Touchstone Health Medicare Advantage Plans in Westchester County, New York
NOTE TO TOUCHSTONE HEALTH PLAN APPLICANTS:
Members may enroll in the plan only during specific times of the year. Contact Touchstone Health for more information.
Individuals must have both Part A and Part B to enroll. Click
here to download an Enrollment Form. Upon submission of your online application, please complete the
Working Age Survey and send to: Touchstone Health, Attn: Enrollment, 365 Harry L. Drive, Suite 120, Johnson City, NY 13790
We offer 5 Plans in your service area.
2012
Touchstone Health Medicare Power Plan
MA-PD
|
Monthly Premium:
$0
|
|
Geographic Coverage:
Westchester
County
| Monthly Premium: |
$0 |
| PCP Copay: |
$5 copay |
| Specialist Copay: |
$15 copay |
| : |
|
![More Info]() More Information
| In-Network Out-of-Pocket Maximum: |
$3400 In-Network |
| Inpatient Hospital Care2: |
Days 1-5: $100 copay per day
Days 6-90: $0 copay per day3 |
| Coverage in Coverage Gap: |
After your total yearly drug costs reach $2,930, you pay $0 for Tier 1 generic drugs. You receive a discount on brand name drugs until your yearly out-of-pocket drug costs reach $4,700. |
| Tier 1 (Generic) Copay5: |
$0 copay |
| Tier 2 (Preferred Brand) Copay5: |
$40 copay |
| Tier 3 (Non-Preferred Brand) Copay5: |
$80 copay |
| Tier 4 (Specialty Tier Drugs) Copay5: |
33% coinsurance |
| |
| Other Benefits |
| Preventive Dental Services: |
$0 copay |
| Routine Hearing Exam4: |
$15 copay |
| Routine Eye Exam4: |
$0 copay |
| Over the Counter Benefit: |
not covered |
| Transportation: |
not covered |
| Fitness: |
yes |
| Complementary Alternative Medicine: |
yes |
| Brain Games: |
yes |
| Other Benefits: |
|
|
1 Based on your level of Medicaid eligibility.
2 Except in an emergency, your doctor must tell the plan that you are going to be admitted to the hospital.
3 $0 copay for additional hospital days.
4 Up to 1 routine exam / yr.
5 Based on supply for one month (30-day) retail pharmacy.
6 Members should review their Summary of Benefits for details on coverage depending on Medicaid eligibility.
|
|
Medicare beneficiaries may enroll in Touchstone Health Medicare Power Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
2012
Touchstone Health Medicare Total Plan
MA-PD
|
Monthly Premium:
$35.40
|
|
Geographic Coverage:
Westchester
County
| Monthly Premium: |
$35.40 |
| PCP Copay: |
$0 copay |
| Specialist Copay: |
$10 copay |
| Includes: |
Over the Counter & Transportation Benefits |
![More Info]() More Information
| In-Network Out-of-Pocket Maximum: |
$1700 In-Network |
| Inpatient Hospital Care2: |
Days 1-5: $50 copay per day
Days 6-90: $0 copay per day3 |
| Coverage in Coverage Gap: |
After your total yearly drug costs reach $2,930, you pay $0 for Tier 1 generic drugs. You receive a discount on brand name drugs until your yearly out-of-pocket drug costs reach $4,700. |
| Tier 1 (Generic) Copay5: |
$0 copay |
| Tier 2 (Preferred Brand) Copay5: |
$30 copay |
| Tier 3 (Non-Preferred Brand) Copay5: |
$70 copay |
| Tier 4 (Specialty Tier Drugs) Copay5: |
25% coinsurance |
| |
| Other Benefits |
| Preventive Dental Services: |
$0 copay |
| Routine Hearing Exam4: |
$10 copay |
| Routine Eye Exam4: |
$0 copay |
| Over the Counter Benefit: |
get $30 per month |
| Transportation: |
$0 copay for up to 18 round trip(s) to plan-approved location every year |
| Fitness: |
yes |
| Complementary Alternative Medicine: |
yes |
| Brain Games: |
yes |
| Other Benefits: |
|
|
1 Based on your level of Medicaid eligibility.
2 Except in an emergency, your doctor must tell the plan that you are going to be admitted to the hospital.
3 $0 copay for additional hospital days.
4 Up to 1 routine exam / yr.
5 Based on supply for one month (30-day) retail pharmacy.
6 Members should review their Summary of Benefits for details on coverage depending on Medicaid eligibility.
|
|
Medicare beneficiaries may enroll in Touchstone Health Medicare Total Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
2012
Touchstone Health Medicare Core Plan
MA-PD
|
Monthly Premium:
$0
|
|
Geographic Coverage:
Westchester
County
| Monthly Premium: |
$0 |
| PCP Copay: |
$0 copay |
| Specialist Copay: |
$10 copay |
| : |
|
![More Info]() More Information
| In-Network Out-of-Pocket Maximum: |
$3400 In-Network |
| Inpatient Hospital Care2: |
Days 1-5: $200 copay per day
Days 6-90: $0 copay per day3 |
| Coverage in Coverage Gap: |
After your total yearly drug costs reach $2,930, you pay $0 for Tier 1 generic drugs. You receive a discount on brand name drugs until your yearly out-of-pocket drug costs reach $4,700. |
