ConnectiCare Flex Plan 2 (HMO-POS)

3.5 out of 5 stars

^$119.10

Monthly Premium

ConnectiCare Flex Plan 2 (HMO-POS) is a HMO-POS plan offered by CONNECTICARE, INC.

Plan ID: H3528-015

HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.

Medicare beneficiaries may find it helpful to review available Medicare Advantage plans in their area. Medicare Advantage plans are designed to combine the coverage offered from Original Medicare (Medicare Part A and Part B) while also offering additional benefits.

Many Medicare Advantage plans may cover prescription drug coverage as well as additional benefits such as Dental, Vision and Hearing.

Learn more about Medicare Advantage plans such as ConnectiCare Flex Plan 2 (HMO-POS) - H3528-015 by CONNECTICARE, INC. as well as other Medicare Advantage plans available in your area.

^$119.10

Monthly Premium

Connecticut Counties Served

Fairfield Hartford Litchfield Middlesex New Haven New London Tolland Windham

Basic Costs and Coverage

Coverage	Cost
Monthly Deductible	$200
Out of Pocket Max	In-Network: $6750 Out-of-Network: 10000
Initial Coverage Limit	$0
Catastrophic Coverage Limit	$2100
Primary Care Doctor Visit	Doctor Office Visit Services: Copayment for Primary Care Office Visit $50
Specialty Doctor Visit	Doctor Specialty Visit: Copayment for Physician Specialist Office Visit $35
Inpatient Hospital Care	In-Network: Acute Hospital Services: $375 per day for days 1 to 4 $0 per day for days 5 to 90 Prior Authorization Required for Acute Hospital Services
Urgent Care	Urgent Care: Copayment for Urgent Care $35 Worldwide Coverage: Copayment for Worldwide Urgent Coverage $0 Maximum Plan Benefit of $50,000
Emergency Room Visit	Emergency Care: Copayment for Emergency Care $130 Worldwide Coverage: Copayment for Worldwide Emergency Coverage $0 Copayment for Worldwide Emergency Transportation $0 Maximum Plan Benefit of $50,000
Ambulance Transportation	Ambulance Services: Copayment for Ambulance Services - Ground $300 Coinsurance for Ambulance Services - Air $20% Prior authorization may be required

Health Care Services and Medical Supplies

ConnectiCare Flex Plan 2 (HMO-POS) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B).

