Do You Have The

ADVANTAGE?

PLAN PREMIUM

Medicare Advantage Plan

With Prescription Drug Coverage

(You must continue to pay your Part B premium)

(Part D coverage is provided at no additional premium to you)

(If you are a dual eligible, your Medicare Part B premium will be paid by the state on your behalf)

COPAY

  • for inpatient hospital services
  • for primary office care visits
  • for most specialist office visits
  • for all covered dental services
  • for routine eye exam
  • Up to $1,000 for hearing aids every three years
  • Up to $20,000 Emergency Worldwide Coverage
Sample Medicare Card

Liberty Health Advantage

members continue to receive All their current Medicare benefits

PLUS MUCH MORE!

Liberty Health Advantage HMO is a Coordinated Care Plan with a Medicare Advantage contract and a contract with the New York State Medicaid program.

H3337_LHA_MARK_1227 CMS Approved 11/03/2011

Last Modified: May 15, 2012 19:01:22