Generations Valor (HMO-POS)
H3706 - 009 - 0
(4.5 / 5)
Generations Valor (HMO-POS) is a Medicare Advantage (Part C) Plan by GlobalHealth.
This page features plan details for 2024 Generations Valor (HMO-POS) H3706 – 009 – 0 available in Oklahoma (Partial).
IMPORTANT: This page has been updated with plan and premium data for 2024.
Locations
Generations Valor (HMO-POS) is offered in the following locations.
Plan Overview
Generations Valor (HMO-POS) offers the following coverage and cost-sharing.
| Insurer: | GlobalHealth |
| Health Plan Deductible: | $0.00 |
| MOOP: | $4,900 In and Out-of-network $3,900 In-network |
| Drugs Covered: | No |
Ready to sign up for Generations Valor (HMO-POS) ?
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.
Generations Valor (HMO-POS) qualifies for a monthly Medicare Give Back Benefit of $75.00.
| Premium Reduction: | $75.00 |
Premium Breakdown
Generations Valor (HMO-POS) 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 | $75.00 | $99.70 |
- Your Part B premium may differ based on factors including late enrollment, income, and disability status.
Additional Benefits
Generations Valor (HMO-POS) also provides the following benefits.
| $0 |
| In-network | No |
| $4,900 In and Out-of-network $3,900 In-network |
| No |
| In-network | No |
| In-network | $15-320 copay per visit (Authorization is required.) (Referral is required.) |
| In-network Primary | $0 copay (Not applicable.) (Not applicable.) |
| In-network Specialist | $35 copay per visit (Authorization is required.) (Referral is required.) |
| out-of-network Specialist | $55 copay per visit (Authorization is required.) (Referral is required.) |
| In-network | $0 copay (Authorization is not required.) (Referral is not required.) |
| Emergency | $90 copay per visit (always covered) (Not applicable.) (Not applicable.) |
| Urgent care | $15 copay per visit (always covered) (Not applicable.) (Not applicable.) |
| In-network Diagnostic tests and procedures | $0-100 copay (Authorization is required.) (Referral is required.) |
| In-network Lab services | $5 copay (Authorization is required.) (Referral is required.) |
| In-network Diagnostic radiology services (e.g., MRI) | $0-250 copay (Authorization is required.) (Referral is required.) |
| In-network Outpatient x-rays | $0 copay (Authorization is required.) (Referral is required.) |
| In-network Hearing exam | $0-35 copay (Authorization is not required.) (Referral is not required.) |
| In-network Fitting/evaluation | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| In-network Hearing aids | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| In-network Oral exam | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| In-network Cleaning | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| In-network Fluoride treatment | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| In-network Dental x-ray(s) | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| In-network Non-routine services | 20% coinsurance (Limits may apply.) (Authorization is required.) (Referral is required.) |
| In-network Diagnostic services | $0 copay (Limits may apply.) (Authorization is required.) (Referral is required.) |
| In-network Restorative services | 0-20% coinsurance (Limits may apply.) (Authorization is required.) (Referral is required.) |
| In-network Endodontics | 20% coinsurance (Limits may apply.) (Authorization is required.) (Referral is required.) |
| In-network Periodontics | 0-20% coinsurance (Limits may apply.) (Authorization is required.) (Referral is required.) |
| In-network Extractions | 20% coinsurance (Limits may apply.) (Authorization is required.) (Referral is required.) |
| In-network Prosthodontics, other oral/maxillofacial surgery, other services | 0-20% coinsurance (Limits may apply.) (Authorization is required.) (Referral is required.) |
| In-network Routine eye exam | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| Other | Not covered (There are no limits.) (Not applicable.) (Not applicable.) |
| In-network Contact lenses | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| In-network Eyeglasses (frames and lenses) | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| In-network Eyeglass frames | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| In-network Eyeglass lenses | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| Upgrades | Not covered (Not applicable.) (Not applicable.) |
| In-network Occupational therapy visit | $20 copay (Authorization is required.) (Referral is required.) |
| In-network Physical therapy and speech and language therapy visit | $20 copay (Authorization is required.) (Referral is required.) |
| In-network | $240 copay (Not applicable.) (Not applicable.) |
| out-of-network | $240 copay (Not applicable.) (Not applicable.) |
| In-network | $0 copay (Limits may apply.) (Authorization is not required.) (Referral is not required.) |
| In-network Foot exams and treatment | $35 copay (Authorization is required.) (Referral is required.) |
| Routine foot care | Not covered (Not applicable.) (Not applicable.) |
| In-network Durable medical equipment (e.g., wheelchairs, oxygen) | 20% coinsurance per item (Authorization is required.) (Not applicable.) |
| In-network Prosthetics (e.g., braces, artificial limbs) | 0-20% coinsurance per item (Authorization is required.) (Not applicable.) |
| In-network Diabetes supplies | $0 copay (Authorization is required.) (Not applicable.) |
| Covered (Authorization is not required.) (Referral is not required.) |
| In-network Chemotherapy | 0-20% coinsurance (Authorization is required.) (Not applicable.) |
| In-network Other Part B drugs | 0-20% coinsurance (Authorization is required.) (Not applicable.) |
| In-network Part B Insulin drugs | 0-20% coinsurance (up to $35) (Authorization is required.) (Not applicable.) |
| In-network | $295 per day for days 1 through 7 $0 per day for days 8 through 90 (Authorization is required.) (Referral is required.) |
| out-of-network | $345 per day for days 1 through 7 $0 per day for days 8 through 90 (Authorization is required.) (Referral is required.) |
| In-network Inpatient hospital – psychiatric | $295 per day for days 1 through 7 $0 per day for days 8 through 90 (Authorization is required.) (Referral is required.) |
| out-of-network Inpatient hospital – psychiatric | $345 per day for days 1 through 7 $0 per day for days 8 through 90 (Authorization is required.) (Referral is required.) |
| In-network Outpatient group therapy visit with a psychiatrist | $0 copay (Authorization is required.) (Referral is required.) |
| In-network Outpatient individual therapy visit with a psychiatrist | $0 copay (Authorization is required.) (Referral is required.) |
| In-network Outpatient group therapy visit | $0 copay (Authorization is required.) (Referral is required.) |
| In-network Outpatient individual therapy visit | $0 copay (Authorization is required.) (Referral is required.) |
| In-network | $0 per day for days 1 through 20 $184 per day for days 21 through 100 (Authorization is required.) (Referral is required.) |
| out-of-network | $225 per day for days 1 through 25 $0 per day for days 26 through 100 (Authorization is required.) (Referral is required.) |
Ready to sign up for Generations Valor (HMO-POS) ?
Table of Contents
SMID: MULTIPLAN_HCIHNDOGMED01_M
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