Select your county to find a HAP Medicare Advantage plan in your neighborhood:
Here, with a health plan for your unique needs
Compare our Medicare Advantage options – starting at $0/month.*
HAP Choice Medicare – West Michigan (HMO) | HAP Choice Medicare – West Michigan (HMO) | |
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Option 1 (Plan 026) | Option 2 (Plan 027) | |
Hide | Hide | |
Monthly premium | $0 | $30 |
Annual medical deductible | $0/year | $0/year |
Maximum out-of-pocket | $4,800 for services from in-network providers | $3,900 for services from in-network providers |
Primary doctor/speciality visits (PCP needed for speciality) |
$0/$40 | $0/$30 |
Hospital | $235 per day (days 1-7) Unlimited days |
$210 per day (days 1-7) Unlimited days |
Emergency (ER)/urgent care (UC) | $90†/$65 | $90†/$65 |
Physical/occupational/ speech therapy visits |
$0/$200 | $0/$180 |
Labs/outpatient hospital | $250 | $150 |
Over-the-counter medication | $75 allowance / quarter | $100 allowance / quarter |
Prescription drug deductible | $0/year | $0/year |
Prescription copays 30-day supply* | Preferred / non-preferred pharmacy network | Preferred / non-preferred pharmacy network |
Tier 1 – preferred generics | $0/$6 | $0/$6 |
Tier 2 – generics | $10/$15 | $10/$15 |
Tier 3 – preferred brand | $42/$47 | $42/$47 |
Tier 4 – non-preferred drugs | 48%/50% | 48%/50% |
Tier 5 – specialty tier | 33%/33% | 33%/33% |
Tier 6 – preventive vaccines | $0 | $0 |
Preferred mail order – 90-day supply | $0 copay T1 & T2 | $0 copay T1 & T2 |
These plans have copay coverage for Tier 1 and Tier 2 drugs in the coverage gap (donut hole). |
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Initial coverage limit (combined drug costs paid by you and the plan): $4,130‡ |
All HAP Medicare Advantage plans include:
$0 vision: A routine eye exam and an annual eyewear allowance of $125 or more
$0 dental: Two exams, two cleanings and a set of bitewing X-rays every year
$0 hearing: A routine hearing exam and a fitting/evaluation exam for hearing aids through a NationsHearing provider
Up to $400/year allowance for over-the-counter items and medications
Free prescription home delivery
$0 fitness options including gyms, studios, online classes as well as at-home FitKits
HMO plans include snowbird coverage. Benefits extend to AZ, FL, TX and MI (out-of-area) for up to six months (select HMO plan only).
For all options, you must continue to pay your Medicare Part B premium. Your plan premium may be reduced if you qualify for extra financial assistance. All drugs on our drug list are covered at the HAP-negotiated price. You pay the lower of your copay or the actual cost of a covered drug.
This chart does not include full plan details and disclaimers. Complete plan details for our Medicare plans can be found in the Summary of Benefits, Evidence of Coverage documents and our privacy practices.
For more information on Medicare Supplement Plans, please click here.
