Virginia Medicare Advantage Plans – Instantly Compare

Medicare Advantage (MA) coverage in Virginia provides Seniors with affordable MA health insurance options through reputable companies. These Part C plans are issued by licensed and registered insurance companies that provide a very cost-effective alternative to original Medicare. Part A and Part B benefits are included, and also Part D (prescription drugs) on specified plans. Dental, vision, and hearing benefits are often included, and you must reside in the designated service area of the plan you join.

Part C plans must follow the rules and regulations of Medicare, and may charge different out-of-pocket costs. A referral may be needed to visit a specialist and non-emergency visits may require a specific network of providers in your area that must be used.

Plan types include:

HMO (Health Maintenance Organization)

PPO (Preferred Provider Organization)

POS (Point Of Service)

PDP (Prescription Drug Plan)

SNP (Special Needs Plan)

PFFS (Private Fee For Service)

 

We annually review Va  products and provide unbiased and expert information regarding details, costs, and availability. Medicare also provides information regarding doctor and health professional network availability, the claims and appeal process, needed forms and resources, and help with finding medical equipment and supplies. Illustrated below is current data and details of popular plans offered to State residents. Each county typically has different policy options and prices. Rates, copays, deductibles, and out-of-pocket expenses shown in plans below, may vary, depending upon your county of residence.

Medicare Supplement plans and Part D prescription drug plans in Virginia are also reviewed by our website. Stand alone Part D drug plans are offered by many carriers, including Anthem Blue Medicare Rx, Express Scripts Medicare, SilverScript, AARP MedicareRx, Aetna MedicareRX, First Health, Cigna-HealthSpring, Envision, Humana, and UnitedHealthcare.

CMS Plan ratings are available upon request. The 1-5 star rating compares customer service, member plan experience, and Rx cost information. The standard CMS plan initial deductible is $435. Several plans have lower deductibles or a $0 deductible. However, the cost of these plans is typically higher. Also, specific Tiers (often 1 and 2) may not be subject to the plan deductible. When you enroll for a plan, your Medicare number and the dates your Parts A and B coverage began, will be required. Credit card, checking account, and other financial information should not be disclosed.

Services that are not considered medically necessary by Medicare may not be covered on Advantage (Part C) plans. All original services must be covered and ER and Urgent Care services are always provided. Customers can appeal the decision of the carrier if a service is denied.

 

Compare Senior Health Plans In Virginia

Most Medicare Advantage Plans In Virginia Include Prescription Drug Coverage

 

Virginia Medicare Advantage Plans Without Prescription Drug Coverage

Kaiser Permanante Medicare Plus Standard -- $25 per month premium with office visit copays of $10 and $45 (pcp and specialist). Urgent Care and ER visit copays are $45 and $90. $6,700 maximum out-of-pocket expenses with $850 inpatient hospital copay. Outpatient group and individual therapy visit copays are $10 and $20. The ground ambulance copay is $275 and outpatient lab test and x-ray copays are $0 and $20. Prescription drug benefits are not included.

Kaiser Permanante Medicare Plus Basic -- $10 per month premium with office visit copays of $35 and $50 (pcp and specialist). Urgent Care and ER visit copays are $65 and $90. $6,700 maximum out-of-pocket expenses with $1,364 inpatient hospital copay. Outpatient group and individual therapy visit copays are $40. The ground ambulance copay is $375 and outpatient lab test and x-ray copays are $0 and $40. Prescription drug benefits are not included.

HumanaChoice -- $0 per month premium with office visit copays of $10 and $35 (pcp and specialist). Urgent Care and ER visit copays are $10-$35 and $120. $3,400 maximum out-of-pocket expenses with $500 inpatient hospital copay. Outpatient group and individual therapy visit copays are $10-40. The ground ambulance copay is $270 and outpatient lab test and x-ray copays are $0-$50 and $10-$95. Prescription drug benefits are not included.

Humana Gold Choice -- $29 per month premium with office visit copays of $15 and $45 (pcp and specialist). Urgent Care and ER visit copays are $15-$45 and $90. $6,700 maximum out-of-pocket expenses with $345 inpatient hospital copay for days 1-5. Outpatient group and individual therapy visit copays are $15-$40. The ground ambulance copay is $265 and outpatient lab test and x-ray copays are $0-$45 and $15-$95. Prescription drug benefits are not included.

