HMO Products 2009

First Care Plus
MA-PD

• $0 Monthly Plan Premium

• $100 every year for eyewear

• $300 every 3 years for Hearing Aids

• $500 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+PlusTitanio
Dual SNP
MA-PD

• $0 Monthly Plan Premium

• $20 Monthly Medicare Part B Reduction

• $100 every year for eyewear

• $300 every 3 years for Hearing Aids

• $500 every year for Comprehensive Dental benefits

• $0 copay for Generic drugs, unlimited

Click one of the following links to download de PDF:
Summary of Benefits
Evidence of Coverage
Enrollment Form

First+Plus Complete
Diabetic SNP
MA-PD

• $0 Monthly Plan Premium

• $20 Monthly Medicare Part B Reduction

• $100 every year for eyewear

• $300 every 3 years for Hearing Aids

• $500 every year for Comprehensive Dental benefits

• $5 copay for Generic drugs, unlimited

• $200 a year for Acupuncture, Gym and Nutritionist

Click one of the following links to download de PDF:
Summary of Benefits
Evidence of Coverage
Enrollment Form