Here, with a health plan for your unique needs
Compare our Medicare Advantage options – starting at $0/month.*
HAP Senior Plus (HMO) (Plan 015) |
HAP Senior Plus Medical Only (HMO) (Plan 019) |
HAP Senior Plus (PPO) (Plan 011) |
|
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37 counties + out-state travel | 30 counties + out-state travel | 30 counties + out-state travel | |
Hide | Hide | Hide | |
Monthly premium1 | $0 | $08 | $0 |
Annual medical deductible2 | $0 | $0 | $100 out-of-network |
Maximum out-of-pocket | $5,000 | $4,000 | $6,000 in-network; $7,000 in- and out-of-network combined5 |
Primary doctor/speciality visits | $0/$40 | $0/$20 | $0/$50 in-network; 30% out-of-network6 |
Inpatient hospital | $295 per day (days 1-6) Unlimited days |
$200 per day (days 1-7) Unlimited days |
$295 per day (days 1-6); 30% per day out-of-network6 Unlimited days |
Emergency (ER)4/urgent care (UC) | $90/$65 | $90/$65 | $90/$65 |
Out-of-network (OON) | N/A | N/A | 30%5 |
Labs/outpatient hospital (referral needed) |
$0/$260 | $0/$200 | $0/$260 in-network; 30% out-of-network6 |
Physical/occupational/ speech therapy visits |
$30 | $0 | $30 in-network 30% out-of-network6 |
Over-the-counter medications | $75 allowance / quarter | $75 allowance / quarter | $45 allowance / quarter |
Prescription drug deductible | $0 | N/A | $0 |
Prescription copays 30-day supply3 | Preferred / non-preferred pharmacy network | Not covered | Preferred / non-preferred pharmacy network |
Tier 1 – preferred generics | $0/$6 | Not covered | $0/$7 |
Tier 2 – generics | $10/$15 | Not covered | $10/$15 |
Tier 3 – preferred brand | $42/$47 | Not covered | $42/$47 |
Tier 4 – non-preferred drugs | 48%/50% | Not covered | 48%/50% |
Tier 5 – specialty tier | 33%/33% | Not covered | 33%/33% |
Tier 6 – select care drugs (most preventive vaccines) | $0 | Not covered | $0 |
Preferred mail order – 90-day supply | $0 copay T1 & T2 | Not covered | $0 copay T1 & T2 |
Initial coverage limit (combined drug costs paid by you and the plan): $4,1307 |
All HAP Medicare Advantage plans include:
$0 vision: A routine eye exam and an annual eyewear allowance of $125 or more
$0 dental: Two exams, two cleanings and a set of bitewing X-rays every year
$0 hearing: A routine hearing exam and a fitting/evaluation exam for hearing aids through a NationsHearing provider
Up to $400/year allowance for over-the-counter items and medications
Free prescription home delivery
$0 fitness options including gyms, studios, online classes as well as at-home FitKits
HMO plans include snowbird coverage. Benefits extend to AZ, FL, TX and MI (out-of-area) for up to six months (select HMO plan only).
PPO plans include an out-of-state travel benefit. Pay in-network prices at participating Medicare providers in 49 states (new for 2021).**
This chart does not include full plan details and disclaimers. Complete plan details for our Medicare plans can be found in the Summary of Benefits, Evidence of Coverage documents and our privacy practices.
For more information on Medicare Supplement Plans, please click here.
Here, with a health plan for your unique needs
Medicare Advantage for $0/month.*
HAP Senior Plus (HMO) (Plan 015) |
|||
---|---|---|---|
37 counties + out-state travel | |||
Monthly premium1 | $0 | ||
Annual medical deductible2 | $0 | ||
Maximum out-of-pocket | $5,000 | ||
Primary doctor/speciality visits | $0/$40 | ||
Inpatient hospital | $295 per day (days 1-6) Unlimited days |
||
Emergency (ER)4/urgent care (UC) | $90/$65 | ||
Out-of-network (OON) | N/A | ||
Labs/outpatient hospital (referral needed) |
$0/$260 | ||
Physical/occupational/ speech therapy visits |
$30 | ||
Over-the-counter medications | $75 allowance/quarter | ||
Prescription drug deductible | $0 | ||
Prescription copays3 | Preferred / non-preferred pharmacy network | ||
Tier 1 – preferred generics | $0/$6 | ||
Tier 2 – generics | $10/$15 | ||
Tier 3 – preferred brand | $42/$47 | ||
Tier 4 – non-preferred drugs | 48%/50% | ||
Tier 5 – specialty tier | 33%/33% | ||
Tier 6 | $0 | ||
Preferred mail order – 90-day supply | $0 copay T1 & T2 | ||
Initial coverage limit (combined drug costs paid by you and the plan): $4,1305 |
All HAP Medicare Advantage plans include:
$0 vision: A routine eye exam and an annual eyewear allowance of $125 or more
$0 dental: Two exams, two cleanings and a set of bitewing X-rays every year
$0 hearing: A routine hearing exam and a fitting/evaluation exam for hearing aids through a NationsHearing provider
Up to $400/year allowance for over-the-counter items and medications
Free prescription home delivery
$0 fitness options including gyms, studios, online classes as well as at-home FitKits
HMO plans include snowbird coverage. Benefits extend to AZ, FL, TX and MI (out-of-area) for up to six months (select HMO plan only).
