PMC Max Extra (HMO) ImprimirPrint

The PMC Max Extra plan provides our members with additional benefits to improve their health and quality of life. It combines significant benefits with low copayments, $0 monthly premium. This plan also covers all Medicare-covered preventive services with zero cost sharing.

 

 

What do we offer?

Medical visits and Hospital stays

$0copay

Primary Care Physician (PCP)

  • $10copay

    Preferred Network Specialists

  • $15copay

    General Network Specialists

  • $10copay on Medicare covered visits

    Chiropractic

  • $50copay per admission

    Preferred Network Hospital stay

  • $75copay

    Emergency care, $100 in worldwide coverage

Drug Coverage*

$4copay

Preferred Generic Drugs

  • $8copay

    Generic Drugs

  • $25copay

    Preferred Brand Drugs

  • $40copay

    Non Preferred Drugs

  • 32%coinsurance

    Specialty Drugs

More Benefits

$15copay

Preventive dental services

  • $0One pair per year

    Eyeglasses or contact lenses

  • $850every three years

    Hearing aids

  • $30$30 a month for diapers

    Over-the-Counter Items (OTC)

  • $10$10 a month for other items

    Over-the-Counter Items (OTC)

 

*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.