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You now have MORE benefits—starting at $0

With both plans, you have $0 medical deductibles and no referrals required for in-network providers.

Compare Plans

of 2
Medicare Advantage HMO Plan
Principle Plan
Medicare Advantage HMO Plan
Cardinal Plan
Benefits 
Monthly Plan Payment1
$0 $40 or less2
Do you qualify for Extra Help?
Medical Deductible
$0 $0
Maximum Out-of-Pocket Costs
No more than $5,900 annually No more than $4,500 annually
In-Network Referrals
None required None required
In-Network Primary Care Copay
$0 $0
In-Network Specialist Copay
$45 $0
Hospital Copay
Inpatient:
$315 per day for days 1–6;
$0 for days 7 and beyond

Outpatient: You pay $200
Inpatient:
$300 per day for days 1–6;
$0 for days 7 and beyond

Outpatient: You pay $200
Flu Vaccine
$0 $0
Diabetic Screenings
$0 $0
Prescription Drugs2
$0 deductible Tier 1 – 5 $0 deductible Tier 1 – 5
Dental (Coverage Through Delta Dental)4
$0 copay for routine dental $0 copay for routine dental
Plus, additional benefits for fillings and crowns
Eyewear
$200 vision card for all routine vision services or eyewear $200 vision card for all routine vision services or eyewear
Hearing
(Coverage Through NationsHearing)
$0 copay for routine hearing exam and evaluation for fitting hearing aids.

You get up to a $500 allowance for hearing aids
$0 copay for routine hearing exam and evaluation for fitting hearing aids.

You get up to a $1,000 allowance for hearing aids
Over-the-Counter Coverage3
$375 a year to spend on health-related items through our NationsOTC catalog $375 a year to spend on health-related items through our NationsOTC catalog
Insulin Copay2
$30 or less $30 or less
Covered Covered
Respite Care
2 weeks of care at American House senior living facility after hospitalization if you don’t qualify for a skilled nursing facility (details below) 2 weeks of care at American House senior living facility after hospitalization if you don’t qualify for a skilled nursing facility (details below)
Companion Care
8 hours of companion services per month to help with daily living (details below) 8 hours of companion services per month to help with daily living (details below)

The above chart reflects in-network costs. Costs may vary depending on plan type, product, or service. For details on out-of-network costs, see the Principle plan and Cardinal plan Evidence of Coverage document below. 

Do you qualify for Extra Help?

Eligible Medicare beneficiaries who have limited income may qualify for a government program called Extra Help. If you enroll in the Cardinal plan, the Extra Help program may lower your prescription drug costs and your monthly premium payment.

To check if you qualify for Extra Help, visit SSA.gov4 and search “Extra Help.” To apply over the phone or to request an application, call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

Learn more about your health plan benefits

Cardinal Plan and Principle Plan (MI) – Evidence of Coverage (2022)

Download:

Cardinal Plan and Principle Plan (MI) – Summary of Benefits (2022)

Download:

Cardinal Plan (MI) – ANOC (2022)

Principle Plan (MI) – ANOC (2022)

LIS Premium Summary (2022) MI

Learn more about the NEW American House and companion care benefits for 2022

First-class respite care at no additional cost: After hospitalization, if you don’t qualify for a skilled nursing facility, CCA Health will cover the cost of two weeks of care at American House, a senior living facility. You’ll experience respite care with “resort-style” amenities, including a furnished apartment, chef-prepared meals, onsite medical services, and much more.  Respite care allows patients to recover comfortably, while giving loved ones a temporary break from their caregiving role.  

Companion care at no additional cost: CCA Health connects members with companions to help with daily living. You’re covered for 8 hours of services per month at no additional cost. You can also access many of the services via a user-friendly app on your phone or tablet. This is an important benefit for those who need occasional companionship and assistance with transportation, computer support, light household help, exercise, and more.

You may need to continue to pay your Medicare Part B premium.
If you qualify for Extra Help, your costs may be lower.
Certain restrictions may apply. Only at participating locations.
When you click this link, you will leave the CCA Health website.

The benefit information provided here is a brief summary, not a complete description of benefits. Benefits, formulary, and pharmacy and/or provider networks may change on January 1 of each year. Limitations, copayments, and restrictions may apply. 

We’re here to support you

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