORTANT: This page has been updated with plan and premium data for 2024.
Locations
Brand New Day Valor Care Plan (HMO) is offered in the following locations.
Plan Overview
Brand New Day Valor Care Plan (HMO) offers the following coverage and cost-sharing.
| Insurer: | Brand New Day |
| Health Plan Deductible: | $0.00 |
| MOOP: | $3,850 In-network |
| Drugs Covered: | No |
Ready to sign up for Brand New Day Valor Care Plan (HMO) ?
Medicare Part B Give Back Benefit
The Part B Premium Reduction (Medicare Part B Give Back Benefit) lowers the cost of some Medicare Advantage plans.
Brand New Day Valor Care Plan (HMO) qualifies for a monthly Medicare Give Back Benefit of $85.00.
| Premium Reduction: | $85.00 |
Premium Breakdown
Brand New Day Valor Care Plan (HMO) has a monthly premium of $0.00. This amount includes your Part C premium but does not include your Part B premium.| Part B | Part C | Part B Give Back | Total |
|---|---|---|---|
| $174.70 | $0.00 | $85.00 | $89.70 |
- Your Part B premium may differ based on factors including late enrollment, income, and disability status.
Additional Benefits
Brand New Day Valor Care Plan (HMO) also provides the following benefits.
| $0 |
| In-network | Yes |
| $3,850 In-network |
| No |
| In-network | No |
| 0-20% coinsurance per visit (Authorization is required.) (Referral is required.) |
| Primary | $0 copay (Not applicable.) (Not applicable.) |
| Specialist | $10 copay per visit (Authorization is required.) (Referral is required.) |
| $0 copay (Authorization is required.) (Referral is required.) |
| Emergency | $0-120 copay per visit (always covered) (Not applicable.) (Not applicable.) |
| Urgent care | $0 copay (Not applicable.) (Not applicable.) |
| Diagnostic tests and procedures | $0 copay (Authorization is required.) (Referral is required.) |
| Lab services | $0 copay (Authorization is required.) (Referral is required.) |
| Diagnostic radiology services (e.g., MRI) | $0-50 copay (Authorization is required.) (Referral is required.) |
| Outpatient x-rays | $0 copay (Authorization is required.) (Referral is required.) |
| Hearing exam | $0 copay (Authorization is not required.) (Referral is not required.) |
| Fitting/evaluation | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| Hearing aids | $149 copay (Limits may apply.) (Authorization is required.) (Referral is not required.) |
| Oral exam | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| Cleaning | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| Fluoride treatment | $0 copay (There are no limits.) (Authorization is not required.) (Referral is not required.) |
| Dental x-ray(s) | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| Non-routine services | $0-300 copay (There are no limits.) (Authorization is required.) (Referral is required.) |
| Diagnostic services | $0-6 copay (There are no limits.) (Authorization is required.) (Referral is required.) |
| Restorative services | $25-400 copay (There are no limits.) (Authorization is required.) (Referral is required.) |
| Endodontics | $25-720 copay (There are no limits.) (Authorization is required.) (Referral is required.) |
| Periodontics | $0-780 copay (There are no limits.) (Authorization is required.) (Referral is required.) |
| Extractions | $0-360 copay (There are no limits.) (Authorization is required.) (Referral is required.) |
| Prosthodontics, other oral/maxillofacial surgery, other services | $0-2,160 copay (There are no limits.) (Authorization is required.) (Referral is required.) |
| Routine eye exam | $0 copay (Limits may apply.) (Authorization is required.) (Referral is required.) |
| Other | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| Contact lenses | $0 copay (Limits may apply.) (Authorization is required.) (Referral is required.) |
| Eyeglasses (frames and lenses) | $0 copay (Limits may apply.) (Authorization is required.) (Referral is required.) |
| Eyeglass frames | $0 copay (Limits may apply.) (Authorization is required.) (Referral is required.) |
| Eyeglass lenses | $0 copay (Limits may apply.) (Authorization is required.) (Referral is required.) |
| Upgrades | $0 copay (Limits may apply.) (Authorization is required.) (Referral is required.) |
| Occupational therapy visit | $10 copay (Authorization is required.) (Referral is required.) |
| Physical therapy and speech and language therapy visit | $10 copay (Authorization is required.) (Referral is required.) |
| $0-275 copay (Not applicable.) (Not applicable.) |
| $0 copay (Limits may apply.) (Authorization is required.) (Referral is not required.) |
| Foot exams and treatment | $0 copay (Authorization is required.) (Referral is required.) |
| Routine foot care | Not covered (Not applicable.) (Not applicable.) |
| Durable medical equipment (e.g., wheelchairs, oxygen) | 0-20% coinsurance per item (Authorization is required.) (Not applicable.) |
| Prosthetics (e.g., braces, artificial limbs) | 0-20% coinsurance per item (Authorization is required.) (Not applicable.) |
| Diabetes supplies | $0 copay (Authorization is required.) (Not applicable.) |
| Covered (Authorization is required.) (Referral is required.) |
| Chemotherapy | 0-20% coinsurance (Authorization is required.) (Not applicable.) |
| Other Part B drugs | 0-20% coinsurance (Authorization is required.) (Not applicable.) |
| Part B Insulin drugs | $35 copay (Authorization is required.) (Not applicable.) |
| Coming soon (Authorization is required.) (Referral is required.) |
| Inpatient hospital – psychiatric | Coming soon (Authorization is required.) (Referral is required.) |
| Outpatient group therapy visit with a psychiatrist | $0 copay (Authorization is required.) (Referral is required.) |
| Outpatient individual therapy visit with a psychiatrist | $0 copay (Authorization is required.) (Referral is required.) |
| Outpatient group therapy visit | $30 copay (Authorization is required.) (Referral is required.) |
| Outpatient individual therapy visit | $30 copay (Authorization is required.) (Referral is required.) |
| Coming soon (Authorization is required.) (Referral is required.) |
Ready to sign up for Brand New Day Valor Care Plan (HMO) ?
Table of Contents
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