Mercy Cedar Rapids Senior Plan (Cost)
H1651 - 014 - 0
(5 / 5)
Mercy Cedar Rapids Senior Plan (Cost) is a Medicare Advantage Plan by Medical Associates Health Plan, Inc..
This page features plan details for 2023 Mercy Cedar Rapids Senior Plan (Cost) H1651 – 014 – 0.
IMPORTANT: This page features the 2023 version of this plan. See the 2025 version using the link below:
No 2025 version found. You can use the location links below to find 2025 plans in your area.
Locations
Mercy Cedar Rapids Senior Plan (Cost) is offered in the following locations.
Plan Overview
Mercy Cedar Rapids Senior Plan (Cost) offers the following coverage and cost-sharing.
| Insurer: | Medical Associates Health Plan, Inc. |
| Health Plan Deductible: | $0.00 |
| MOOP: | |
| Drugs Covered: | No |
Ready to sign up for Mercy Cedar Rapids Senior Plan (Cost) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST
Premium Breakdown
Mercy Cedar Rapids Senior Plan (Cost) has a monthly premium of $147.00. This amount includes your Part C premium but does not include your Part B premium.| Part B | Part C | Part B Give Back | Total |
|---|---|---|---|
| $164.90 | $147.00 | $0.00 | $ |
- Your Part B premium may differ based on factors including late enrollment, income, and disability status.
Additional Benefits
Mercy Cedar Rapids Senior Plan (Cost) also provides the following benefits.
Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?
| In-Network: No |
Dental (comprehensive)
| Diagnostic services: | Not covered (no limits) |
| Endodontics: | Not covered (no limits) |
| Extractions: | Not covered (no limits) |
| Non-routine services: | Not covered (no limits) |
| Periodontics: | Not covered (no limits) |
| Prosthodontics, other oral/maxillofacial surgery, other services: | Not covered (no limits) |
| Restorative services: | Not covered (no limits) |
Dental (preventive)
| Cleaning: | Not covered (no limits) |
| Dental x-ray(s): | Not covered (no limits) |
| Fluoride treatment: | Not covered (no limits) |
| Oral exam: | Not covered (no limits) |
Diagnostic procedures/lab services/imaging
| Diagnostic radiology services (e.g., MRI): | $0 copay (authorization not required) (referral not required) |
| Diagnostic tests and procedures: | $0 copay (authorization not required) (referral not required) |
| Lab services: | $0 copay (authorization not required) (referral not required) |
| Outpatient x-rays: | $0 copay (authorization not required) (referral not required) |
Doctor visits
| Primary: | $0 copay |
| Specialist: | $0 copay (authorization not required) (referral not required) |
Emergency care/Urgent care
| Emergency: | $0 copay |
| Urgent care: | $0 copay |
Foot care (podiatry services)
| Foot exams and treatment: | $0 copay (authorization not required) (referral not required) |
| Routine foot care: | $0 copay (limits may apply) (authorization not required) (referral not required) |
Ground ambulance
| $0 copay |
Health plan deductible
| $0.00 |
Health plan deductibles (other)
| In-Network: Yes |
Hearing
| Fitting/evaluation: | Not covered (no limits) |
| Hearing aids – inner ear: | Not covered (no limits) |
| Hearing aids – outer ear: | Not covered (no limits) |
| Hearing aids – over the ear: | Not covered (no limits) |
| Hearing exam: | $0 copay (authorization not required) (referral not required) |
Hospital coverage (inpatient)
| $0 copay (authorization not required) (referral not required) |
Hospital coverage (outpatient)
| $0 copay (authorization not required) (referral not required) |
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
| Not Applicable |
Medical equipment/supplies
| Diabetes supplies: | $0 copay (authorization not required) |
| Durable medical equipment (e.g., wheelchairs, oxygen): | $0 copay (authorization not required) |
| Prosthetics (e.g., braces, artificial limbs): | $0 copay (authorization not required) |
Mental health services
| Inpatient hospital – psychiatric: | $0 copay (authorization not required) (referral not required) |
| Outpatient group therapy visit: | $0 copay (authorization not required) (referral not required) |
| Outpatient group therapy visit with a psychiatrist: | $0 copay (authorization not required) (referral not required) |
| Outpatient individual therapy visit: | $0 copay (authorization not required) (referral not required) |
| Outpatient individual therapy visit with a psychiatrist: | $0 copay (authorization not required) (referral not required) |
Optional supplemental benefits
| No |
Preventive care
| $0 copay (authorization not required) (referral not required) |
Rehabilitation services
| Occupational therapy visit: | $0 copay (authorization not required) (referral not required) |
| Physical therapy and speech and language therapy visit: | $0 copay (authorization not required) (referral not required) |
Skilled Nursing Facility
| $0 copay (authorization not required) (referral not required) |
Transportation
| Not covered |
Vision
| Contact lenses: | Not covered (no limits) |
| Eyeglass frames: | Not covered (no limits) |
| Eyeglass lenses: | Not covered (no limits) |
| Eyeglasses (frames and lenses): | Not covered (no limits) |
| Other: | Not covered (no limits) |
| Routine eye exam: | $0 copay (limits may apply) (authorization not required) (referral not required) |
| Upgrades: | Not covered |
Wellness programs (e.g., fitness, nursing hotline)
| Not covered |
Ready to sign up for Mercy Cedar Rapids Senior Plan (Cost) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST