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# Central Health Medicare Plan
Monthly Premium$0
Annual Deductible$0
Annual Out of Pocket Maximum $1,800
Doctor Visit Copay
(Family\ Internal)
$0 per visit
Doctor Visit Copay
(Specialist)
$0 per visit
Urgent Care Visit Copay$0 per visit
Preventive Care$0 (Once Per Year)
Laboratory fee Copay$0 per visit
Inpatient Fee$0 per day for unlimited days
Outpatient Fee$0
Prescription Drug Fee$0/$0/$35/$75/33%
(Tier 1/2/3/4/5)
Emergency Room Visit Copay$50 ($0 if admitted within 24 hours)
Ambulance$40 per one-way trip
X Ray/Ultrasound$0
CT Scan/MRI Imaging$0
Plan detail information PDF
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〈Central Health〉
# Medicare Advantage Freedom Plus Medicare Advantage SecureHorizons Focus (HMO)
Monthly Premium$0 $0
Annual Deductible$0 $0
Annual Out of Pocket Maximum $1,000$1,000
Doctor Visit Copay
(Family\ Internal)
$0 per visit $0 per visit
Doctor Visit Copay
(Specialist)
$0 per visit $0 per visit
Urgent Care Visit Copay$20 per visit$20 per visit
Preventive Care$0 (Once Per Year)$0 (Once Per Year)
Laboratory fee Copay$0 per visit $0 per visit
Inpatient Fee$100 per stay for unlimited days$0 per stay for unlimited days
Outpatient Fee$0$0
Prescription Drug Fee$0/$0/$47/$100/33%
(Tier 1/2/3/4/5)
$0/$0/$47/$100/33%
(Tier 1/2/3/4/5)
Emergency Room Visit Copay$90$90
Ambulance$225 per one-way trip$225 per one-way trip
X Ray/Ultrasound$0$0
CT Scan/MRI Imaging$50$50
Plan detail information PDF PDF
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〈UHC AARP〉
# Blue Shield 65 Plus Plan (HMO) Blue Shield Inspire (HMO)
Monthly Premium$0 $0
Annual Deductible$0 $0
Annual Out of Pocket Maximum $2,799 $999
Doctor Visit Copay
(Family\ Internal)
$0 per visit $0 per visit
Doctor Visit Copay
(Specialist)
$5 per visit $0 per visit
Urgent Care Visit Copay$10 per visit $0 per visit
Preventive Care$0 (Once Per Year)$0 (Once Per Year)
Laboratory fee Copay$0 per visit $0 per visit
Inpatient Fee$75 per day for days 1-5;
$0 per day for days 6 and over
$0 per day for unlimited days
Outpatient Fee$200 for each visit$150 for each visit
Prescription Drug Fee$0/$10/$40/$95/33%
(Tier 1/2/3/4/5)
$0/$3/$35/$95/33%
(Tier 1/2/3/4/5)
Emergency Room Visit Copay$85$85
Ambulance$150 per one-way trip$100 per one-way trip
X Ray/Ultrasound$0$0
CT Scan/MRI Imaging$30$0
Over-the-counter Items through CVSN/AUp to $90 one-time use per quarter
NoticeAbove benefit is only applied to Riverside County. For other counties, please feel free to contact our agentsAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agents
Plan detail information PDF PDF
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〈Blue Shield〉
# Anthem MediBlue Select Anthem Value Plus
Monthly Premium$0 $0
Annual Deductible (1/1~12/31)$0 $0
Annual Out of Pocket Maximum (1/1~12/31)$900$1,900
Doctor Visit Copay
(Family\ Internal)
$0 per visit$0 per visit
Doctor Visit Copay
(Specialist)
$0 per visit $0 per visit
Urgent Care Visit Copay$30 per visit $0 per visit
Preventive Care$0 (Once Per Year)$0 (Once Per Year)
Laboratory fee Copay$0 per visit $0 per visit
Inpatient Fee$0 per day for unlimited days$0 per day for unlimited days
Outpatient Fee$0$0
Prescription Drug Fee$0/$5/$42/$95/33%
(Tier 1/2/3/4/5)
$0/$9.5/$40/$85/33%
(Tier 1/2/3/4/5)
Emergency Room Visit Copay$120$120
Ambulance$200 per one-way trip$195 per one-way trip
X Ray/Ultrasound$0$0
CT Scan/MRI Imaging$95$150
NoticeAbove benefit is only applied to Los Angeles County and Orange County. For other counties, please feel free to contact our agentsAbove benefit is only applied to San Bernardino County. For other counties, please feel free to contact our agents
Extra Benefits, Please refer to PDF PDF
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〈Anthem Blue Cross〉
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