Essence Healthcare in Your Area

Essence Advantage (HMO)

$0 Monthly Premium

Essence Advantage bundles all your hospital, medical and prescription drug benefits into one plan for $0 monthly premium. It also includes money-saving extra benefits like preventive dental, vision and even a health club membership.

Coverage Highlights

Medical & Hospital

Preventive Care Copay: $0
Primary Care Copay: $10
Specialist Visit Copay: $45
Medical Deductible: $0
MOOP Limit: $3,300

Prescriptions

Tier 1 Drug Copay: $0*/$7
Tier 2 Drug Copay: $0*/$12
Tier 3 Drug Copay: $42*/$47
Tier 4 Drug Copay: $85*/$95
Tier 5 Co-insurance: 33%*/33%
Drug Deductible: $0

Extra Benefits Included

Preventive Dental
Exams, horizontal bite-wing x-ray, cleanings
Routine Vision
Eye exam, contacts, eyeglass frames & lenses
Health Club Membership
Health club membership & fitness classes through the SilverSneakers® program
Transportation Assistance
Transportation to plan-approved locations
Travel Coverage
Urgent and emergent care is available worldwide

View All Plan Benefits
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*At preferred pharmacies. Schnucks, Target, CVS and Pharmax are our preferred pharmacy providers. Other pharmacies are available in the Essence network.