Pay Bill2026 Encompass 65® RED 044 HMO
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
$95
PRIMARY/SPECIALTY COPAY (In-Network)
Tier A: $0/$35
Tier B: $20/$50
INPATIENT HOSPITAL COPAY (In-Network)
$150 deductible then
Tier A: Days 1-6: $350 per day. Additional days: $0. Unlimited Days for Medicare covered stays. ($2,100 Annual Member Copay Maximum).
Tier B: Days 1-4: $600 per day. Additional days: $0. Unlimited Days for Medicare covered stays. ($2,400 Annual Member Copay Maximum)
PART D PRESCRIPTION BENEFIT
$150 deductible on tiers 3, 4 & 5 only. $0/$7/16%/39%/31% to out-of-pocket maximum of $2,100.