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Call 800.262.3757 to speak with a customer service representative

CUSTOMER SERVICE HOURS FOR OCT 1 THROUGH FEB 14:
Sunday through Saturday, 8:00 a.m. - 8:00 p.m. Central Time.


CUSTOMER SERVICE HOURS FOR FEB 15 THROUGH SEP 30:
Monday through Friday, 8:00 a.m. - 8:00 p.m. Central Time.

Multi-Language Interpreter Services

Lovelace Medicare Plan of Oklahoma offers two HMO plans which both have prescription drug coverage.

Apply now!

Joining is simple. To apply, you must live in Creek, Mayes, Muskogee, Oklahoma, Okmulgee, Payne, Rogers, and Tulsa Counties, be entitled to Medicare Part A, be enrolled in Medicare Part B and not have end-stage renal disease. As a qualified applicant, you complete and submit a Lovelace Medicare Plan of Oklahoma enrollment form and that's it! No qualifying physical exam is required. Find out more about your eligibility.

Please be sure to verify Plan Benefits, Plan Star Rating, and check the Multi-Language Interpreter Services available before enrolling.

Medicare beneficiaries may also enroll in Lovelace Medicare Plan through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov

Lovelace Medicare Plan of Oklahoma Plans At-A-Glance
Value Plan HMOValue Plus Plan HMO
Premium $12.30 $101.10
Deductible$0$0
Inpatient Hospital Care $300 per day for days 1-3;
$900 calendar year maximum
$300 per day for days 1-3;
$900 calendar year maximum
Primary Care/Specialist$20/$40$10/$30
Outpatient Surgery$300$200
Emergency Room (worldwide)$65$65
X-Rays, Routine Lab$0$0
Prescriptions$0 preferred generic (Tier 1)
$5 non-preferred generic (Tier 2)
$32 preferred brand (Tier 3)
$90 non-preferred brand (Tier 4)
33% coinsurance Specialty Tier (Tier 5)
Coverage Gap: Tier 1 and 2 generics
$0 preferred generic (Tier 1)
$4 non-preferred generic (Tier 2)
$30 preferred brand (Tier 3)
$70 non-preferred brand (Tier 4)
33% coinsurance Specialty Tier (Tier 5)
Coverage Gap: Tier 1 and 2 generics
Medical Out-of-Pocket Maximum$3500$3500

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.

 

Y0091_448_o Pending CMS Approval