Simplete at a Glance

Three Simplete Plans To keep things simple, we’ve focused on three plans, each one delivering complete coverage but with a different degree of flexibility.

Find an overview of your plan options and benefits made for you in our 2022 Key Medicare Advantage Benefits guide. All Plans Include: • Plans as low as $0 a month. • Dental, vision and hearing coverage. • Virtual health coverage. • Fitness and healthy lifestyle benefit. • $0 pharmacy deductible and $2 Tier 1 generics.

Premium

Primary Care Visit

Specialist Visit

Yearly Limit COSTS AT A GLANCE

SIMPLETE 1 (HMO) SIMPLETE 2 (HMO) SIMPLETE 3 (HMO-POS)

$0 a month (Must see Tier 1 providers.) $28 a month (Can see Tier 1 and Tier 2 providers.)

$48 a month (Can see a provider of your choice.)

$0

$25 Tier 1: $5 Tier 2: $20

Tier 1: $25 Tier 2: $40 Tier 1: $5 Tier 2: $25 OON: $50

Tier 1: $25 Tier 2: $40 OON: $50

$4,000 $4,950 Tier 1: $4,950 Tier 2:$4,950 OON: $6,700

Comparing Simplete Plans With Simplete, healthcare providers are grouped into two tiers (Tier 1 and Tier 2). These tiers determine how much you’ll pay when you receive services from that provider. For more information about provider tiers, refer to the In-Network Providers section of this guide. For a closer look at Simplete plans and their benefits, please refer to the Summary of Benefits included in this guide. Not sure which Simplete plan is right for you? We’re here to help. Call us at (877) 634-3390 (TTY 711) or contact us online at simplete.org/medicare with your questions. We’ll help you find the plan and providers that make the most sense for your needs.

Pay for what you actually use.

Wasting money on coverage you don’t use? That was the old way. Now there’s a new way. Simplete offers flexible coverage options and gives you perks you can use every day.

Simple and Complete

Frustrated by the confusing layers of Medicare benefits? That was the old way. Now there’s a new way. Simplete offers complete care and added perks in one simple package.

Medicare Advantage vs. Medicare Supplement All the different types of Medicare plans can be overwhelming, which is why we decided to offer only Medicare Advantage plans with Simplete.

Medicare Advantage allows us to streamline the healthcare services you need most (doctor appointments, hospital visits, prescriptions, hearing, dental and vision benefits) all in one plan. However, Medicare Advantage may not be for everyone. Here is a look at the main differences between Medicare Supplement and Medicare Advantage:

How it Works

MEDICARE SUPPLEMENT

Pays for Medicare-eligible services after Original Medicare (Parts A and B) pays its share. MEDICARE ADVANTAGE

Pays for your medical expenses in place of Original Medicare.

Perks No included perks.

Drug Coverage Still need to get separate prescription coverage (Part D).

Monthly Premium The monthly premiums are higher, but you’ll likely not pay out-of-pocket costs. Medicare Advantage has lower monthly premiums. Some Simplete plans have $0 premiums.

Age and Tobacco Use Age and tobacco use will affect monthly premium. Adds perks, like dental, vision, hearing and wellness.

Covers services you need (after Parts A and B), including prescription coverage (Part D).

Age and tobacco use won’t affect monthly premium.

Doctors Flexibility to see any doctor who accepts Original Medicare. Must choose in-network primary care providers for care or the ability to see OON providers at an additional cost.

All members enrolling in Medicare Advantage must start with enrolling in Original Medicare, Parts A (hospital) and B (medical/outpatient care).

To be eligible for Simplete Medicare Advantage, you must live in the service area and must continue to pay your Medicare Part B premium if not otherwise paid for by Social Security or another third party.