Texas LoneStar Valor (HMO-POS)

H6062 - 012 - 0
Plan Not Rated

Texas LoneStar Valor (HMO-POS) is a Medicare Advantage Plan by GlobalHealth.

This page features plan details for 2023 Texas LoneStar Valor (HMO-POS) H6062 – 012 – 0 available in Dallas Metro.

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

Texas LoneStar Valor (HMO-POS) is offered in the following locations.

Plan Overview

Texas LoneStar Valor (HMO-POS) offers the following coverage and cost-sharing.

Insurer:GlobalHealth
Health Plan Deductible:$0.00
MOOP:$6,900 In and Out-of-network
$3,900 In-network
Drugs Covered:No

Ready to sign up for Texas LoneStar Valor (HMO-POS) ?

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

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. 

Texas LoneStar Valor (HMO-POS) qualifies for a monthly Medicare Give Back Benefit of $75.00.

Premium Reduction:$75.00

Premium Breakdown

Texas LoneStar 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
$164.90 $0.00 $75.00 $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.

Additional Benefits

Texas LoneStar Valor (HMO-POS) 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:In-Network: $0 copay (limits may apply) (authorization required) (referral required)
Endodontics:In-Network: 20% coinsurance (limits may apply) (authorization required) (referral required)
Extractions:In-Network: 20% coinsurance (limits may apply) (authorization required) (referral required)
Non-routine services:In-Network: 20% coinsurance (limits may apply) (authorization required) (referral required)
Periodontics:In-Network: 0-20% coinsurance (limits may apply) (authorization required) (referral required)
Prosthodontics, other oral/maxillofacial surgery, other services:In-Network: 0-20% coinsurance (limits may apply) (authorization required) (referral required)
Restorative services:In-Network: 0-20% coinsurance (limits may apply) (authorization required) (referral required)

Dental (preventive)

Cleaning:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Dental x-ray(s):In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Fluoride treatment:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Oral exam:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)

Diagnostic procedures/lab services/imaging

Diagnostic radiology services (e.g., MRI):In-Network: $0-250 copay (authorization required) (referral required)
Diagnostic tests and procedures:In-Network: $0-100 copay (authorization required) (referral required)
Lab services:In-Network: $5 copay (authorization required) (referral required)
Outpatient x-rays:In-Network: $0 copay (authorization required) (referral required)

Doctor visits

Primary:In-Network: $0 copay
Specialist:In-Network: $35 copay per visit (authorization required) (referral required)
Specialist:Out-of-Network: $45 copay per visit (authorization required) (referral required)

Emergency care/Urgent care

Emergency: $90 copay per visit (always covered)
Urgent care: $15 copay per visit (always covered)

Foot care (podiatry services)

Foot exams and treatment:In-Network: $35 copay (authorization required) (referral required)
Routine foot care: Not covered

Ground ambulance

In-Network: $240 copay
Out-of-Network: $240 copay

Health plan deductible

$0.00

Health plan deductibles (other)

In-Network: No

Hearing

Fitting/evaluation:In-Network: $0 copay (limits may apply) (authorization required) (referral required)
Hearing aids:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Hearing exam:In-Network: $0-35 copay (authorization required) (referral required)

Hospital coverage (inpatient)

In-Network: $295 per day for days 1 through 7
$0 per day for days 8 through 90 (authorization required) (referral required)
Out-of-Network: $345 per day for days 1 through 7
$0 per day for days 8 through 90 (authorization required) (referral required)

Hospital coverage (outpatient)

In-Network: $250 copay per visit (authorization required) (referral required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

$6,900 In and Out-of-network
$3,900 In-network

Medical equipment/supplies

Diabetes supplies:In-Network: $0 copay (authorization required)
Durable medical equipment (e.g., wheelchairs, oxygen):In-Network: 20% coinsurance per item (authorization required)
Prosthetics (e.g., braces, artificial limbs):In-Network: 20% coinsurance per item (authorization required)

Medicare Part B drugs

Chemotherapy:In-Network: 20% coinsurance (authorization required)
Other Part B drugs:In-Network: 20% coinsurance (authorization required)

Mental health services

Inpatient hospital – psychiatric:In-Network: $295 per day for days 1 through 7
$0 per day for days 8 through 90 (authorization required) (referral required)
Inpatient hospital – psychiatric:Out-of-Network: $345 per day for days 1 through 7
$0 per day for days 8 through 90 (authorization required) (referral required)
Outpatient group therapy visit:In-Network: $35 copay (authorization required) (referral required)
Outpatient group therapy visit with a psychiatrist:In-Network: $35 copay (authorization required) (referral required)
Outpatient individual therapy visit:In-Network: $35 copay (authorization required) (referral required)
Outpatient individual therapy visit with a psychiatrist:In-Network: $35 copay (authorization required) (referral required)

Optional supplemental benefits

No

Preventive care

In-Network: $0 copay (authorization not required) (referral not required)

Rehabilitation services

Occupational therapy visit:In-Network: $20 copay (authorization required) (referral required)
Physical therapy and speech and language therapy visit:In-Network: $20 copay (authorization required) (referral required)

Skilled Nursing Facility

In-Network: $0 per day for days 1 through 20
$184 per day for days 21 through 100 (authorization required) (referral required)
Out-of-Network: $225 per day for days 1 through 25
$0 per day for days 26 through 100 (authorization required) (referral required)

Transportation

In-Network: $0 copay (limits may apply) (authorization required) (referral not required)

Vision

Contact lenses:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Contact lenses:Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Eyeglass frames:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Eyeglass frames:Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Eyeglass lenses:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Eyeglass lenses:Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Eyeglasses (frames and lenses):In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Eyeglasses (frames and lenses):Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Other: Not covered (no limits)
Routine eye exam:In-Network: $0 copay (limits may apply) (authorization required) (referral required)
Upgrades: Not covered

Wellness programs (e.g., fitness, nursing hotline)

Covered (authorization not required) (referral not required)

Ready to sign up for Texas LoneStar Valor (HMO-POS) ?

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

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