Erickson Advantage Liberty Without Drugs -- $0 per month premium with office visit copays of $20-$30 and $50 (pcp and specialist). Urgent Care and ER visit copays are $30 and $90. $6,700 maximum out-of-pocket expenses with $300 for days 1-7 inpatient hospital copay. Outpatient group and individual therapy visit copays are $40. The ground ambulance copay is $250 and outpatient lab test and x-ray copays are $10-$20. Prescription drug benefits are not included.

Optima Medicare Classic -- $0 per month premium with office visit copays of $0 and $30 (pcp and specialist). Urgent Care and ER visit copays are $30 and $90. $3,400 maximum out-of-pocket expenses with $285 inpatient hospital copay for days 1-6. Outpatient group and individual therapy visit copays are $25-$35. The ground ambulance copay is $265 and outpatient lab test and x-ray copays are $0-$85. Prescription drug benefits are not included.

UnitedHealthcare MedicareDirect Essential -- $40 per month premium with office visit copays of $25 and $50 (pcp and specialist). Urgent Care and ER visit copays are $40 and $90. $395 inpatient hospital copay for days 1-4. Outpatient group and individual therapy visit copays are $40. The ground ambulance copay is $250 and outpatient lab test and x-ray copays are $10-14. Prescription drug benefits are not included.

 

Virginia Medicare Advantage Plans With Prescription Drug Coverage

Erickson Advantage Champion -- $195 deductible with with maximum out-of-pocket expenses of $3,400. Inpatient hospital care copay is $0 per stay. PCP and specialist office visit copays are $0 and $25. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to $20. The ER and Urgent Care copays are $75 and $30. Inpatient and outpatient mental health individual and group therapy visits are subject to $0-$30 copays.

30-day prescription drug copays are $5 (Tier 1), $10 (Tier 2), and $45 (Tier 3). 90-day prescription drug copays are $15 (Tier 1), $30 (Tier 2), and $135 (Tier 3).

 

Erickson Advantage Freedom -- $200 deductible with with maximum out-of-pocket expenses of $4,200. The inpatient hospital copay is $200 per day for seven days. Office visit copays are $10-$20 and $40. Diagnostic radiology services are subject to a $0-$50 copay, while the x-rays copay is $20 and the lab services copay is $10. ER and Urgent Care copays are $75 and $30 respectively.

30-day prescription drug copays are $5 (Tier 1), $15 (Tier 2), and $45 (Tier 3). 90-day prescription drug copays are $15 (Tier 1), $45 (Tier 2), and $135 (Tier 3).

 

Kaiser Permanente Medicare Plus Basic w/D (AB) Cost -- $435 deductible with maximum out-of-pocket expenses of $6,700. Office visit copays are $35 and $50, while diagnostic radiology services have a 20% copay. No out-of-pocket expense for diagnostic tests and lab services. Outpatient x-rays have a $40 copay. ER and Urgent Care copays are $90 and $65 respectively. Outpatient therapy copays are $40.

30-day prescription drug copays are 25% (Tier 1), 25% (Tier 2), and 25% (Tier 3). 90-day prescription drug copays are 25% (Tier 1), 25% (Tier 2), and 25% (Tier 3).

 

Kaiser Permanente Medicare Advantage Value VA -- $0 deductible with maximum out-of-pocket expenses of $6,700. Office visit copays are $15 and $45, while diagnostic radiology services have a $250 copay. No out-of-pocket expense for diagnostic tests and lab services. Outpatient x-rays have a $20 copay. ER and Urgent Care copays are $90 and $45 respectively. Outpatient therapy copays are $40.

30-day prescription drug copays are $5 (Tier 1), $15 (Tier 2), and $45 (Tier 3). 90-day prescription drug copays are $15 (Tier 1), $45 (Tier 2), and $135 (Tier 3).

