Advantage by Superior Health Plan HMO SNP Review

Advantage by Superior Healthplan is a Medicare Advantage HMO SNP plan available in Bexar and Nueces counties in Texas.  It is only available to individuals with Medicare and Medicaid benefits.  The coverage does include Part D drug coverage as well as health benefits.  In addition they offer nurses to help you with your healthcare.  Below is a review of the benefits they offer:

Advantage by Superior Health Plan HMO SNP

  • Premium – $0
  • Deductible – $0
  • $3,400 out-of-pocket limit – based on your level of Medicaid you may have no out of pocket expense
  • Network – Must go to in-network doctors and hospitals to receive benefits
  • Referrals – Required
  • Inpatient hospital – $0
  • Doctors Visits – $0
  • Outpatient Surgery – $0
  • Emergency room/Ambulance – $0
  • Part D Drug Coverage Included – You pay between $0 and $6.50 per prescription based on your level of assistance

Extra Benefits Included With Advantage by Superior Healthplan

  • Dental – $0 co-pay for 2 cleanings/1 x-ray per year.  Includes $1,500 of comprehensive dental coverage
  • Hearing – $0 co-pay for 1 hearing exam and up to $1000 of hearing aid coverage
  • Vision – $0 co-pay for a pair of eyeglasses and an eye exam up to $200 limit on glasses

Over-The-Counter Benefit Included

Advantage offers you $50 a month in over-the-counter benefits!  You can simply call a toll free number and order the items you would like.  They will ship them directly to your door.  Items include pain relievers, eye care items, first aid supplies, antacids, and many many more!

This plan also has a transportation benefit that gives you unlimited trips to approved locations!  Since this plan is an HMO you will have to use providers and facilities that are in the plan’s network, and you will not be covered for any services received outside the network.  You want to make sure your providers are in network by visiting their website.   You may also visit for more information regarding this plan.

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