Medicare Advantage Plan PPO (001)
Clover Health
Choice
Medical & Rx drug coverage
A plan with the freedom to choose your PCP without paying more. Plus allowances for comprehensive dental, eyewear, and over-the-counter items.
EnrollGeneral Costs
Monthly Premium
$0
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
$10
Vision copay
$10
Dental copay
$10
Hearing copay
$10
Prescription Costs
Prices are for a 30-day supply from an in-network pharmacy.
Tier 1
$0
Tier 2
$8
Tier 3
$47
Tier 4
$100
Tier 5
30%
Prescription drug deductibles
$150 Tier 3 and up only
Hospital Costs
Inpatient hospital care*
Days 1-6: $375
Days 7-90: $0
Outpatient surgery*
$450
Emergency room
$100
Ambulance*
$350
Extra benefits and services
Clover plans include these important benefits and services. Original Medicare doesn't.
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Fitness membership
Large network of gyms, digital fitness, and brain training.
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OTC
You get a quarterly allowance for select OTC items.
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24/7 doctor visits
Speak to a board-certified doctor by phone, web, or mobile app.
*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.