Valor Health Plans

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  • Valor Health Plan HMO Special Needs Plan with Prescription Drug for Institutional Residents (2019)(current)
Valor Health Plan (HMO-SNP) is a Medicare Advantage health plan designed specifically for
Medicare beneficiaries that reside in a long-term care facility. Valor Health Plan is headquartered
in Northeast Ohio and available in select Ohio CMS-approved counties.

The Valor Advantage

  • Low Cost Premium
    $28.50 deductible for medical coverage
  • Physical, Occupational and Speech Therapy
    No annual limit
  • Skilled Nursing Care
    No prior hospital stay requirement
  • All-In-One Plan
    Covers original Medicare benefits plus
    Medicare Part D prescription drugs
  • Over-the-Counter OTC Benefit
    $20 per month OTC benefit
  • Local Care Team
    Hands-on RNs and Nurse Practitioners to assist with quality care coordination

Summary of Important Costs
Monthly Premium $30.90
Primary Care Visit 20% per visit
Specialist Visit 20% per visit
Inpatient Hospital Stays $1,364 deductible for days 1 – 60
$341 copay per day for days 61 ? 90
$682 copay per lifetime reserve day
Part D Prescription Drugs Standard Benefit
Coinsurance during the Initial Coverage Stage:

Last Updated: Oct 22, 2019 @ 9:04 pm

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