Coverage	Cost
Chiropractic Services	Medicare Covered Chiropractic Services: Copayment for Medicare Covered Chiropractic Services $50 Chiropractic Services: Copayment for Medicare-covered Chiropractic Services $15
Diabetes Supplies, Training, Nutrition Therapy and Monitoring	Diabetic Supplies and Services: Coinsurance for Medicare-covered Diabetic Supplies 20% Coinsurance for Medicare-covered Diabetic Therapeutic Shoes or Inserts 20%
Durable Medical Equipment (DME)	Durable Medical Equipment: Coinsurance for Medicare-covered Durable Medical Equipment 10% to 20% Prior Authorization Required for Durable Medical Equipment Minimum coinsurance applies to HIT drug component services provided in the home. Maximum coinsurance applies to HIT drug component services provided in all other locations and all other DME.
Diagnostic Tests, Lab and Radiology Services, and X-Rays	Outpatient Diag Procs/Tests/Lab Services: Copayment for Medicare-covered Diagnostic Procedures/Tests $25 Copayment for Medicare-covered Lab Services $0 to $15 Prior Authorization Required for Outpatient Diag Procs/Tests/Lab Services Outpatient Diag/Therapeutic Rad Services: Copayment for Medicare-covered Diagnostic Radiological Services $0 to $250 Coinsurance for Medicare-covered Therapeutic Radiological Services 20% Copayment for Medicare-covered X-Ray Services $40 Prior Authorization Required for Outpatient Diag/Therapeutic Rad Services
Home Health Care	Home Health Services: Copayment for Medicare-covered Home Health Services $0 Prior Authorization Required for Home Health Services
Mental Health Inpatient Care	Psychiatric Hospital Services: Copayment for Psychiatric Hospital Services per Stay $2290 Prior Authorization Required for Psychiatric Hospital Services 190-day limitation is combined for In-Network and Out-of-Network services
Mental Health Outpatient Care	Outpatient Mental Health Services: Copayment for Medicare-covered Individual Sessions $35 Copayment for Medicare-covered Group Sessions $35 Prior authorization may be required.
Outpatient Services / Surgery	Outpatient Hospital Services: Copayment for Medicare Covered Outpatient Hospital Services $0 to $250 Prior Authorization Required for Outpatient Hospital Services Minimum amount for diagnostic colonoscopies in an outpatient setting. Maximum amount for all other services. Outpatient Observation Services: Copayment for Medicare Covered Observation Services - Per stay $250 Ambulatory Surgical Center Services: Copayment for Ambulatory Surgical Center Services $0 to $150 Prior Authorization Required for Ambulatory Surgical Center Services Minimum amount for diagnostic colonoscopies in an ASC setting. Maximum amount for all other services.
Outpatient Substance Abuse Care	Medicare Covered Outpatient Substance Abuse Services: Coinsurance for Medicare Covered Individual Sessions 40% Coinsurance for Medicare Covered Group Sessions 40% Prior authorization may be required Outpatient Substance Abuse Services: Copayment for Medicare-covered Individual Sessions $35 Copayment for Medicare-covered Group Sessions $35 Prior Authorization Required for Outpatient Substance Abuse Services
Over-the-counter (OTC) Items
Podiatry Services	Podiatry Services: Copayment for Medicare-Covered Podiatry Services $35 Medicare Covered Podiatry Services: Copayment for Medicare Covered Podiatry Services $50
Skilled Nursing Facility Care	In-Network: Skilled Nursing Facility Services: $0 per day for days 1 to 20 $214 per day for days 21 to 100 Prior Authorization Required for Skilled Nursing Facility Services

Dental Benefits

The following dental services are covered from in-network providers.

Coverage	Cost
Dental Care	Medicare Covered Preventive Dental Services: Copayment for Medicare Covered Preventive Dental $50

Vision Benefits

The following vision services are covered from in-network providers.

Coverage	Cost
Vision Benefits	Eye Exams: Copayment for Medicare Covered Benefits $35 Copayment for Routine Eye Exams $0 Maximum 1 Routine Eye Exams every year

Hearing Benefits

The following hearing services are covered from in-network providers.

Coverage	Cost
Hearing Benefits	Hearing Exams: Copayment for Medicare Covered Benefits $35 Copayment for Routine Hearing Exams $0 Maximum 1 visit every year

Preventive Services and Health/Wellness Education Programs

The following services are covered from in-network providers.

Coverage	Cost
Preventive Services and Health/Wellness Education Programs	Medicare Covered Medicare-covered Preventive Services: Copayment for Medicare Covered Medicare-covered Preventive Services $0

Prescription Drug Costs and Coverage

The ConnectiCare Flex Plan 2 (HMO-POS) plan offers the following prescription drug coverage, with an annual drug deductible of $200 (excludes Tiers 1 and 6) per year.

Coverage	Cost
Coverage & Cost
Annual Drug Deductible	$200 (excludes Tiers 1 and 6)
Preferred Generic	Standard retail $1.00 Standard mail order $1.00
Select Care Drugs	Standard retail $0.00 Standard mail order $0.00
Annual Drug Deductible	$200 (excludes Tiers 1 and 6)
Preferred Generic	Standard retail $2.00 Standard mail order $2.00
Select Care Drugs	Standard retail $0.00 Standard mail order $0.00
Annual Drug Deductible	$200 (excludes Tiers 1 and 6)
Preferred Generic	Standard retail $2.00 Standard mail order $2.00
Select Care Drugs	Standard retail $0.00 Standard mail order $0.00

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