Valor Health Plans

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  • Valor Health Plan HMO Special Needs Plan with Prescription Drug for Institutional Residents (2022)(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 $33.50 premium 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 $105 per quarter OTC benefit
  • Local Care Team Hands-on RNs and Nurse Practitioners to assist with quality care coordination

Summary of Important Costs
Monthly Premium $33.50
Primary Care Visit 20% per visit
Specialist Visit 20% per visit
Inpatient Hospital Stays $1,484 deductible for days 1 – 60
$371 copay per day for days 61 – 90
$742 copay per lifetime reserve day
Part D Prescription Drugs Standard Benefit Coinsurance during the Initial Coverage Stage: 25%

Last Updated: Oct 14, 2021 @ 10:25 am

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