PPO Products 2009
First+Plus Advantage
MA-Only
• $0 Monthly Plan Premium
• $60 monthly Medicare Part B Reduction
• $100 every year for eyewear
• $300 every 3 years for Hearing Aids
Click one of the following links to download the PDF:
Summary of Benefits
Evidence of Coverage
Enrollment Form
First+Plus Advantage Plus
MA-PD
• $0 Monthly Plan Premium
• $20 monthly Medicare Part B Reduction
• $100 every year for eyewear
• $400 every 3 years for Hearing Aids
• $600 every year for Comprehensive Dental benefits
• $0 copay for Generic drugs, unlimited
Click one of the following links to download the PDF:
Summary of Benefits
Evidence of Coverage
Enrollment Form
First+Plus Advantage Premium
MA-PD
• $20 Monthly Plan Premium
• $100 every year for eyewear
• $500 every 3 years for Hearing Aids
• $800 every year for Comprehensive Dental Benefits
• $500 a year for Travel Benefits
• $200 a year for Acupuncture, Gym and Nutritionist
• $0 copay for Generic drugs, unlimited
Click one of the following links to download the PDF:
Summary of Benefits
Evidence of Coverage
Enrollment Form
Employer Group Health Plans
First+PlusGobierno Premium
MA-PD
• $96.40 Monthly Medicare Part B Reduction
• $100 every year for eyewear
• $300 every 3 years for Hearing Aids
• $1000 every year for Comprehensive Dental Benefits
• $250 a year for Acupuncture, Gym and Nutritionist
• $0 copay for Generic drugs, unlimited
• $5 copay for Preferred and Non-Preferred Brand Name Drugs
Click one of the following links to download the PDF:
Summary of Benefits
Evidence of Coverage
Enrollment Form
First+PlusGobierno Premium UPR
MA-PD
• $96.40 Monthly Medicare Part B Reduction
• $150 every year for eyewear
• $400 every 3 years for Hearing Aids
• $1000 every year for Comprehensive Dental Benefits
• $250 a year for Acupuncture, Gym and Nutritionist
• $0 copay for Generic drugs, unlimited
• $5 copay for Preferred and Non-Preferred Brand Name Drugs
Click one of the following links to download the PDF:
Summary of Benefits
Evidence of Coverage
Enrollment Form