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Find answers to your questions and learn about all-in-one coverage with Wellmark Advantage Health Plan.

Based on your preferences, we recommend a Medicare Advantage plan

Get your free Medicare Get-Ready Guide today to learn more.

Based on your preferences, we recommend a Medicare Supplement plan

Get your free Medicare Get-Ready Guide today to learn more.

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Speak with a licensed agent 8 a.m. to 8 p.m., Monday through Friday, with weekend hours Oct. 1 through March 31.

A Medicare Advantage plan may be The Right Choice if you:

  • Want a low or $0 monthly premium in exchange for copays and coinsurance when you get care.
  • Travel a lot and/or live somewhere else in the U.S. for part of the year.
  • Prefer an all-in-one plan that includes medical, prescription drugs, dental, vision, hearing, and more.
  • Are comfortable using in-network doctors, health care providers and hospitals for your routine care while away from home.

Plan options in Iowa

Blue Medicare Advantage

PPO plan

$0 monthly premium

  • $0 Medical deductible
  • $0 Primary care doctor visit copay
  • $40 Specialist visit copay
  • $45 Urgent care copay
  • $90 Emergency care copay
  • Out-of-pocket maximum
    • In-network: $3,750/year
    • In- and out-of-network: $6,700/year

  • Dental (copay/allowance): $0/$1,000
  • Prescription drugs: as low as $0 copays
  • Travel coverage: Yes
  • Over-the-counter (OTC) allowance: $55/qtr
  • Vision (copay/allowance): $0/$175
  • Meals: available post-discharge
  • SilverSneakers®: $0 fitness membership
  • Hearing (copay/allowance): $0/$1,000
  • Telehealth: as low as $0 copays
  • Routine chiropractic services: $30 (14 visits)

Blue Medicare Advantage

Enhanced PPO plan

$49 monthly premium

  • $0 Medical deductible
  • $0 Primary care doctor visit copay
  • $25 Specialist visit copay
  • $35 Urgent care copay
  • $90 Emergency care copay
  • Out-of-pocket maximum
    • In-network: $3,650/year
    • In- and out-of-network: $5,450/year

  • Dental (copay/allowance): $0/$1,500
  • Prescription drugs: as low as $0 copays
  • Travel coverage: Yes
  • Over-the-counter (OTC) allowance: $75/qtr
  • Vision (copay/allowance): $0/$200
  • Meals: available post-discharge
  • SilverSneakers®: $0 fitness membership
  • Hearing (copay/allowance): $0/$1,250
  • Telehealth: as low as $0 copays
  • Routine chiropractic services: $25 (14 visits)

Blue Medicare Advantage

HMO plan

$0 monthly premium

  • $0 Medical deductible
  • $0 Primary care doctor visit copay
  • $35 Specialist visit copay
  • $45 Urgent care copay
  • $90 Emergency care copay
  • Out-of-pocket maximum
    • In-network: $3,450/year

  • Dental (copay/allowance): $0/$1,000
  • Prescription drugs: as low as $0 copays
  • Travel coverage: Yes
  • Over-the-counter (OTC) allowance: $55/qtr
  • Vision (copay/allowance): $0/$175
  • Meals: available post-discharge
  • SilverSneakers®: $0 fitness membership
  • Hearing (copay/allowance): $0/$1,000
  • Telehealth: as low as $0 copays
  • Routine chiropractic services: $25 (14 visits)

Plan options in South Dakota

Blue medicare advantage PPO | Avera

ppo plan

$0 monthly premium

  • $0 Medical deductible
  • $0 Primary care doctor visit copay
  • $20 Specialist visit copay
  • $40 Urgent care copay
  • $90 Emergency care copay
  • Out-of-pocket maximum
    • In-network: $3,755/year
    • In- and out-of-network: $7,500/year

  • Dental (copay/allowance): $25/$500
  • Prescription drugs: as low as $0 copays
  • Travel coverage: Yes
  • Over-the-counter (OTC) allowance: $50/qtr
  • Vision (copay/allowance): $0/$150
  • Meals: available post-discharge
  • SilverSneakers®: $0 fitness membership
  • Hearing (copay/allowance): $0/$1,000
  • Telehealth: as low as $0 copays
  • Routine chiropractic services: $30 (14 visits)

Blue Medicare Advantage

PPO plan

$19 monthly premium

  • $0 Medical deductible
  • $0 Primary care doctor visit copay
  • $40 Specialist visit copay
  • $45 Urgent care copay
  • $90 Emergency care copay
  • Out-of-pocket maximum
    • In- and out-of-network: $4,200/year

  • Dental (copay/allowance): $20/$750
  • Prescription drugs: as low as $0 copays
  • Travel coverage: Yes
  • Over-the-counter (OTC) allowance: $50/qtr
  • Vision (copay/allowance): $0/$150
  • Meals: available post-discharge
  • SilverSneakers®: $0 fitness membership
  • Hearing (copay/allowance): $0/$1,000
  • Telehealth: as low as $0 copays
  • Routine chiropractic services: $30 (14 visits)

Blue Medicare Advantage

Enhanced PPO plan

$69 monthly premium

  • $0 Medical deductible
  • $0 Primary care doctor visit copay
  • $30 Specialist visit copay
  • $35 Urgent care copay
  • $90 Emergency care copay
  • Out-of-pocket maximum 
    • In- and out-of-network: $3,800/year

  • Dental (copay/allowance): $0/$1,500
  • Prescription drugs: as low as $0 copays
  • Travel coverage: Yes
  • Over-the-counter (OTC) allowance: $75/qtr
  • Vision (copay/allowance): $0/$200
  • Meals: available post-discharge
  • SilverSneakers®: $0 fitness membership
  • Hearing (copay/allowance): $0/$1,250
  • Telehealth: as low as $0 copays
  • Routine chiropractic services: $25 (14 visits)

Out-of-network/non¬-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

SilverSneakers® is a registered trademark of Tivity Health, Inc. © 2022 Tivity Health, Inc. All rights reserved. Tivity Health, Inc. is an independent company that provides health and fitness programming on behalf Wellmark Advantage Health Plan, Inc.

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