12 minute read
HMO Chart Info
MEDICARE ANN NU UAL ENR ROL LL LM MENT T PERIO OD D
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Call today for an appointment to Discover What Extra Benefits are available for 2022!Call today for an appointment to review your current plan Options! review youIn-person or Virtual appointments available r current plan options! In-Person or Virtual appointments available
This is your time to make changes! Will your PCP or Specialist remain in-network? Discover What Extra Benefits are available Are your PCP and other co-pays increasing? Looking for additional benefits?for 2022! Are you a veteran?
Discover What Extra Benefits are available for 2022! Call today for an appo review your current pl I Calln-Petoday for anrson or Virt appointment toual appointmen review your current plan options In-Person or Virtual appointments avSteven ailableSmit Steven SmithLicensed Insurance Professional
Licensed Insurance Professional 520-213-9900 TTY:711520-213-9900 sesinsadvocates@outlook.com www.medicare4tucson.com sesinsadvocates@outlook.com www.medicare4tucson.com
Cal ll today for an appointment to review your current plan options! In-Person or Virtual appointments available
Steven Smith HMOs Which Assume Responsibility for Medicare Coverage COMPANY BluePathway Plan 2 (HMO) (Maricopa OR Pima County) Licensed Insurance Professional 520-213-9900 TTY:711
BlueJourney Local PPO (LPPO) (Maricopa OR Pima County)
Steven Smith
Licensed Insurance Professional Premium or 520-213-9900 TTY:711Subscription Charges
sesinsadvocates@outlook.com www.medicare4tucson.com
Registration or Policy Fee
$0 monthly premium
NONE sesinsadvocates@outlook.com$59 monthly premium
www.medicare4tucson.com
NONE
Pre-existing Health Conditions
Get your copy today!
Costs on Entry to Hospital Maximum Period of Coverage for Any One Benefit
Skilled Nursing Facility
$175 per day, Days 1-7 in plan hospital (medical or mental health). Same cost share applies with prior authorization at non-plan hospital.
In Network: $260 per day, Days 1-7 plan hospital (medical or mental health). Out-of- Network: 40% coinsurance at a non-plan hospital.
364 days in a calendar year
$0 copay per day, Days 1-20. $188 copay per day, Days 21-40. $0 copay per day, Days 41-100 in plan skilled nursing facility (SNF). Same cost share applies with prior authorization at non-plan skilled nursing facility. No prior hospitalization required. In Network: $0 copay per day Days 1-20, $188 copay per day Days 21-40 in plan skilled nursing facility (SNF). Out-of-Network: 40% coinsurance. No prior hospitalization required.
364 days in a calendar year
BE DEBT FREE IN 24–48 MONTHS!
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Medical Coverage for Part B
Outpatient Care
Physician care for hospital or office services, surgery, anesthesia, X-ray, laboratory, injections, splints, casts, dressings, physical and speech therapy, radiology, ambulance, prosthetics, etc.
Outpatient Prescription Drugs
Renewability of Contract
Travel Restrictions Out of Area
Covered in full after applicable copayments/coinsurance
$0 Primary Care copay, $30 Specialist copay, $30 Urgent Care, $10 copay Physical /Speech /Occupational therapy $0 lab copay, $0 most xrays, $175 ASC. Medicare coverage limits apply. In Network - $0 Primary Care copay, $40 Specialist copay. $40 Urgent Care, $40 Physical/Speech/Occupational therapy, $0 lab copay, $0 most xrays, $225 ASC.
Out-of-Network: $40 Primary Care copay, $80 Specialist copay. 40% coinsurance for most other covered services when out of network. Medicare coverage limits apply.
T1 - Preferred Generic $0; T2 - Generic $7 Extended day supply for T1/T2 provides 100 days for One copay; T3 - Preferred Brand $47; T4 - Non-Preferred Brand $100; T5 - Specialty 33%. Network pharmacies nationwide. T1 - Preferred Generic $0; T2 - Generic $9 Extended day supply for T1/T2 provides 100 days for One copay; T3 - Preferred Brand $47; T4 - Non-Preferred Brand $100; T5 - Specialty 33%. Network pharmacies nationwide.
Renewable annually
Coverage throughout the United States and its territories for emergency and urgently needed care only Covered in full after applicable copayments/coinsurance
Renewable annually
In Network copay and coinsurance apply when using travel bene t in select states with participating providers.
Call today: 1-866-696-2697
ACCREDITED BUSINESS
Major Options Available from Company
A.M. Best Rating
Silver & Fit, Over-the-Counter allowance, Telehealth, No charge upgrade to rechargeable Hearing aids, Eyewear allowance, 20 visits for Complementary medicine (chiro/acupuncture/therapeutic massage) using preferred network providers, Dental cleaning/exam/xray. Coverage limitations apply.
