PartnershipAdvantage (HMO SNP) - Plan Costs

This page details the costs to you as a member of PartnershipAdvantage.

Monthly Premium:

For 2013, the monthly premium for PartnershipAdvantage is $85.60.This premium is made up of two parts for Part C and Part D. Your Part C premium of $55.70 is paid for you by PHC Medi-Cal with zero cost share. Your Part D premium of $29.90 is paid for you by your Extra Help.

Deductible:

There is no deductible for PartnershipAdvantage.

Cost Sharing:

There are no copayments for medical services, including office visits, hospital stays, and Part A and B drugs.

There is no copayment for Generic drugs. You pay either a $3.50 or $6.60 copayment for Brand drugs, per prescription, depending on your level of Medi-Cal eligibility. If you have surpassed $6,650.00 during the benefit year, you will receive all drugs at a $0 copayment.

To find out which brand drugs have a copayment, click here - (H5782 PHC_1085_13CF_001 CMS Accepted) to see our comprehensive formulary.

The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan.

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