Liberty Health Advantage HMO is offering two Medicare Advantage Plans, one for beneficiaries with Medicare and one for beneficiaries with Medicare and Medicaid. Both plans include prescription drug coverage.
If you are exploring your Medicare options you can review our plans in more detail by selecting a plan from the drop-down menu listed above.
New For 2013:
Medicare With
Part D Prescription Drug
Coverage
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Medicare & Medicaid With
Part D Prescription Drug
Coverage
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Preferred Choice*
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Dual Power**
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$0 Monthly Premium in addition to your monthly Medicare Part B Premium.
$0 Copay for PCP Visits
$0 Copay for Hospital Stays
Pharmacy Copays for One Month (31 day) Supply:
Tier 1 (Preferred Generics): $0
Tier 2 (Non-Preferred Generics): $10
Tier 3 (Preferred Brand): $25
Tier 4 (Non-Preferred Brand): $50
Tier 5 (Specialty): $25%
Pharmacy copay may be reduced if you have Low Income Subsidy (LIS).
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$0 Monthly Premium in addition to your monthly Medicare Part B Premium.
$0 Copay for PCP Visits
$0 Copay for Hospital Stays
Pharmacy Copays for One Month (31 day) Supply.
Generics: $0; $1.15 or $2.65
For all other drugs: $0; $3.50 or $6.60
Premiums, copays and coinsurance may vary based on the level of Extra Help you receive.
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Geographic Coverage: Bronx, Kings, Nassau, New York, Queens and Richmond Counties in New York State.
* To enroll in the Liberty Preferred Choice Plan you must have active Medicare Part A and PArt B and you must live in the service area. You must continue to pay your Part B Premium.
** To enroll in the Liberty Dual Power Plan you must have active Medicare Part A and Part B, and also active New York State Medicaid and you must live in the service area. Your Medicare Part B Premium will be paid by the State on your behalf.
The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information, contact the plan.
Limitations, copayments and restrictions may apply.
Benefits, formulary, pharmacy network, premiums and/or co-payments/coinsurance may change on January 1 of each year.
Liberty Health Advantage HMO is a Coordinated Care Plan with a Medicare Advantage contract and a contract with the New York State Medicaid program.
Becoming a Liberty member is as easy as A...B...C. Please click one of the buttons below.
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