MMM Elite Excel (HMO POS) - 2017 ImprimirPrint

The MMM Elite Excel plan features a list of benefits with low copayments and $0 premium, with no deductibles. This plan also covers all Medicare-covered preventive services with zero cost sharing.



What do we offer?

Medical visits and Hospital stays


Primary Care Physician (PCP)

  • $5copay

    Preferred Network Specialists

  • $7copay on Medicare covered visits


  • $50copay per admission

    Preferred Network Hospital stay

  • $65copay

    Emergency care, $100 in worldwide coverage

Drug Coverage*


Preferred Generic Drugs

  • $6copay

    Generic Drugs

  • $20copay

    Preferred Brand Drugs

  • $30copay

    Non Preferred Brand Drugs

  • 33%coinsurance

    Specialty Drugs

More Benefits


Preventive Dental Services

  • $1,000Up to $1,000 a year

    Removable prosthodontics

  • $0One pair a year

    Eyeglasses or contact lenses

  • $200every three years

    Hearing aids

  • $25Up to $25 every three months

    Overt-the-Counter Items (OTC)

  • 20%coinsurance

    Out-of-Network Coverage *


*Out-of-Network Coverage  covers up to $ 5,000 per year and requires preauthorization. In the Drug Coverage, while you are in the Coverage Gap, you will pay 40% of the cost for brand name drugs (plus dispensing fee), through the Medicare Gap Coverage Discount Program, and generally pay no more than 51% of the cost for generic drugs. This plan offers additional coverage in the gap for some drugs.


Do you need a printed copy of any of these documents? We can send it by mail, request it here.