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  • Tribute Select HMO-POS Special Needs Plan with Prescription Drug for Institutional Residents (2023)(current)

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-$26.10 depending on your level of assistance
Primary Care Visit$0 per visit
Specialist Visit$0 per visit
Inpatient Hospital Stays$0-$1,556 deductible for each benefit period
Days 1-60: $0 coinsurance
Days 61-90: $0-$389 coinsurance
Days 91 and beyond: $778 coinsurance per each “lifetime reserve day” (up to 60 days over your lifetime)
Part D Prescription Drugs“Extra Help” from Medicare Benefits
Deductible $0-505
Copayment during the Initial Coverage Stage:
For generic either:
$0 copay; or
$1.45 copay; or
$4.15 copay
For all other drugs:
$0 copay; or
$4.15 copay; or
$10.35 copay
Standard Benefit
Coinsurance during the Initial Coverage Stage:
Drug Tier 1: 25%
Maximum out-of-pocket amount
(does not include prescription drugs)

Last Updated: Dec 5, 2022 @ 9:22 am

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