Regence MedAdvantage (PPO)
The following highlights include all Regence MedAdvantage (PPO) options, including Regence MedAdvantage + Rx Enhanced (PPO), Regence MedAdvantage + Rx Classic (PPO) and Regence MedAdvantage (PPO). For more specific information on our Regence MedAdvantage + Rx (PPO) options, click on the Part D Prescription Drug link below.
2010 Regence MedAdvantage (PPO) Highlights
- Members can choose their own doctor—no referrals
are required to see specialists
- $10 copay for in-network doctor and specialist visits with Regence MedAdvantage + Rx Enhanced (PPO) and Regence MedAdvantage (PPO). A $25 copay applies to Regence MedAdvantage + Rx Classic (PPO).
- Vast PPO network of doctors, specialists and hospitals
to choose from
- Preventive-care coverage after $10
copay for in-network routine physicals with Regence MedAdvantage + Rx Enhanced (PPO) and Regence MedAdvantage (PPO). A $25 copay applies to Regence MedAdvantage + Rx Classic (PPO).
- $10 copay for in-network diagnostic hearing exams with Regence MedAdvantage + Rx Enhanced (PPO) and Regence MedAdvantage (PPO). A $25 copay applies to Regence MedAdvantage + Rx Classic (PPO).
- No deductibles for medical services in-network with Regence MedAdvantage (PPO) and Regence MedAdvantage + Rx Enhanced (PPO). A $50 deductible applies to Medicare-covered
services with Regence MedAdvantage + Rx Classic (PPO).
- Easy to use with virtually no paperwork
- Predictable expenses with out-of-pocket
maximums
- Routine, preventive dental services, up to $500 per year.
- Nurse health-advice hotline available 24-hours
a day
- Great customer service - one of the lowest complaint rates in the country
Add Part D Prescription Drug Coverage for Savings and Convenience
Members can choose from over 50,000 pharmacies nationwide, or use convenient mail order service, and have copays as low as $4 for Tier 1 generic medications.
Comparing health care plans
Three valuable considerations when comparing
plans:
- Choose a product that is economical. Most people appreciate the low copays, low premiums, the out-of-pocket maximum,
and numerous benefits not
usually covered by Medicare.
- Choose a plan with a vast PPO network, out-of-network
coverage, and direct access to specialists without
having to visit a primary care provider for a referral.
- Choose a product
from a well-known company with experience and helpful service.
| Resource |
Description |
Information Brochure
• 2009 (PDF)
• 2010 (PDF) |
Plan and benefits overview, service area, FAQ and more. |
| FAQs |
Answers to frequently asked questions. |
| Comparison chart PPO/HMO/ Medicare Supplement (PDF) |
Compares benefits of Regence MedAdvantage PPO to HMO and
Medicare Supplement products. |
Summary of Benefits
• 2009 (PDF)
• 2010 (PDF) |
This brochure contains detailed information about this plan, including applicable conditions and limitations, premiums, cost-sharing (e.g., copays, coinsurance and deductibles), and any conditions associated with receipt or use of benefits. |
Evidence of Coverage Brochure
• 2009 (PDF)
• 2010 (PDF) |
This is the Evidence of Coverage (EOC) which contains a detailed explanation of coverage; sent to all new members. |
Annual Notice of Changes
Regence MedAdvantage (PPO)
• 2009
(PDF)
• 2010 (PDF) |
Notice of premium, benefit and cost-sharing changes for 2009 and 2010. |
| Discount
Services Program – Regence Advantages |
Discount Services available to members such as
vision care services, hearing care services. |
Counter card
• 2010 (PDF) |
Order these brochures to send to your clients. |
|
Application Form for Regence MedAdvantage (PPO) Plans
• 2009
• 2010 (PDF) |
Use this form to apply for coverage. Download, complete and mail to the address on the form. |
SurePay Information and Authorization Form
• 2009 (PDF)
• 2010 (PDF) |
Give this form to the member to set up automatic
payment of premium from the member's personal account. |
Customer Service 1 (800) 541-8981
Agent Desk 1 (800) 452-7278 ext. 4960
*Agents/brokers are required to attend training to sell Regence MedAdvantage (PPO) and must be certified to receive commission. For further information, please contact your sales representative.
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