Pay Bill2026 Encompass 65® HMO (without prescription coverage)
Plan Highlights
MONTHLY PREMIUM
PRIMARY/SPECIALTY COPAY (In-Network)
INPATIENT HOSPITAL COPAY (In-Network)
PART D PRESCRIPTION BENEFIT
(Tier 1 / 2 / 3 / 4 / 5)
MONTHLY PREMIUM
$0
(Independent Health pays $11 per month toward your Part B premium)
PRIMARY/SPECIALTY COPAY (In-Network)
Tier A: $0/$10
Tier B: $20/$50
INPATIENT HOSPITAL COPAY (In-Network)
Tier A: Days 1-5: $150 per day. Additional days: $0. Unlimited Days for Medicare covered stays. ($750 Annual Member Copay Maximum).
Tier B: Days 1-5: $550 per day. Additional days: $0. Unlimited Days for Medicare covered stays. ($2,750 Annual Member Copay Maximum).
PART D PRESCRIPTION BENEFIT
No Part D prescription drug benefit.