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Find out why so many people are choosing a Clover plan for 2025!

Medicare Advantage Plan PPO (045)

Clover Health

LiveHealthy Value

Medical & Rx drug coverage

A plan with the freedom to choose your PCP without paying more. Plus, comprehensive dental and OTC items. Best if you receive Extra Help for prescriptions. 

Enroll

General Costs

Monthly Premium
$35.50
Maximum Out-of-Pocket

$12,999

Cost to see your Doctor*

See your primary care doctor or a specialist as often as you need to.

Primary Care Visit

$0

Specialist Visit

$5

Vision copay

$5

Dental copay

$5

Hearing copay

$5

Prescription Costs

Prices are for a 30-day supply from an in-network pharmacy.

Tier 1
$0
Tier 2
$8
Tier 3
23%
Tier 4
33%
Tier 5
25%
Prescription drug deductibles

$545 tiers 2-5

Hospital Costs

Inpatient hospital care*

$310 a day (days 1-6)

$0 a day (days 7-90)

Outpatient surgery*

$300

Emergency room

$100

Ambulance*

$350

Extra benefits and services

Clover plans include these important benefits and services. Original Medicare doesn't.

  • Fitness membership

    Large network of gyms, digital fitness, and brain training.

  • OTC

    You get a quarterly allowance for select OTC items.

  • 24/7 doctor visits

    Speak to a board-certified doctor by phone, web, or mobile app.

Plan Documents

Summary of Benefits
Evidence of Coverage
Annual Notice of Change

*Values shown are representative of In-network costs only. Out-of-network providers may charge a different member cost-share. Out-of-network/non-contracted providers are under no obligation to treat Clover members, except in emergency situations.