Silver & Fit, Over-the-Counter allowance, Telehealth, No charge upgrade to rechargeable hearing aids, Eyewear allowance, 20 visits for Complementary medicine (chiro/acupuncture/therapeutic massage) using preferred network providers, Dental cleaning/exam/xray. Preferred network providers. Coverage limitations apply.
Medicare STAR ratings released in October
For more information about all of Blue Cross Blue Shield of Arizona Medicare Advantage plans or to register for a seminar please call 1-888-273-4093, TTY:711. Daily 8:00 a.m. - 8:00 p.m. Oct 1 - Mar 31. Mon-Fri 8:00 a.m. - 8:00p.m. April 1 - Sept 30. For more information about all of Blue Cross Blue Shield of Arizona Medicare Advantage plans or to register for a seminar please call 1-888-273-4093, TTY:711. Daily 8:00 a.m. - 8:00 p.m. Oct 1 - Mar 31. Mon-Fri 8:00 a.m. - 8:00p.m. April 1 - Sept 30.
Medicare STAR ratings released in October
GOT MEDICARE QUESTIONS?
In-person or Virtual appointments available
COMPANY
Premium or Subscription Charges
Registration or Policy Fee Pre-existing Health Conditions Costs on Entry to Hospital Maximum Period of Coverage for Any One Benefit Skilled Nursing Facility
United HealthCare AARP MedicareComplete (HMO) Plan 1
(Available in Pima County) No monthly premium. Medicare Complete contracts with Medicare to provide full Medicare coverage plus additional bene ts. Member must continue to pay Part B premium. No monthly premium. Medicare Complete contracts with Medicare to provide full Medicare coverage plus additional bene ts. Member must continue to pay Part B premium.
NONE
NONE
PLAN 1: $225.00 days 1-7
Hospital - Unlimited number of authorized, medically necessary days. Other limitations may apply for other bene ts Hospital - Unlimited number of authorized, medically necessary days. Other limitations may apply for other bene ts
PLAN 1: $0.00 days 1-20/ $188.00 days 21-34/ $0.00 days 35-100
United HealthCare AARP MedicareComplete (HMO) Plan 2
(Available in Pima County)
NONE
NONE
PLAN 2: $275.00 days 1-7
PLAN 2: $0.00 days 1-20/ $188.00 days 21-39/ $0.00 days 40-100
Medical Coverage for Part B
Covered in full after applicable copayments/coinsurance. Covered in full after applicable copayments/coinsurance.
Outpatient Care
Physician care for hospital or office services, surgery, anesthesia, X-ray, laboratory, injections, splints, casts, dressings, physical and speech therapy, radiology, ambulance, prosthetics, etc. PLAN 1: $0 Preventative Screenings. $0 copay for PCP and $25 for specialist. $90 for emergency care, waived if admitted, and 20% for DME. $250 for ambulance - air and land. Outpatient hospital and outpatient surgery is $125. Lab copay $0. Xrays $15. Copays and coinsurance count toward the out of pocket max of $2,6000.
PLAN 2: $0 Preventative Screenings. $0 copay for PCP and $30 for specialist. $90 for emergency care, waived if admitted, and 20 % for DME. $250 for ambulance - air and land. Outpatient hospital and outpatient surgery is $150. Lab copay $0. Xrays $15. Copays and coinsurance count toward the out of pocket max of $3,400.
Outpatient Prescription Drugs
Renewability of Contract
Travel Restrictions Out of Area
Major Options Available from Company
A.M. Best Rating
*NO PART D Deductibles and Tier 1/2 drug coverage in the gap. Plan allows for 100 day Rx ll. $35 monthly insulin copay max* PLAN 1: Tier 1 is $0 copay, Tier 2 is $8, Tier 3 is $45, Tier 4 $95, and Tier 5 is 33% to the initial coverage limit of $4430 . No coverage after $4430 until out of pocket costs equal to $7050. Then 5% or $3.60 for Generic and Preferred Brand, All other 5% or $8.95.
Guaranteed renewable for life.
Worldwide coverage for emergency with a $90 copay (waived if admitted to hospital). Routine & preventive care is covered out of member’s residence county w/Passport Bene t.
Worldwide coverage for emergency with a $90 copay (waived if admitted to hospital). Routine & preventive care is covered out of member’s residence county w/Passport Bene t.
