Tribute (HMO-POS SNP) is a Medicare Advantage, Dual Special Needs plan designed specifically for Medicare and Medicaid beneficiaries (also called dual-eligibles) that reside in a long-term care facility or live at home in their community. Tribute is offered by Superior Select Health Plans, headquartered in central Arkansas and available in all Arkansas counties.
The Tribute Advantage
- No Monthly Premium
$0 monthly plan premium for Tribute members
with Medicare and Medicaid - 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 | $0 |
| Primary Care Visit | $0 per visit |
| Specialist Visit | $0 per visit |
| Inpatient Hospital Stays | $0 |
| Part D Prescription Drugs | “Extra Help” from Medicare Benefits Deductible $0 Copayment during the Initial Coverage Stage: For generic either: $0 copay; or $1.25 copay; or $3.40 copay For all other drugs: $0 copay; or $3.80 copay; or $8.50 copay OR Standard Benefit Coinsurance during the Initial Coverage Stage: Drug Tier 1: 25% |
| Maximum out-of-pocket amount (does not include prescription drugs) |
$6700 |
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