UHC Medicare Advantage AM-0002 (Regional PPO)

CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. · 2026 plan year

Plan ID R3444-012-000

Showing MO · also offered in: AR

Regional PPO★ 3 CMS Stars
MOOP (in-network)
$9,250
MOOP (combined)
$13,900
Monthly premium
$106/mo
Part C $32.80 + Part D $73.20, before Extra Help
Prescription drugs
Included

Plan information

Contract / Plan / Segment
R3444-012-000
Medical deductible
$0 — no deductible
Part D premium
$73.20/mo (part of the monthly premium above)Before Extra Help, which can lower or remove it for people with limited income.
Part D deductible
$600/yr
Also owed
Your Medicare Part B premium, paid separately

More CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO. plans in MO

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$485/day for days 1–4, $0 after
Worldwide Urgent Care CoverageNo charge
Inpatient Hospital — Acute$485/day for days 1–5, $0 after

Pharmacy

BenefitIn-network
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Other Part B Drugs0%-20% coinsurance

Mental Health

BenefitIn-network
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions$0-$25
Mental Health — Group Sessions$15

Other

BenefitIn-network
Skilled Nursing Facility (SNF)$0/day for days 1–20, $218/day for days 21–100
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional SessionsNo charge
Intensive Cardiac Rehabilitation — Additional SessionsNo charge
Pulmonary Rehabilitation — Additional Sessions$15
Supervised Exercise Therapy (SET)$15
Emergency Services$115
Urgently Needed Services$0-$40
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency CoverageNo charge
Worldwide Emergency TransportationNo charge
Partial Hospitalization Program$55
Intensive Outpatient Program (IOP)$55
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Occupational Therapy Services$35
Physician Specialist Services$0-$55
Podiatry Services$45
Podiatry Services$45
Other Health Care Professional Services$0-$55
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$0-$25
Psychiatric Services — Group Sessions$15
Physical Therapy & Speech-Language Pathology$55
Additional Telehealth Services (Part B)No charge
Opioid Treatment Program ServicesNo charge
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests$80
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology$0-$260
Therapeutic Radiology20% coinsurance
X-Ray Services$30
Outpatient Hospital Services$0-$485
Hospital Observation Services$485/day
Ambulatory Surgical Center (ASC)$0-$485
Substance Abuse — Individual Sessions$0-$25
Substance Abuse — Group Sessions$15
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$290
Air Ambulance$290
Durable Medical Equipment (DME)20% coinsurance
Prosthetics & OrthoticsSee plan details
Prosthetic Devices20% coinsurance
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic Therapeutic Shoes & Inserts20% coinsurance
Dialysis Services20% coinsurance
Meal BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)0%-20% coinsurance (max $35)
Dental — Medicare-Covered Services20% coinsurance
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Fluoride TreatmentNo charge
Dental — Other Preventive ServicesNo charge
Vision — Eye ExamsNo charge
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Hearing — ExamsNo charge
Hearing — ExamsSee plan details
Hearing — Routine ExamsNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)$199-$1,249
Hearing — OTC Hearing Aids$199-$829
Outpatient Substance Abuse ServicesSee plan details
Diabetic SuppliesNo charge

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