Plan covers Optum Fitness as a Fitness Rider, routine eye exam and hardware, routine podiatry visits, hearing aid coverage, and optional dental riders, Large Network of Providers Plan covers Optum Fitness as a Fitness Rider, routine eye exam and hardware, routine podiatry visits, hearing aid coverage, and optional dental riders, Large Network of Providers
A
*NO PART D Deductibles and Tier 1/2 drug coverage in the gap. Plan allows for 100 day Rx ll. $35 monthly insulin copay max*
PLAN 2: Tier 1 is $0 copay, Tier 2 is $10, Tier 3 is $45, Tier 4 $95, and Tier 5 is 33 % to the initial coverage limit of $4430 . No coverage after $4430 until out of pocket costs equal to $7050. Then 5% or $3.60 for Generic and Preferred Brand, All other 5% or $8.95.
Guaranteed renewable for life.
A
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Riding the Wave
The Beach Boys haven’t stopped making music
BY MADISON PERALES
The Beach Boys’ Mike Love played a couple drive-in shows during the pandemic, but nothing comes close to hitting a proper stage.
The band will perform at Casino Del Sol on Friday, November 12, as part of its 29date “Feel Flows World Tour.”
“We are so happy to be able to get back out and do concerts,” Love says. “Live music with real people is great because we were unable to for a year and a half or two.” Like everyone around the world, the pandemic had an adverse eff ect on the Beach Boys, who were forced to cancel their tour. “We had the biggest tour of our career lined up, then COVID-19 hit, and it all went away,” Love says. But that didn’t stop them from making music. “We were able to do a song called ‘This Too Shall Pass,’” Love says. Even though the members were unable to meet in person, they recorded their parts with microphones, computers and phones and sent their recordings to actor/drummer John Stamos, who created the video.
“I wanted to say something positive to look forward to,” Love says. “We’re actually performing it every night in our concert. We do the encore, then we fi nish up with our classic ‘Fun, Fun, Fun.’”
COVID-19 is lingering, but Love isn’t too concerned about touring during the pandemic. “I was vaccinated months and months ago, so that’s no problem,” Love says.
The Beach Boys started the “Feel Flows World Tour” in May. These past fi ve months created noteworthy moments for Love, like when the audience reacts to the hit “Kokomo.”
“We have several big singalongs, like ‘Help Me Rhonda’ and ‘California Girls,’” Love says. “But ‘Kokomo’ is by far the biggest singalong, and to me, that’s the most special part of the concert.”
The band kicked off the tour on May 29 in San Diego, where it spiced up the show with special guests Stamos and Mark McGrath of Super Ray.
“I just think it’s special for John and Mark to show up because it’s unexpected and it gives us a whole other element of surprise,” Love says. “They’re both so engaging and add so much positive energy to our performances.”
McGrath will also appear on the Beach Boys cruise from Miami to Nassau, Bahamas, in March.
“We have the Temptations, the Monkees, and a Beatles tribute band called A Hard Day’s Night,” Love says. “It’s going to be nonstop music on that cruise.”
The Beach Boys were formed in 1961. Love says the Beach Boys were founded on lyrics about romance, California girls and the beach life.
“That still exists in little pockets in Southern California,” Love says.
While the lyrics from some of their hits still resonate with listeners, the touring environment has changed a lot since the ‘60s.
“COVID-19 doesn’t have that much of an eff ect on the audience response,” Love says. “But technically, the performances are better these days because the sound is better, the production is better, and the venues are great.”
As for the Tucson show, fans can expect nostalgic songs from the ‘60s. “Expect all the hit singles you can associate with the Beach Boys catalog and some songs that are more so perhaps,” Love says.
The set list includes “God Only Knows,” which was sung by Carl Wilson, who died in 1998 from lung cancer. Love’s son, Christian, takes over vocal duties.
“He does a beautiful job on that song,” Love says. “It’s almost as if it was written for him.”
A tribute to George Harrison, “Pisces Brothers,” is also featured. Love and Harrison’s birthdays are in February and March. He references Hari Krishna, meditation, “Here Comes the Sun” and other subjects that Love holds dearly to his heart when he thinks of Harrison.
“It’s a very sentimental song, because George passed away, and when he died, I was feeling pretty sad about it,” Love says. “I did the song as a combination of things that George really loved and things we both appreciated.
“That song (‘Pisces Brothers’) wasn’t a hit, but it’s very sentimental and a really nice moment in the show.”
The Beach Boys are heading to Casino Del Sol on November 29 as part of the “Feel Flows World Tour.” (Submitted photo)
MORE INFO
What: The Beach Boys When: 7:30 p.m. Friday, November 12 Where: Casino Del Sol, 5655 W. Valencia Road Cost: Tickets start at $30 Info: casinodelsol.com
