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What do Passport Advantage members pay?
- A $0 monthly plan premium!
You do not have to pay anything to join Passport Advantage — there is no plan premium!
- A $0 charge for most covered services!
You will not have to pay anything for covered services if you go to a provider who takes both Medicare and Kentucky Medicaid.
- Very low copays for prescription drugs!
You will not have to pay very much for prescription drugs if you go to a Passport Advantage pharmacy.
Remember: If you have an emergency, you do not need to use a Passport Advantage provider or pharmacy. Get care right away!
You also have Passport Health Plan benefits
- Very low costs for eye care, dental, and some prescription drugs!
You will not have to pay very much for covered routine eye care and dental services, and some prescription drugs if you go to a provider who accepts Passport Health Plan.
How can Passport Advantage be such a great value?
Passport Advantage members have low costs because Passport Advantage works together with Passport Health Plan, Kentucky Medicaid, and Medicare. To see how this works, read our Benefits Chart. You can also read more about what services we cover and what you pay for them.
What do I do if I get a bill from a provider?
Most of the time, you do not have to submit claims to Passport Advantage. Usually, your provider will bill us.
If you get a bill from a provider, call us right away! We will look into the situation and help you get the most out of your benefits. You can talk to a real person 7 days of the week, from 8 a.m. to 9 p.m. by calling 1-800-578-0603, then pressing 1. TTY users please call 1-888-857-4816.
Things you need to know about what you pay:
- You pay a $0 monthly plan premium as long as you get the highest amount of extra help from Medicare to pay for your prescription medicines.
- If you lose some, or all, of the extra help that Medicare gives to you for prescription medicines, you will have to pay more. You might have to pay a monthly plan premium, and a deductible co-insurance when you fill prescriptions.
- You or Kentucky Medicaid must continue to pay your Medicare Part B premium.
- If you do not get premium-free Medicare Part A, you or Kentucky Medicaid must continue your Medicare Part A premium.
- If Kentucky Medicaid takes you out of both Passport Health Plan and Kentucky Medicaid, you will have to pay your providers for the amounts that Passport Advantage does not cover.
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