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MediGold Essential Care (HMO)

MediGold Essential Care (HMO) is a Medicare Advantage Health Maintenance Organization (HMO), which includes Part D prescription drug coverage. The chart below provides a summary of the benefits available with this plan. You may also find it helpful to review the Evidence of Coverage and Summary of Benefits documents. They provide information about this plan option in more detail.


MediGold Essential Care (HMO)

Your Monthly Plan Premium


You will pay No Deductibles


You'll enjoy our Annual Out-of-Pocket Maximum for Added Protection


Medical Benefits Included!

Your copay:

Preventive Care


Fitness Center Membership


Flu Shots


Diabetes Supplies


Office Visit (Primary Care Provider)


Office Visit (Specialty Care Provider)


Outpatient Lab Test


Outpatient Diagnostic Test or X-ray


Outpatient Surgery


Urgent Care Visit


Emergency Room Visit

$65 Worldwide

Inpatient Hospital Care (per stay)

Ask how we further limit your inpatient costs per year.

$285 per day for days 1-7

$0 after day 7

Home Health Care


Prescription Drug (Part D) Benefits Included!

Note: 30, 60 or 90-day supply of drugs may be obtained from participating retail or mail order pharmacies. Extra Savings at mail. Ask about it!

Your copay for a 30-day supply:

Tier 1 - Preferred Generic Drugs


Tier 2 - Non-Preferred Generic Drugs


Tier 3 - Preferred Brand Drugs


Tier 4 - Non-Preferred Brand Drugs


Tier 5 - Specialty Drugs


Coverage Gap discounts or benefits?


Dental Benefits

MediGold's 2015 Dental Plan may be separately purchased by new and existing MediGold members. The plan is administered by Delta Dental for a monthly premium of $23. Learn more about MediGold's Dental Plan.

2015 Essential Care (HMO) Plan Documents

2015 Central Ohio Summary of Benefits - HMO Plans

2015 Essential Care (HMO) Evidence of Coverage

Last Updated 9/29/2014 11:32:16 PM