 

Kaiser Permanente Medicare Advantage Standard VA -- $0 deductible with with maximum out-of-pocket expenses of $6,700. Inpatient hospital care copay is $250 for the first 5 days. PCP and specialist office visit copays are $5 and $35. Diagnostic tests, lab fees and x-rays are subject to coinsurance ranging from $0-$10. The ER and Urgent Care copays are $90 and $35. Inpatient and outpatient mental health individual and group therapy visits are subject to $35 copays.

30-day prescription drug copays are $3 (Tier 1), $12 (Tier 2), and $45 (Tier 3). 90-day prescription drug copays are $9 (Tier 1), $36 (Tier 2), and $135 (Tier 3).

 

UnitedHealthcare Nursing Home Plan 2 -- $435 deductible with with maximum out-of-pocket expenses of $6,700. Inpatient hospital care copay is $1,300 per stay. PCP and specialist office visit copays are $0 and $0-20%. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to 20%. The ER and Urgent Care copays are $90 and $65. Inpatient and outpatient mental health individual and group therapy visits are subject to $0 and 20% copays.

30-day prescription drug copays and 90-day prescription drug copays are 25%.
 

Piedmont Select Medicare Option One -- $119 deductible with with maximum out-of-pocket expenses of $5,500. Inpatient hospital care copay is $300 for the first 5 days. PCP and specialist office visit copays are $0 and $30. Diagnostic tests, lab fees and x-rays are subject to coinsurance ranging from 0% to 20%. The ER and Urgent Care copays are $90 and $30. Inpatient and outpatient mental health individual and group therapy visits are subject to $15 copays.

30-day prescription drug copays are $5 (Tier 1), $8 (Tier 2), and $30 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $0 (Tier 2), and $75 (Tier 3).

 

Piedmont Select Medicare Option Two -- $405 deductible with with maximum out-of-pocket expenses of $5,750. Inpatient hospital care copay is $325 for the first 5 days. PCP and specialist office visit copays are $0 and $45. Diagnostic tests, lab fees and x-rays are subject to coinsurance ranging from 0% to 20%. The ER and Urgent Care copays are $90 and $45. Inpatient and outpatient mental health individual and group therapy visits are subject to $30 copays.

30-day prescription drug copays are $7 (Tier 1), $12 (Tier 2), and $35 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $0 (Tier 2), and $87.50 (Tier 3).

 

Piedmont Select Medicare Option Three -- $0 deductible with with maximum out-of-pocket expenses of $6,700. Inpatient hospital care copay is $350 for the first 5 days. PCP and specialist office visit copays are $0 and $50. Diagnostic tests, lab fees and x-rays are subject to coinsurance ranging from 0% to 20%. The ER and Urgent Care copays are $90 and $40. Inpatient and outpatient mental health individual and group therapy visits are subject to $35-$40 copays.

30-day prescription drug copays are $10 (Tier 1), $15 (Tier 2), and $40 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $0 (Tier 2), and $100 (Tier 3).

 

Optima Medicare Value -- $150 deductible with with maximum out-of-pocket expenses of $3,600. Inpatient hospital care copay is $285 for the first 6 days. PCP and specialist office visit copays are $0 and $30. Diagnostic tests, lab fees and x-rays are subject to coinsurance ranging from $0-$85. The ER and Urgent Care copays are $90 and $30. Inpatient and outpatient mental health individual and group therapy visits are subject to $5-$25 copays.

30-day prescription drug copays are $0 (Tier 1), $12 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $36 (Tier 2), and $141 (Tier 3).

 

Optima Medicare Prime -- $130 deductible with with maximum out-of-pocket expenses of $3,400. Inpatient hospital care copay is $250 for the first 6 days. PCP and specialist office visit copays are $0 and $25. Diagnostic tests, lab fees and x-rays are subject to coinsurance ranging from $0-$80. The ER and Urgent Care copays are $90 and $25. Inpatient and outpatient mental health individual and group therapy visits are subject to $0-$20 copays.

30-day prescription drug copays are $0 (Tier 1), $8 (Tier 2), and $45 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $24 (Tier 2), and $135 (Tier 3).

 

Optima Community Complete -- $0 deductible with with maximum out-of-pocket expenses of $6,700. Inpatient hospital care copay is $0. PCP and specialist office visit copays are $0. Diagnostic tests, lab fees and x-rays are subject to no coinsurance. The ER and Urgent Care copays are $0 and $0. Inpatient and outpatient mental health individual and group therapy visits are subject to $0 copays.

