Reliance Medicare
Advantage (HMO) Plan

Get all the benefits of Original Medicare and more with a Reliance Medicare Advantage (HMO) Plan

Reliance Medicare Advantage has two HMO plan options to fit your needs: The $0 Principle (HMO) Plan and the $40 Cardinal (HMO) Plan. Both plans are accepted by some of the largest health systems in Michigan and cover hospital, doctor, specialist visits, lab tests, preventive care, and more, including dental, vision, hearing, and prescription drug benefits

Choose the Reliance Medicare Advantage Plan that fits your needs and budget

Benefit2021 Principle (HMO) Plan2021 Cardinal (HMO) Plan
Monthly Plan Premium$0$40
Medical DeductibleNo deductibleNo deductible
Maximum Out-of-pocket ResponsibilityNo more than $5,900 annuallyNo more than $4,500 annually
Hospitalization
Inpatient $230 per day for days 1 – 7
$0 for days 8 and beyond
$215 per day for days 1 – 7
$0 for days 8 and beyond
OutpatientYou pay $200You pay $200
In-network Care
No referrals needed
Primary care doctor visits$0$0
Specialist visits$45$40
Preventive Care
Flu vaccine$0$0
Diabetic screenings$0$0
Dental and Vision
Coverage through Argus

Dental:

You pay $0 for

  • Office visits
  • Exams
  • X-rays
  • Cleanings
  • Fluoride
Vision:

$15 copay for eye exam and routine eyewear

Up to $100 eyewear and contact lens allowance

Dental:

You pay $0 for

  • Office visits
  • Exams
  • X-rays
  • Cleanings
  • Fluoride
  • Plus, additional benefits for fillings and crowns

Vision:

$15 copay for eye exam and routine eyewear

Up to $100 eyewear and contact lens allowance

Hearing
Coverage through
NationsHearing
$0 copay for routine hearing exam and evaluation for fitting hearing aids
You get up to a $500 benefit allowance for hearing aids
$0 copay for routine hearing exam and evaluation for fitting hearing aids.
You get up to a $1,000 benefit allowance for hearing aids
Silver & Fit® fitness program
$0 Copay$0 Copay
Over-the-counter coverage
$400 a year to spend on healthcare-related items through our catalog NationsOTC.com/Reliance$400 a year to spend on healthcare-related items through our catalog NationsOTC.com/Reliance
$0 copay$0 copay
NEW for 2021! American House Respite Care
Two weeks of care at American House senior living facility after hospitalization if you don’t qualify for a skilled nursing facility (details below)Two weeks of care at American House senior living facility after hospitalization if you don’t qualify for a skilled nursing facility (details below)
NEW for 2021! Companion Care offered by Reliance
8 hours of companion services per month to help with daily living (details below)8 hours of companion services per month to help with daily living (details below)
Prescription Drugs
$0 deductible Tier 1 & 2
$125 deductible Tier 3 – 5
$0 deductible Tier 1 – 5
See your low prescription costs with
Reliance Medicare Advantage
Preferred Retail RX (CVS Pharmacies) 30-day supply Non-Preferred Retail 30-day supply Mail Order 90-day supply OptumRx
Tier 1: Preferred Generic $2 $6 $0
Tier 2: Non-Preferred Generic $10 $15 $30
Tier 3: Preferred Brand $47 $47 $141
Tier 4: Non-Preferred Brand $100 $100 $300
Tier 5: Specialty Tier 30% 30% N/A
Cost sharing may change depending on the pharmacy you choose and when you enter a new phase of the Part D benefit.
Select Insulins2021 Principle (HMO) Plan2021 Cardinal (HMO) Plan
Retail RX 30-day supplyRetail RX 60-day supplyMail Order 90-day supplyRetail RX 30-day supplyRetail RX 60-day supplyMail Order 90-day supply
$10$20$30$10$20$30

To see our 2020 plan benefits, click here

All about NEW American House and Companion Care benefits for 2021:

First class respite care at no additional cost.

After hospitalization, if you don’t qualify for a skilled nursing facility, Reliance Medicare Advantage will cover the cost of two weeks of care at American House, a senior living facility. You’ll experience respite care with “resort-style” amenities, including a furnished apartment, chef-prepared meals, on-site medical services, and much more.  Respite care allows patients to recover comfortably, while giving loved ones a temporary break from their caregiving role.  

Companion care at no additional cost.

Reliance Medicare Advantage connects members with companions to help with daily living. You’re covered for 8 hours of services per month at no additional cost. You can also access many of the services via a user-friendly app on your phone or tablet. This is an important benefit for those who need occasional companionship and assistance with transportation, computer support, light household help, exercise, and more.

Reliance

Frequently Asked Questions

Is my doctor part of Reliance Medicare Advantage Plan?

You can search here to find out if your doctor is part of the network.
Provider Search

Which health systems accept Reliance Medicare Advantage?

Reliance Medicare Advantage is accepted at some of the largest health systems in Michigan,
including Ascension, Henry Ford Health System, McLaren, Trinity, DMC, Prime, and Mercy Health – St. Vincent.

Are my prescriptions covered?

You can check here to see if your prescriptions are covered:

Formulary Search | 2020 Comprehensive Formulary list of Drugs
2021 Comprehensive Formulary list of Drugs

What pharmacies can I use?

You can search for the answers here:
2020 Pharmacy Search | 2021 Pharmacy Search

Who can I talk to if I have medical questions?

As a member, you’ll have direct access to a Reliance Medicare Advantage nurse to answer your medical questions.

For a full listing of details regarding our plan, see our Member Resources section.

To find out more information or if you are ready to enroll, see the instructions below.

3 Ways to find out more:

  1. Click here to fill out our form and we will call you.
  2. Call us at 734-984-4537 (TTY: 711)
    Monday through Friday, 8 a.m. to 5 p.m.
  3. Schedule an in-person consultation.
    Fill out the Scope of Appointment Form and email it to info@reliance.healthcare.org or mail it to:

    Reliance Medicare Advantage 23900 Orchard Lake Rd., Ste. 210 Farmington Hills, MI 48336

3 Ways to Enroll:

  1. Click here to Enroll Online.
  2. Call us at 734-984-4537 (TTY: 711)
    Monday through Friday, 8 a.m. through 5 p.m. to enroll right over the phone.
  3. Click here to download an enrollment form.
Reliance

Doctor-Built, Patient-Focused.