Essence Advantage (HMO)
$0 Monthly Premium
Essence Advantage bundles all your hospital, medical and prescription drug benefits into one plan for $0 monthly premium. It also includes money-saving extra benefits like preventive dental, vision and even a health club membership.
Coverage Highlights
Medical & Hospital
| Preventive Care Copay: |
$0 |
| Primary Care Copay: |
$10 |
| Specialist Visit Copay: |
$45 |
| Medical Deductible: |
$0 |
| MOOP Limit: |
$3,300 |
Prescriptions
| Tier 1 Drug Copay: |
$0*/$7 |
| Tier 2 Drug Copay: |
$0*/$12 |
| Tier 3 Drug Copay: |
$42*/$47 |
| Tier 4 Drug Copay: |
$85*/$95 |
| Tier 5 Co-insurance: |
33%*/33% |
| Tier 6 Drug Copay: |
$0*/$0 |
| Drug Deductible: |
$0 |
|
Extra Benefits Included
Preventive Dental
Exams, horizontal bite-wing x-ray, cleanings
Routine Vision
Eye exam, contacts, eyeglass frames & lenses
Health Club Membership
Health club membership & fitness classes through the SilverSneakers® program
Transportation Assistance
Transportation to plan-approved locations
Travel Coverage
Urgent and emergent care is available worldwide |
View All Plan Benefits
Request a Kit
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Enroll |
*At preferred pharmacies. Schnucks, Target, CVS and Pharmax are our preferred pharmacy providers. Other pharmacies are available in the Essence network.
