2023 Medex Core
Costs & Benefits
Understand Plan Features
Per Month 1
Medex®' Core covers your co-insurance after you pay your annual Medicare Part B deductible for:
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Doctor visits
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Home visits
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Ambulatory care
Medex Core also provides full coverage for care received outside the United States.
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For detailed Medex Core benefit information, see:
Plan Information
Hospital Services | Original Medicare |
Medex Core |
---|---|---|
1-60 Days |
Coverage for 60 days, after the $1,600 deductible2 |
Coverage for Medicare daily co-insurance after you pay $1,600 deductible |
61-90 Days |
Coverage for 61-90 days, after $400 daily co-insurance |
Coverage for Medicare daily co-insurance after you pay $1,600 deductible |
Lifetime Reserve |
Coverage for an additional 60 lifetime reserve days, after $800 daily co-insurance |
Full coverage for lifetime reserve co-insurance, then an additional 365 days per lifetime when Medicare benefits end |
Skilled Nursing Facility |
Original Medicare | Medex Core |
---|---|---|
1-20 Days |
Full coverage for 20 days in a Medicare-participating facility |
Covered by Medicare |
21-100 Days |
Coverage for days 21-100, after $200 daily co-insurance |
No coverage |
101+ Days |
No coverage after 100 days |
No coverage |
Doctor and Other Provider Services |
Original Medicare | Medex Core |
---|---|---|
Care in the Hospital |
80% coverage of approved services, after the $226 annual Part B deductible |
Coverage of 20% co-insurance, after $226 annual Part B deductible |
Outpatient Department Visits, Office Visits, and Patient Home Visits |
80% coverage of approved services, after the $226 annual Part B deductible |
Coverage of 20% co-insurance, after $226 annual Part B deductible |
Other Part B Services |
Original Medicare | Medex Core |
---|---|---|
Ambulance Trips, Durable Medical Equipment, etc. |
80% coverage of approved services, after the $226 annual Part B deductible |
Coverage of 20% co-insurance, after $226 annual Part B deductible |
Foreign Travel Coverage |
Original Medicare | Medex Core |
---|---|---|
Travel Outside the U.S. |
No coverage |
Full coverage for Medicare covered services (same as in U.S.) |
Wellness Benefits |
Original Medicare | Medex Core |
---|---|---|
Fitness Benefit |
No coverage |
Get up to $150 per calendar year toward your fitness club membership fees or exercise class fees, including participating Council on Aging sites and pool-only facilities |
Weight Loss Benefit |
No coverage |
Medex members may receive up to $150 per calendar year when enrolled in a qualified weight-loss program |
Notes
- Although the $226 calendar-year Medicare medical insurance (Part B) deductible appears more than once in this benefit chart, only one $226 deductible is applicable in a calendar year.
- The Medex policy defines the terms and conditions of all the Medex plans in greater detail.
- Should any questions arise concerning benefits, the Medex policy will govern.
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- You must continue to pay your Medicare Part B premium.
- A benefit period begins on the first day you receive services as an inpatient in a hospital and ends after you have been out of the hospital and have not received skilled care in any other facility for 60 consecutive days.
The Medicare costs and dollar values represented in this table are the 2023 rates.
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