Tribute Select (HMO-POS I-SNP) is a Medicare Advantage health plan designed specifically for Medicare beneficiaries that reside in a long-term care facility. Select is offered by Tribute Health Plans, headquartered in central Arkansas and available in all Arkansas counties.
The Select Advantage
- Medical Services
Your cost for medical services match Original Medicare
and may be less depending on your status under Arkansas 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 for Part B authorized therapy services - 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-$25.30 depending on your level of assistance |
| Primary Care Visit | 0-20% coinsurance depending on your level of assistance |
| Specialist Visit | 0-20% coinsurance depending on your level of assistance |
| Inpatient Hospital Stays | $0-$1,408 deductible for each benefit period
Days 1-60: $0 coinsurance Days 61-90: $0-$352 coinsurance Days 91 and beyond: $0-$704 coinsurance per each “lifetime reserve day” (up to 60 days over your lifetime) |
| Part D Prescription Drugs | “Extra Help” from Medicare Benefits Deductible $0-480 Copayment during the Initial Coverage Stage: For generic either: $0 copay; or $1.35 copay; or $3.95 copay For all other drugs: $0 copay; or $4.00 copay; or $9.85 copay OR Standard Benefit Coinsurance during the Initial Coverage Stage: Drug Tier 1: 25% |
| Maximum out-of-pocket amount (does not include prescription drugs) | $7,175 |
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