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2024 Erickson Medicare Advantage Champion (HMO-POS C-SNP)

Plan Highlights

The Champion Plan is a Medicare Advantage Special Needs Plan (SNP) available to residents with one or more chronic conditions. In addition to Original Medicare coverage, this plan has Part D prescription drug benefits. Members also benefit from a $0 copay for primary care visits, and for enhanced benefits like durable Medicare equipment and diabetes supplies.

Plan Highlights:

- Monthly Premium: $188
- Preventive Care: $0 Copay
- Primary Care Doctor: $0 Copay
- NEW for 2024: $80/quarter Over-the-Counter (OTC) benefit

HOW TO ENROLL
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Additional Benefits:

  • Dental Benefit—$0 copay preventive exam, cleaning, and x-ray, $0 – 50% comprehensive up to $500/year for covered services
  • Routine Transportation—$0 copay for up to 24 one-way trips per year (to plan-approved locations)
  • Hearing Aid Benefit—$99 – $1,249/each hearing aid; two devices every year
  • Vision Benefit—Exam $0 copay, eyewear $100 credit per year (lenses/frames)
  • Renew Active® Fitness—On-site group classes and access to an extensive network of fitness centers

View the Summary of Benefits: English | Spanish

Get comprehensive details about your health care benefits, and prescription drug coverage for the year.

View the Evidence of Coverage document: English | Spanish

View the Annual Notice of Change document: English | Spanish

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Contact Us to Learn More About Erickson Medicare Advantage Champion Plan Enrollment

Reach out to your Erickson Advantage health insurance resource manager for a no-obligation review of your current coverage and explanation of additional services that you will receive beyond Original Medicare, including care coordination services and health education and wellness programs.

Enrollment Form: English | Spanish
Enrollment Guide: English | Spanish