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Get the full picture with our 2023 Enrollment Guide.

Our Simplete® Medicare Advantage guide includes updated plan details, benefits, network, providers, pharmacy coverage, member perks and much more.

Complete the form for detailed plan info.

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Our NEW Benefits Guide includes detailed plan information for 2023.

Download our guide to learn more about our Medicare Advantage plans. We cover a wide range of needs and budgets, including a $0/month plan and option that allows you to see any doctor.

SIMPLETE 1 (HMO)*

$0/month

  • $0 Primary Care Provider Visit
  • $25 Specialist Visit
  • $4,000 Yearly Limit (not including Rx)

SIMPLETE 2 (HMO)**

$28/month

  • $5 Tier 1 Primary Care Provider Visit
  • $25 Tier 1 Specialist Visit
  • $4,950 Yearly Limit (not including Rx)

SIMPLETE 3 (HMO-POS)***

$48/month

  • $5 Tier 1 Primary Care Provider Visit
  • $25 Tier 1 Specialist Visit
  • $4,950 Yearly Limit (not including Rx)

Doesn’t include Part B premium, which is required for all Medicare plans. *Simplete 1 is not available in Grundy and Livingston counties in IL and Benton and Newton counties in IN. **Includes Tier 1 and Tier 2 providers. ***Includes Tier 1, Tier 2 and out-of-network providers. This is the in-network yearly limit. This plan has a combined (both in-network and out-of-network) yearly limit of $6,700.

Partnership

92%

of members stay with us year after year.

Frequently Asked Questions

Here are some of the most common questions asked about Simplete Medicare Advantage plans. For more topics and details, download our free 2023 Benefits Guide.

  • Yes! We cover up to $2,000 a year for use on dental services like cleanings, X-rays and more. You pay the dentist and then send us the receipt. If your dentist submits the claim for you, you don’t need to send us the receipt. There’s no set network, so you can go to any dentist you choose. You may have a copay or coinsurance for some dental services. Check your Summary of Benefits.

    Our drug formulary (the list of drugs we cover) is available online at our pharmacy coverage page. There, you’ll also find helpful information, like how our coverage works, ways to save on costs and how to find an in-network pharmacy.

    Yes! Members have access to emergency and urgent care across the country. Our plans also offer Assist America® for members who travel 100 miles or more from home. This service connects you to prompt medical attention and helps make sure you’re admitted to reliable hospitals when needed. With doctors, nurses and emergency medical technicians on staff, help is just a phone call away, 24 hours a day and 365 days a year.

    Yes! Our virtual health coverage includes the ability to talk to a board certified doctor or counselor by phone or secure video through hally.com, 24/7. You may also connect with your primary care provider or specialist over the phone or online with our telehealth benefit. Access varies by provider. Speak with your provider to determine availability. Copayment may apply.

    Yes! Get a 10% discount code for a wide variety of competitively priced over-the-counter (OTC) products with OTC4Me. You can order online or by phone, and all orders are shipped directly to you. Shipping is free on orders over $25.

    Yes! Get paid back for a variety of fitness activities, including gym memberships. You can also get reimbursed for golf, online fitness subscriptions, weight loss programs and more. You choose how you want to work out, and we pay you back up to $360 a year.

    Our Medicare Advantage plans offer many benefits and perks you can use every day. Our care coordination team connects you to a team of providers who work with your doctor to make sure you have the resources you need to stay healthy or work through your medical issues. Whether you’d like to speak to a dietitian, want to quit smoking or need help understanding a recent diagnosis, we have teams to help you achieve your goals or get you back on track.

Get the 2023 Benefits Guide now.

Before you enroll in a new Medicare plan, make sure you have all the information. Download our free PDF guide now.

Get Guide

The simpler way to complete Medicare coverage.

Medicare can be complex. That’s why we partner with leading local healthcare providers to lower costs and cut the red tape. Simplete Medicare Advantage plans deliver a simpler, more complete healthcare experience with great coverage, flexible benefits and wellness perks you can use every day.