Medical Associates Community Plan (Cost)

MEDICAL ASSOCIATES HEALTH PLAN, INC. · 2027 plan year

Plan ID H1651-005-000

1876 Cost
MOOP (in-network)
—
MOOP (combined)
—
Monthly premium
$180/mo
Prescription drugs
Not included

This plan in 2026

Plan information

Contract / Plan / Segment
H1651-005-000
Medical deductible
$0 — no deductible
Also owed
Your Medicare Part B premium, paid separately

More MEDICAL ASSOCIATES HEALTH PLAN, INC. plans in IL

Benefits & cost sharing

Hospital

BenefitIn-network
Worldwide Urgent Care CoverageNo charge
Inpatient Hospital — AcuteNo charge
Inpatient Hospital — PsychiatricNo charge

Pharmacy

BenefitIn-network
Prescription Drugs (Cost Plans Only)See plan details

Mental Health

BenefitIn-network
Mental Health Specialty ServicesSee plan details
Mental Health — Individual SessionsNo charge
Mental Health — Group SessionsNo charge

Other

BenefitIn-network
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Worldwide Emergency TransportationNo charge
Partial Hospitalization ProgramNo charge
Intensive Outpatient Program (IOP)No charge
Podiatry ServicesNo charge
Psychiatric ServicesSee plan details
Opioid Treatment Program ServicesNo charge
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & TestsNo charge
Laboratory ServicesNo charge
Therapeutic RadiologyNo charge
X-Ray ServicesNo charge
Outpatient Hospital ServicesNo charge
Substance Abuse — Group SessionsNo charge
Outpatient Blood ServicesNo charge
Air AmbulanceNo charge
Durable Medical Equipment (DME)No charge
Prosthetics & OrthoticsSee plan details
Medical SuppliesNo charge
Diabetic Supplies & ServicesSee plan details
Diabetic SuppliesNo charge
Diabetic MonitorsNo charge
Dialysis ServicesNo charge
Annual Physical ExamNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Dental — Medicare-Covered ServicesNo charge
Hearing — ExamsNo charge
Physician Specialist ServicesNo charge
Glaucoma ScreeningNo charge
Vision — Eye ExamsNo charge
Worldwide Emergency CoverageNo charge
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic ServicesNo charge
Occupational Therapy ServicesNo charge
Vision — Eye ExamsSee plan details
Podiatry ServicesNo charge
Other Health Care Professional ServicesNo charge
Psychiatric Services — Individual SessionsNo charge
Psychiatric Services — Group SessionsNo charge
Physical Therapy & Speech-Language PathologyNo charge
Radiological ServicesSee plan details
Diagnostic RadiologyNo charge
Hospital Observation ServicesNo charge
Ambulatory Surgical Center (ASC)No charge
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual SessionsNo charge
Ambulance ServicesSee plan details
Ground AmbulanceNo charge
Prosthetic DevicesNo charge
Diabetic Therapeutic Shoes & InsertsNo charge
Medicare-Covered Preventive ServicesSee plan details
Kidney Disease Education ServicesNo charge
Skilled Nursing Facility (SNF)No charge
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional SessionsNo charge
Intensive Cardiac Rehabilitation — Additional SessionsNo charge
Pulmonary Rehabilitation — Additional SessionsNo charge
Supervised Exercise Therapy (SET)No charge
Emergency ServicesNo charge
Urgently Needed ServicesNo charge
Worldwide Emergency & Urgent CoverageSee plan details

Service area

  • IL: 1 county

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