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The Clorox Company Low - H5216-805-608
$61.54
Monthly Premium
The Clorox Company Low is a Medicare Advantage (Medicare Part C) plan offered by Humana Inc.
Plan ID: H5216-805-608
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$61.54
Monthly Premium
Mississippi Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and Part B) benefits into a single plan.
Most Medicare Advantage plans cover prescription drugs, and many plans may offer other extra benefits Original Medicare doesn’t cover.
Learn more about Mississippi Medicare Advantage plans like the one below and find a plan that offers the benefits you want at an affordable price.
Enrollment may be limited to certain times of the year. See why you may be able to enroll.
Basic Costs and Coverage
| Coverage | Details |
|---|---|
| Monthly plan premium | $61.54 |
| Vision coverage | |
| Dental coverage | |
| Hearing coverage | |
| Prescription drugs | |
| Medical deductible | $0.00 |
| Out-of-pocket maximum | $6,000.00 |
| Initial drug coverage limit | $0.00 |
| Catastrophic drug coverage limit | $2,000.00 |
| Primary care doctor visit | In or Out of Network: $0 copayment |
| Specialty doctor visit | In or Out of Network: $30 copayment |
| Inpatient hospital care | In or Out of Network: $250 copayment per day for days 1-5 |
| Urgent care | In or Out of Network: $0 - $30 copayment |
| Emergency room visit | Out of Network: Worldwide Coverage 20% coinsurance, $100 deductible per year, $25000 maximum benefit per year Or 60 consecutive days, whichever is reached first. Limited to emergency Medicare-covered services. |
| Ambulance transportation | In or Out of Network: $100 copayment per date of service, Limited to Medicare-covered transportation. |
Health Care Services and Medical Supplies
The Clorox Company Low covers a range of additional benefits. Learn more about The Clorox Company Low benefits, some of which may not be covered by Original Medicare (Part A and Part B).
| Coverage | Details |
|---|---|
| Chiropractic services | In or Out of Network: Chiropractic Services (Medicare Covered) $20 copayment |
| Diabetes supplies, training, nutrition therapy and monitoring | Diabetes Self-Management Services Diabetes Self-Management Services: In or Out of Network: $0 copayment Diabetes Supplies and Services Diabetes Supplies and Services: In or Out of Network: $0 copayment or 15% coinsurance |
| Durable medical equipment (DME) | In or Out of Network: 15% coinsurance |
| Diagnostic tests, lab and radiology services, and X-rays | Diagnostic Tests, Lab and Radiology Services, and X-Rays Diagnostic Tests, Lab and Radiology Services, and X-Rays: In or Out of Network: $0 - $100 copayment Medicare-Covered diagnostic procedures and tests Medicare-Covered diagnostic procedures and tests: In or Out of Network: $0 - $100 copayment Medicare-covered diagnostic radiology services (not including x-rays) Medicare-covered diagnostic radiology services (not including x-rays): In or Out of Network: $0 - $100 copayment Medicare-covered lab services Medicare-covered lab services: In or Out of Network: $0 - $15 copayment Medicare-covered therapeutic radiology services Medicare-covered therapeutic radiology services: In or Out of Network: $30 - $50 copayment Medicare-covered X-rays Medicare-covered X-rays: In or Out of Network: $0 - $100 copayment |
| Home health care | In or Out of Network: $0 copayment, Excludes Personal Home Care. |
| Mental health inpatient care | In or Out of Network: $250 copayment per day for days 1-5, 190 day lifetime limit in a psychiatric facility. |
| Mental health outpatient care | In or Out of Network: $0 - $70 copayment |
| Outpatient services/surgery | Ambulatory Surgical Center Ambulatory Surgical Center: In or Out of Network: $0 - $75 copayment Observation Services Observation Services: In or Out of Network: $0 copayment, waived if admitted within 24 hours Outpatient Services/Surgery Outpatient Services/Surgery: In or Out of Network: $0 - $100 copayment |
| Outpatient substance abuse care | Opioid Treatment: In or Out of Network: $30 - $75 copayment Outpatient Substance Abuse: In or Out of Network: $0 - $70 copayment |
| Podiatry services | In or Out of Network: Podiatry Services (Medicare Covered) $30 copayment |
| Skilled Nursing Facility (SNF) care | In or Out of Network: $0 copayment per day for days 1-20, $40 copayment per day for days 21-100, Plan pays $0 after 100 days. |
Dental Benefits
The following dental services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Dental care | In or Out of Network: Dental Services (Medicare Covered) $30 copayment |
Vision Benefits
The following vision services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage
| Coverage | Details |
|---|---|
| Vision care | Medicare-covered Eyewear Medicare-covered Eyewear: In or Out of Network: $30 copayment, For eyeglasses and contacts following cataract surgery. Vision Services Vision Services: Vision Services (Medicare Covered) $30 copayment Vision Services (Routine) $0 copayment for routine exam (includes refraction) up to 1 per year. $100 combined maximum benefit coverage amount per year for contact lenses, eyeglasses (lenses and frames), including lens options such as ultraviolet protection and scratch resistant coating, fitting for eyeglasses (lenses and frames). The approved provider, EyeMed Vision, must be used in order to obtain benefits. |
Hearing Benefits
The following hearing services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Hearing care | In or Out of Network: Hearing Services (Medicare Covered) $30 copayment |
Preventive Services and Health/Wellness Education Programs
The following services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Preventive services and health/wellness education programs | Glaucoma Screening Glaucoma Screening: In or Out of Network: $0 copayment Preventive Services Preventive Services: In or Out of Network: $0 copayment |
When reviewing Mississippi Medicare plans, be sure to find out if your doctors are part of the plan network. If a Medicare Advantage plan covers prescription drugs, make sure the plan formulary (list of drugs covered by the plan) includes your drugs.
You may be able to find plans in your part of Mississippi that offer similar benefits at similar or lower prices than the plan above. Call 1-800-557-6059 TTY 711, 24/7 to speak with a licensed insurance agent who can help you compare plans.
Plan Documents
| Links to plan documents |
Mississippi Counties Served
We represent carriers such as Humana, UnitedHealthcare®, Anthem Blue Cross and Blue Shield*, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.