PPO plans include an out-of-state travel benefit. Pay in-network prices at participating Medicare providers in 49 states (new for 2021).**
This chart does not include full plan details and disclaimers. Complete plan details for our Medicare plans can be found in the Summary of Benefits, Evidence of Coverage documents and our privacy practices.
For more information on Medicare Supplement Plans, please click here.
Here, with a health plan for your unique needs
Compare our Medicare Advantage options – starting at $0/month.*
HAP Senior Plus (HMO) (Plan 015) |
HAP Senior Plus Medical Only (HMO) (Plan 019) |
HAP Senior Plus (PPO) (Plan 011) |
HAP Empowered Duals (HMO SNP) (Plan 025)9 |
|
---|---|---|---|---|
37 counties + out-state travel | 30 counties + out-state travel | 30 counties + out-state travel | 4 counties | |
Hide | Hide | Hide | Hide | |
Monthly premium1 | $0 | $08 | $0 | $0 |
Annual medical deductible2 | $0 | $0 | $100 out-of-network | $0 |
Maximum out-of-pocket | $5,000 | $4,000 | $6,000 in-network; $7,000 in- and out-of-network combined5 |
$0 |
Primary doctor/speciality visits | $0/$40 | $0/$20 | $0/$50 in-network; 30% out-of-network6 |
$0 |
Inpatient hospital | $295 per day (days 1-6) Unlimited days |
$200 per day (days 1-7) Unlimited days |
$295 per day (days 1-6); 30% per day out-of-network6 Unlimited days |
$0 |
Emergency (ER)4/urgent care (UC) | $90/$65 | $90/$65 | $90/$65 | $0 |
Out-of-network (OON) | N/A | N/A | 30%5 | N/A |
Labs/outpatient hospital (referral needed) |
$0/$260 | $0/$200 | $0/$260 in-network; 30% out-of-network6 |
$0 |
Physical/occupational/ speech therapy visits |
$30 | $0 | $30 in-network 30% out-of-network6 |
$0 |
Over-the-counter medications | $75 allowance / quarter | $75 allowance / quarter | $45 allowance / quarter | $75 allowance / quarter |
Prescription drug deductible | $0 | N/A | $0 | $0 |
Prescription copays 30-day supply3 | Preferred / non-preferred pharmacy network | Not covered | Preferred / non-preferred pharmacy network | Preferred / non-preferred pharmacy network |
Tier 1 – preferred generics | $0/$6 | Not covered | $0/$7 | $0 - $9.2010 |
Tier 2 – generics | $10/$15 | Not covered | $10/$15 | $0 - $9.2010 |
Tier 3 – preferred brand | $42/$47 | Not covered | $42/$47 | $0 - $9.2010 |
Tier 4 – non-preferred drugs | 48%/50% | Not covered | 48%/50% | $0 - $9.2010 |
Tier 5 – specialty tier | 33%/33% | Not covered | 33%/33% | $0 - $9.2010 |
Tier 6 – select care drugs (most preventive vaccines) | $0 | Not covered | $0 | $0 |
Preferred mail order – 90-day supply | $0 copay T1 & T2 | Not covered | $0 copay T1 & T2 | N/A |
Initial coverage limit (combined drug costs paid by you and the plan): $4,1307 |
All HAP Medicare Advantage plans include:
$0 vision: A routine eye exam and an annual eyewear allowance of $125 or more
$0 dental: Two exams, two cleanings and a set of bitewing X-rays every year
$0 hearing: A routine hearing exam and a fitting/evaluation exam for hearing aids through a NationsHearing provider
Up to $400/year allowance for over-the-counter items and medications
Free prescription home delivery
$0 fitness options including gyms, studios, online classes as well as at-home FitKits
HMO plans include snowbird coverage. Benefits extend to AZ, FL, TX and MI (out-of-area) for up to six months (select HMO plan only).
PPO plans include an out-of-state travel benefit. Pay in-network prices at participating Medicare providers in 49 states (new for 2021).**
This chart does not include full plan details and disclaimers. Complete plan details for our Medicare plans can be found in the Summary of Benefits, Evidence of Coverage documents and our privacy practices.
For more information on Medicare Supplement Plans, please click here.