All Plans (Ohio)

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Plan Eligibility for: People who have both Medicare and Medicaid People who have Medicare and get some level of assistance from the State People who have Medicare and are living with at least one of the following chronic conditions: diabetes, cardiovascular disorder or chronic heart failure People who have Medicare and live in the Ohio service area People who have Medicare and live in the Ohio service area
Monthly Premium $0** $0-$27.50** $0-27.60** $27.60-$56.50** $0** $35.50-$64.40**
PCP Copay $0 $10 $15 $10 $25 $0
Specialist Copay $0 $25 $30 $25 $45 $25
Additional Benefits    
Prescription Drug Coverage-Brand Name and Generic
Dental Services
Including Dentures

Including Dentures
 
Including Dentures
Hearing Services
Including Hearing Aids

Including Hearing Aids

Including Hearing Aids

Including Hearing Aids
Vision Care
Including Eye Glasses

Including Eye Glasses

Including Eye Glasses

Including Eye Glasses

Including Eye Glasses
Transportation    
Fitness Program-Including Health Club Memberships
No Referrals to See Network Doctors    
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**You must continue to pay your Medicare Part B premium - the State pays the Part B premium for full dual members. Premiums may vary based on the level of Extra Help you receive.

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