30-day prescription drug copays are $0 (Tier 1), $0 (Tier 2), and $0 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $0 (Tier 2), and $0 (Tier 3).

 

AARP Medicare Advantage Plan 1 -- $95 deductible. Inpatient hospital care copay is $250 for the first five days. PCP and specialist office copays are $0 and $30. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to $20. The ER and Urgent Care copays are $90 and $30-$40. Inpatient and outpatient mental health individual and group therapy visits are subject to a $15-$25 copay.

30-day prescription drug copays are $3 (Tier 1), $12 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $6 (Tier 1), $24 (Tier 2), and $141 (Tier 3).

 

AARP Medicare Advantage Plan 2 -- $86 deductible. Inpatient hospital care copay is $195 for the first four days. PCP and specialist office copays are $0 and $25. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $5 to $20. The ER and Urgent Care copays are $90 and $25-$40. Inpatient and outpatient mental health individual and group therapy visits are subject to a $15-$25 copay.

30-day prescription drug copays are $3 (Tier 1), $12 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $6 (Tier 1), $24 (Tier 2), and $141 (Tier 3).

 

AARP Medicare Advantage Walgreens -- $195 deductible. Inpatient hospital care copay is $345 for the first four days. PCP and specialist office copays are $0 and $35. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $5 to $20. The ER and Urgent Care copays are $90 and $30-$40. Inpatient and outpatient mental health individual and group therapy visits are subject to $15-$25 copays.

30-day prescription drug copays are $0 (Tier 1), $5 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $10 (Tier 2), and $131 (Tier 3).

 

Aetna Medicare Prime Plan -- $150 deductible. Inpatient hospital care copay is $325 for the first six days. PCP and specialist office copays are $20 and $50. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $25 to $50. The ER and Urgent Care copays are $90 and $25-$65. Inpatient and outpatient mental health individual and group therapy visits are subject to $40 copays.

30-day prescription drug copays are $0 (Tier 1), $5 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $10 (Tier 2), and $141 (Tier 3).

 

Aetna Medicare Choice Plan -- $150 deductible. Inpatient hospital care copay is $300 for the first six days. PCP and specialist office copays are $20 and $50. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $40 to $50. The ER and Urgent Care copays are $90 and $20-$65. Inpatient and outpatient mental health individual and group therapy visits are subject to $40 copays.

30-day prescription drug copays are $0 (Tier 1), $5 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $10 (Tier 2), and $141 (Tier 3).

 

Aetna Medicare Essential Plan -- $0 deductible. Inpatient hospital care copay is $300 for the first seven days. PCP and specialist office copays are $20 and $50. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to $20. The ER and Urgent Care copays are $90 and $20-$65. Inpatient and outpatient mental health individual and group therapy visits are subject to a $40 copay.

30-day prescription drug copays are $0 (Tier 1), $10 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $25 (Tier 2), and $141 (Tier 3).

 

Aetna Medicare UVA Health System Prime -- $0 deductible with maximum out-of-pocket expenses of $6,400. Inpatient hospital care copay is $325 for the first six days. PCP and specialist office copays are $0 and $40. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to $40. The ER and Urgent Care copays are $90 and $0-$65. Inpatient and outpatient mental health individual and group therapy visits are subject to a $40 copay.

30-day prescription drug copays are $0 (Tier 1), $10 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $25 (Tier 2), and $141 (Tier 3).

 

Anthem MediBlue Local -- $0 deductible with maximum out-of-pocket expenses of $3,400. Inpatient hospital care copay is $325 for the first five days. PCP and specialist office copays are $0 and $0-$35. Diagnostic tests, lab fees and x-rays are subject to $0 copays. The ER and Urgent Care copays are $120 and $20. Inpatient and outpatient mental health individual and group therapy visits are subject to a $0-$35 copay.

30-day prescription drug copays are $0 (Tier 1), $9.50 (Tier 2), and $40 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $28.50 (Tier 2), and $120 (Tier 3).