| Tier 1 (Generic) Copay5: |
$8 copay |
| Tier 2 (Preferred Brand) Copay5: |
$40 copay |
| Tier 3 (Non-Preferred Brand) Copay5: |
$80 copay |
| Tier 4 (Specialty Tier Drugs) Copay5: |
33% coinsurance |
| |
| Other Benefits |
| Preventive Dental Services: |
not covered |
| Routine Hearing Exam4: |
not covered |
| Routine Eye Exam4: |
not covered |
| Over the Counter Benefit: |
not covered |
| Transportation: |
not covered |
| Fitness: |
yes |
| Complementary Alternative Medicine: |
yes |
| Brain Games: |
yes |
| Other Benefits: |
|
|
1 Based on your level of Medicaid eligibility.
2 Except in an emergency, your doctor must tell the plan that you are going to be admitted to the hospital.
3 $0 copay for additional hospital days.
4 Up to 1 routine exam / yr.
5 Based on supply for one month (30-day) retail pharmacy.
6 Members should review their Summary of Benefits for details on coverage depending on Medicaid eligibility.
|
|
Medicare beneficiaries may enroll in Touchstone Health Medicare Core Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
2012
Touchstone Health Medicare Freedom Plan
MA-PD
|
Monthly Premium:
$0
|
|
Geographic Coverage:
Westchester
County
| Monthly Premium: |
$0 |
| PCP Copay: |
$11 copay |
| Specialist Copay: |
$22 copay |
| Point-of-Service Plan: |
Option to see doctors in and out of network |
![More Info]() More Information
| In-Network Out-of-Pocket Maximum: |
$3400 In-Network /
$5100 Out-of-Network |
| Inpatient Hospital Care2: |
Days 1-5: $150 copay per day
Days 6-90: $0 copay per day3 |
| Coverage in Coverage Gap: |
After your total yearly drug costs reach $2,930, you pay $0 for Tier 1 generic drugs. You receive a discount on brand name drugs until your yearly out-of-pocket drug costs reach $4,700. |
| Tier 1 (Generic) Copay5: |
$6 copay |
| Tier 2 (Preferred Brand) Copay5: |
$40 copay |
| Tier 3 (Non-Preferred Brand) Copay5: |
$80 copay |
| Tier 4 (Specialty Tier Drugs) Copay5: |
33% coinsurance |
| |
| Other Benefits |
| Preventive Dental Services: |
$0 copay |
| Routine Hearing Exam4: |
$20 copay |
| Routine Eye Exam4: |
$0 copay |
| Over the Counter Benefit: |
not covered |
| Transportation: |
not covered |
| Fitness: |
yes |
| Complementary Alternative Medicine: |
yes |
| Brain Games: |
yes |
| Other Benefits: |
|
|
1 Based on your level of Medicaid eligibility.
2 Except in an emergency, your doctor must tell the plan that you are going to be admitted to the hospital.
3 $0 copay for additional hospital days.
4 Up to 1 routine exam / yr.
5 Based on supply for one month (30-day) retail pharmacy.
6 Members should review their Summary of Benefits for details on coverage depending on Medicaid eligibility.
|
|
Medicare beneficiaries may enroll in Touchstone Health Medicare Freedom Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
2012
Touchstone Health Medicare Prestige Plan
SNP / Medicaid Advantage
|
Monthly Premium:
$01
|
|
Geographic Coverage:
Westchester
County
| Monthly Premium: |
$01 |
| PCP Copay: |
$0 copay1 |
| Specialist Copay: |
$0 copay1 |
| : |
|
![More Info]() More Information
| In-Network Out-of-Pocket Maximum: |
$3400 In-Network |
| Inpatient Hospital Care2: |
$0 yearly deductible1;
$0 copay1 |
| Coverage in Coverage Gap: |
Generics1 - $0 copay; or $1.10 copay; or $2.60 copay
Brand1 - $0 copay; or $3.30 copay; or $6.50 copay |
| Tier 1 (Generic) Copay5: |
$0 copay; or
$1.10 copay; or
$2.60 copay1 |
| Tier 2 (Preferred Brand) Copay5: |
$0 copay; or
$3.30 copay; or
$6.50 copay1 |
| Tier 3 (Non-Preferred Brand) Copay5: |
$0 copay; or
$3.30 copay; or
$6.50 copay1 |
| Tier 4 (Specialty Tier Drugs) Copay5: |
$0 copay; or
$3.30 copay; or
$6.50 copay1 |
| |
| Other Benefits |
| Preventive Dental Services: |
not covered |
| Routine Hearing Exam4: |
$0 copay1 |
| Routine Eye Exam4: |
$0 copay1 |
| Over the Counter Benefit: |
get $40 per month |
| Transportation: |
not covered6 |
| Fitness: |
yes |
| Complementary Alternative Medicine: |
yes |
| Brain Games: |
yes |
| Other Benefits: |
|
|
1 Based on your level of Medicaid eligibility.
2 Except in an emergency, your doctor must tell the plan that you are going to be admitted to the hospital.
3 $0 copay for additional hospital days.
4 Up to 1 routine exam / yr.
5 Based on supply for one month (30-day) retail pharmacy.
6 Members should review their Summary of Benefits for details on coverage depending on Medicaid eligibility.
|
|
Medicare beneficiaries may enroll in Touchstone Health Medicare Prestige Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
To discuss Touchstone Health’s Medicare Advantage plan options with a live representative or to schedule a home appointment, call:
