Tribute Health Plans

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  • Tribute HMO-POS Special Needs Plan with Prescription Drug for Dual Eligible Individuals (2019)(current)
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

Last Updated: Oct 7, 2019 @ 3:00 pm

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