Senior Choice Premier Plan :: Aegis Admin - Health Insurance Benefits and Claims Administration.

Senior Choice Premier Plan

Services	Medicare Pays	Seniors Choice Pays
Hospitalization First 60 days 61st to 90th day 91st to 150th day (60 lifetime reserve days) Additional 500 days beyond Medicare	All but $912 All but $228 per day All but $456 per day $0	$912 Part A Deductible $228 per day $456 per day 100% of Medicare-eligible hospital expenses for an additional 500 days per person per lifetime.
Blood First 3 pints per calendar year Additional Amounts	$0 100%	First 3 pints $0
Skilled Nursing Facility First 20 days 21st thru 100th day 101st day thru 365th day	All approved amounts All but $114 per day $0	$0 $114 per day $114 per day

Part B----Medical Services----Per Calendar Year
* For detailed benefits please refer to Certificate of Insurance.

Services	Medicare Pays	Seniors Choice Pays
Medical Expenses First $110 of Medicare approved amounts Remainder of Medicare- eligible expense Part B excess charges (above Medicare approved amounts)	$0 80% $0	$0 20% of Medicare-eligible expenses after a $110 per calendar year deductible. 100% of charges in excess of the Medicare approved amount
Blood First 3 pints Additional Amounts	$0 100%	100% of actual costs
Pays Foreign Travel First $250 each calendar year Remainder of charges	$0	$0
Remainder of Charges	$0	100% of Medicare-eligible expenses up to a lifetime maximum benefit of $50,000.00
Private Duty Nursing During Hospital Confinement ment	$0	Cost of $60 per 8-hour shift. Up to 60 shifts per calendar year.

Additional Benefits Available	Cost $10.00
Doctors RX choice prescription drug program	1st Tier up to $10.00, 2nd Tier up to $20.00, 3rd Tier up to $50.00 and 4th Tier up to 60% savings on all other drugs
Aetna Dental Access	As a member of program, you and your family have access to a national network of over 61,000* available dental practice locations to choose from nationwide. Participating dental locations provide savings on average of 30% with savings ranging up to fifty percent (50%)* on some dental services including cleaning, x-rays, fillings, root canals, crowns, bridges, and orthodontia.
Vision	up to 60% savings
Medstat Alert	Allows you to store your Medical Information to let a medical professional know about you in an emergency.

The health service programs are NOT insurance, it is a reduced Fee For Service Program that provides discounts at certain providers. Members must pay the entire reduced cost for the health services performed at the time service is rendered unless other arrangements are made with the provider’s office. The health service Program does not pay providers.

Click here for Seniors Choice Benefit Plan

Seniors Choice Preferred Plan