Senior Care Plus pays the remainder of the bill. There is no deductible to be satisfied for services provided by your Primary Care Physician or a specialist for whom you have an approved referral. Please refer to your Evidence of Coverage for more information. Some benefits have a copayment, a set amount you pay when you access services. Other benefits have coinsurance, a percentage you pay when you access services.
Some benefits have no copayments or coinsurance at all.
See your Summary of Benefits and Evidence of Coverage for specific information regarding your financial responsibility when using our plan. You do not have to fill out any claim forms for care received from authorized and participating providers. The only bills for which you are responsible are your copayments, coinsurance, or bills for unauthorized services acquired from a noncontracted provider. Some benefits have lifetime maximums. See your Summary of Benefits and Evidence of Coverage for limitations.