2019 Medicare Advantage Plan Details

Grandfather fishing with grandson

Medicare Advantage plans include medical, prescription drug and dental coverage. Some plans also have added benefits, such as vision, hearing, wellness rewards and gym membership.

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Prevea360 Medicare Advantage plan options and details

Benefit overview

  Prevea360 Essential (HMO) Prevea360 Assurance (HMO) Prevea360 Balance (HMO) Prevea360 Complete (HMO)
Fill a preferred or non-preferred generic prescription $9/$20
copay
$4/$12 copay $3/$9 copay $3/$6 copay
Have an annual wellness physical $0
(100% paid)
$0
(100% paid)
$0
(100% paid)
$0
(100% paid)
Hospital admission for a
one-day stay
$385 $325 $250 $0
(100% paid)
Max copay/coinsurance (per year) $6,300 $4,000 $3000 $400
Monthly premium $0 $40 $85 $226
Visit a specialist $45 copay $40 copay $30 copay $0
(100% paid)
Visit my Primary Care Doctor $20 copay $15 copay $10 copay $0
(100% paid)

Supplemental benefit overview

  Prevea360 Essential Prevea360 Assurance Prevea360 Balance Prevea360 Complete
Dental 1 cleaning, 1 exam yearly 2 cleanings,
2 exams yearly
2 cleanings,
2 exams, 1 X-ray yearly
2 cleanings, 2 exams,
1 X-ray yearly; fillings & c
omprehensive; 20% coinsurance for fillings;
50% coinsurance for limited comprehensive.
Eyeglasses/contacts We pay $100 yearly We pay $125 yearly We pay $150 yearly We pay $250 yearly
Gym membership Covered yearly Covered yearly Covered yearly Covered yearly
Hearing aids   We pay 80%, up to a max of $500 per ear, per year We pay 80%, up to a max of $750 per ear, per year We pay 80%, up to a max of $1,000 per ear, per year
Wellness rewards $25 yearly reward $50 yearly reward $100 yearly reward $200 yearly reward
U.S. visitor/travel program       Covered when traveling outside of Wisconsin*
 *U.S. only

Request an enrollment kit or meet with a salesperson

You can get a free enrollment kit with details about our Medicare Advantage plans or contact a salesperson.

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Extra Help for premium costs

If you receive Extra Help from Medicare to pay your Medicare prescription drug plan costs, your monthly Prevea360 Medicare Advantage premium will be reduced.

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Plan Guide

Detailed coverage and benefit information for Prevea360 Medicare Advantage.

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Summary of Benefits

Summarized benefit information for Prevea360 Medicare Advantage plans.

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Application

Enrollment form for Prevea360 Advantage plans. Fill out the form completely and send to: 
Dean Health Plan
MAPD enrollment
PO BOx 851078
Richardson, TX 75085


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Service area

Ensure you live within the Prevea360 Medicare Advantage service area.

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Automatic premium withdrawal

Automatically withdraw your premium amount from your checking or saving account each month.

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Grandfather, son and grandson playing outside

Request a Medicare kit 

Receive a Medicare Enrolment Kit in the mail. You can also request for a Prevea360 representative to contact you.

Attend a seminar

Learn about Prevea360 Medicare Advantage plans. During these seminars, we'll walk through plan – specific benefit and coverage information.

Look up your drugs

It’s important to ensure your prescription drugs are covered under our Medicare Advantage formulary when choosing Prevea360 Advantage.


 

Questions?

Call 1-877-234-0126 (TTY: 711), 8am to 8pm, weekdays (year-round) and weekends (Oct. 1 – March 31), including for alternate formats and languages.

Mailing Address: 

Prevea360 Medicare Advantage
PO Box 56099
Madison, WI 53705