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Mercy MedicareADVANTAGE

Southwest Missouri Plans

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Benefit

HMO

PPO Silver

PPO Gold

Extensive network of physicians and hospitals

yes

yes

yes

Preventive screenings (mammogram, prostate, cholesterol)

yes

yes

yes

Annual physical exam

yes

yes

yes

Worldwide emergency and urgent care

yes

yes

yes

Health Dollars for Fitness Benefit

yes

yes

yes

Out-of-Network benefits

 

yes

yes

Benefits through prescription coverage gap

 

 

yes

$500 annual cost for hospitalization

yes

 

 

$0 premium with Part D coverage

 

yes

 

Plans with or without Part D coverage

yes

 

yes

 

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1Includes business establishments, not private parties, e.g. YMCA, St. John's, Bally's, 24-hour Fitness, community colleges, civic centers, etc. Excludes personal trainers and other non-verifiable fitness classes.

Y0047_6456 v6 3_10
Approved xx/xx/10
Pending CMS Approval

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