Valor Health Plan HMO Special Needs Plan with Prescription Drug for Institutional Residents (2019)

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: 25%