 

Anthem MediBlue Extra -- $435 deductible with maximum out-of-pocket expenses of $5,900. Inpatient hospital care copay is $325 for the first five days. PCP and specialist office copays are $0 and $40. Diagnostic tests, lab fees and x-rays are subject to $0-$90 copays. The ER and Urgent Care copays are $90 and $50. Inpatient and outpatient mental health individual and group therapy visits are subject to a $40 copay.

30-day prescription drug copays are $0 (Tier 1), $16 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $48 (Tier 2), and $141 (Tier 3).

 

Anthem MediBlue Plus -- $325 deductible with maximum out-of-pocket expenses of $6,700. Inpatient hospital care copay is $300 for the first five days. PCP and specialist office copays are $0 and $45. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to $90. The ER and Urgent Care copays are $90 and $50. Inpatient and outpatient mental health individual and group therapy visits are subject to a $40 copay.

30-day prescription drug copays are $4 (Tier 1), $10 (Tier 2), and $42 (Tier 3). 90-day prescription drug copays are $12 (Tier 1), $30 (Tier 2), and $126 (Tier 3).

 

Anthem MediBlue Smart Fit -- $0 deductible with maximum out-of-pocket expenses of $3,400. Inpatient hospital care copay is $345 for the first five days. PCP and specialist office copays are $10 and $0-$40. Diagnostic tests, lab fees and x-rays are subject to $0 copay. The ER and Urgent Care copays are $120 and $20. Inpatient and outpatient mental health individual and group therapy visits are subject to a $0-$40 copay.

30-day prescription drug copays are $5 (Tier 1), $12.50 (Tier 2), and $40 (Tier 3). 90-day prescription drug copays are $15 (Tier 1), $37.50 (Tier 2), and $120 (Tier 3).

 

Humana Choice -- $360 deductible with maximum out-of-pocket expenses of $6,700. Inpatient hospital care copay is $360 for the first five days. PCP and specialist office visit copays are $15 and $50. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to $100. The ER and Urgent Care copays are $90 and $15-$50. Inpatient and outpatient mental health individual and group therapy visits are subject to $40 copays.

30-day prescription drug copays are $5 (Tier 1), $15 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $15 (Tier 1), $45 (Tier 2), and $141 (Tier 3).

 

Humana Gold Plus -- $415 deductible with maximum out-of-pocket expenses of $6,700. Inpatient hospital care copay is $490 for the first four days. PCP and specialist office copays are 20%. Diagnostic tests, lab fees and x-rays are subject to $0-20% copays. The ER and Urgent Care copays are $90 and 20%. Inpatient and outpatient mental health individual and group therapy visits are subject to a 20% copay.

30-day prescription drug copays are $0 (Tier 1), $15 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $6 (Tier 1), $24 (Tier 2), and $135 (Tier 3).

 

Humana Value Plus -- $395 deductible with maximum out-of-pocket expenses of $6,900. Inpatient hospital care copay is $1,969. PCP and specialist office copays are 20%. Diagnostic tests, lab fees and x-rays are subject to $0-20% copays. The ER and Urgent Care copays are $90 and 20%-40%. Inpatient and outpatient mental health individual and group therapy visits are subject to a 20% copay.

30-day prescription drug copays are $2 (Tier 1), $12 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $6 (Tier 1), $36 (Tier 2), and $141 (Tier 3).

 

Sunrise Advantage Community Plan -- $0 deductible with maximum out-of-pocket expenses of $5,700. Inpatient hospital care copay is $250 for the first seven days. PCP and specialist office copays are $10 and $50. Diagnostic tests, lab fees and x-rays are subject to $0-$30 copays. The ER and Urgent Care copays are $90 and $50. Inpatient and outpatient mental health individual and group therapy visits are subject to a $15 copay.

30-day prescription drug copays are $5 (Tier 1), $15 (Tier 2), and $45 (Tier 3). 90-day prescription drug copays are $15 (Tier 1), $45 (Tier 2), and $135 (Tier 3).

 

Virginia Premier Advantage Gold -- $250 deductible with maximum out-of-pocket expenses of $6,700. Inpatient hospital care copay is $490 for the first four days. PCP and specialist office copays are 20%. Diagnostic tests, lab fees and x-rays are subject to $0-20% copays. The ER and Urgent Care copays are $90 and 20%. Inpatient and outpatient mental health individual and group therapy visits are subject to a 20% copay.

