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Benefits Chart

2008 Benefit Chart coming soon

Use this chart to see which plan pays for the following health benefits. Either Passport Advantage (Medicare) or Passport Health Plan (Medicaid) will pay.

Passport Advantage Benefits Chart

* The dollar amounts in this chart are for 2007. This is not a complete chart. For more information, call us 7 days a week between 8 a.m. and 8 p.m. at 1-800-578-0603, then press 1. TTY users please call 1-888-857-4816.

* Kentucky Medicaid pays second for mental health hospital stays and visits.

Things you need to know about what we cover:

  • We will cover only health care that you need.
  • We do not cover services, items, and medicines that Medicare does not cover.
  • For some services and medicines, your provider must get approval before you can get the service or before you can fill the prescription.
  • We will fully cover your health care only if you use providers that take Medicare and take Passport Health Plan or Kentucky Medicaid.
  • We will cover medicines only if you use Passport Advantage pharmacies, unless it is an emergency.
  • We will cover eye care services only if you use Passport Advantage eye care specialists, unless it is an emergency.
  • Original Medicare covers services provided by a Medicare-certified hospice.
  • Kentucky Medicaid covers non-emergency medical transportation
  • Kentucky Medicaid pays second for mental health specialist visits, mental health hospital stays, and skilled nursing facility stays.
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