Select HMO-POS Special Needs Plan with Prescription Drug for Institutional Residents (2018)

Select (HMO-POS SNP) is a Medicare Advantage health plan designed specifically for Medicare beneficiaries that reside in a long-term care facility. Select is offered by Superior Select Health Plans, headquartered in central Arkansas and available in all Arkansas counties.

The Select Advantage

• No Deductible Cost
  $0 deductible for medical coverage
• Durable Medical Equipment (DME)
  Covers medically necessary DME, such as walkers,
  wheelchairs and low-loss air mattresses
• Physical, Occupational and Speech Therapy
  No annual limit
• Skilled Nursing Care
  No prior hospital stay requirement
• All-In-One Plan
  Covers original Medicare benefits plus
  Medicare Part D prescription drugs

Summary of Important Costs
Monthly Premium	$128
Primary Care Visit	$0 per visit
Specialist Visit	$25 per visit
Inpatient Hospital Stays	$0 deductible $110 per day for days 1 – 8 $0 copay per day for days 9 – 90 $658 copay per lifetime reserve day (days 91-150)
Part D Prescription Drugs	Standard Benefit Coinsurance during the Initial Coverage Stage: Preferred Generic $2.00 Generic $8.00 Preferred Brand $47.00 Non-Preferred Drug $100 Specialty Tier 33%
Maximum out-of-pocket amount (does not include prescription drugs)	$4500