30-day prescription drug copays are $0 (Tier 1), $15 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $45 (Tier 2), and $141 (Tier 3).

 

Virginia Premier Advantage Platinum -- $100 deductible with maximum out-of-pocket expenses of $5,900. Inpatient hospital care copay is $250 for the first five days. PCP and specialist office copays are $0 and $35. Diagnostic tests, lab fees and x-rays are subject to $0-$35 copays. The ER and Urgent Care copays are $90 and $35. Inpatient and outpatient mental health individual and group therapy visits are subject to a $35 copay. Virginia Premier has been serving state residents for more than 30 years.

30-day prescription drug copays are $2 (Tier 1), $12 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $6 (Tier 1), $36 (Tier 2), and $141 (Tier 3).

 

Innovation Health Aetna Medicare Connect -- $0 deductible with maximum out-of-pocket expenses of $4,800. Inpatient hospital care copay is $295 for the first seven days. PCP and specialist office visit copays are $0-$15 and $35-$50. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to $50. The ER and Urgent Care copays are $90 and $0-$65. Inpatient and outpatient mental health individual and group therapy visits are subject to $40 copays.

30-day prescription drug copays are $0 (Tier 1), $10 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $25 (Tier 2), and $141 (Tier 3).

 

Innovation Aetna Medicare Voyager -- $0 deductible with maximum out-of-pocket expenses of $6,500. Inpatient hospital care copay is $295 for the first seven days. PCP and specialist office visit copays are $0-$15 and $35-$50. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to $50. The ER and Urgent Care copays are $90 and $0-$65. Inpatient and outpatient mental health individual and group therapy visits are subject to $40 copays.

30-day prescription drug copays are $0 (Tier 1), $10 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $25 (Tier 2), and $141 (Tier 3).

 

Innovation Aetna Medicare Premier -- $0 deductible with maximum out-of-pocket expenses of $3,400. Inpatient hospital care copay is $225 for the first seven days. PCP and specialist office visit copays are $0-$10 and $20-$30. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to $25. The ER and Urgent Care copays are $90 and $0-$45. Inpatient and outpatient mental health individual and group therapy visits are subject to $20 copays.

30-day prescription drug copays are $0 (Tier 1), $0 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $0 (Tier 2), and $141 (Tier 3).

 

Mary Washington Medicare Advantage Awards -- $0 deductible with maximum out-of-pocket expenses of $5,600. Inpatient hospital care copay is $300 for the first seven days. PCP and specialist office visit copays are $5 and $45. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to 20%. The ER and Urgent Care copays are $90 and $35. Inpatient and outpatient mental health individual and group therapy visits are subject to $35 copays.

30-day prescription drug copays are $2 (Tier 1), $7 (Tier 2), and $42 (Tier 3). 90-day prescription drug copays are $6 (Tier 1), $21 (Tier 2), and $126 (Tier 3).

 

Mary Washington Medicare Advantage Complete -- $0 deductible with maximum out-of-pocket expenses of $3,400. Inpatient hospital care copay is $275 for the first six days. PCP and specialist office visit copays are $5 and $35. Diagnostic tests, lab fees and x-rays are subject to copays ranging from $0 to $50. The ER and Urgent Care copays are $120 and $35. Inpatient and outpatient mental health individual and group therapy visits are subject to $30-$35 copays.

30-day prescription drug copays are $0 (Tier 1), $0 (Tier 2), and $39 (Tier 3). 90-day prescription drug copays are $0 (Tier 1), $0 (Tier 2), and $117 (Tier 3).

 

ApexBold -- $0 deductible with maximum out-of-pocket expenses of $5,900.

30-day prescription drug copays are $3 (Tier 1), $10 (Tier 2), and $47 (Tier 3). 90-day prescription drug copays are $9 (Tier 1), $30 (Tier 2), and $141 (Tier 3).

 

The US Department of Health and Human Services also provides a  Medicare Health Plans in Virginia report. It helps consumers  determine costs of coverage in specific areas. Some of the servicing areas include Richmond, Danville City, Newport News, Roanoke, Fairfax County, Mathews County, Tidewater area, and Hampton Roads.