Clarion Health has made the decision to non-renew our contract with The Center for Medicare and Medicaid Services, effective 12/31/2020. Therefore, we will cease operations of our Medicare Advantage Plan as of 1/1/2021.

Clarion Health Plan HMO

Doctor-designed. Doctor-led.

Clarion Health is a local plan designed to create broad access to high quality care. Our Medicare Advantage plan (also called Medicare Part C) is designed and led by local Medicare doctors you know and trust. It gives you all the benefits you’d get with Original Medicare and more. In addition to Medicare Part A (hospital insurance) and Medicare Part B (medical insurance), you get:

$0 plan premiums, $0 deductible, $0 copays

  • A local doctor-led plan that puts the physician-patient relationship first
  • No referral to see a specialist
  • $0 copay for adherence drugs
  • Hearing and vision benefits
  • A plan that handles chronic conditions better than any plan in the market
  • Coverage for outpatient mental and substance abuse services
  • Personal Care Managers who contact you based on your needs and wishes
  • Coverage for diabetic care and podiatry services
  • Straight-forward and easy to understand plans with online tools and a service team to help you get the most out of your coverage
  • Coverage for unlimited number of days for inpatient hospital stay
  • Affordable out-of-pocket costs and unlimited Primary Care Physician visits
  • Prescription drug coverage at no additional premium

What’s more, you get the knowledge that the care you received is overseen by doctors. Because of our coordinated care model, each doctor or specialist you see will work together to make sure you get the best care possible.

Clarion Health
hmo plan cost

With our Medicare Advantage plan, you get:

Hospital Coverage

Medical Coverage

Prescription Drug Coverage

And your monthly plan
premium is:

$ 0
Download Our Guide

Coverage details


Get the Medical coverage you need with no PCP copays or deductibles, including:

$0 Primary Care Physician copay
$40 specialist copay
$0 hospital deductible
$4,900 annual out-of-pocket maximum


Take advantage of an annual routine eye exam and more. Learn more by clicking the Summary of Benefits link below.



Our plan covers routine dental exams and more. Learn more by clicking the Summary of Benefits link below

Prescription Drug Coverage

See how our prescription drug benefits compare.

Click the link below to see our drug tiers, formulary information, and associated costs. And feel free to print yourself a copy

Learn more about our prescription drug coverage

In-Network Doctors and Hospitals

Our large provider network gives you many options from which to choose local doctors and specialists. We also give you the flexibility to choose a hospital that’s close to home and meets your needs. Keep in mind that if you choose a doctor or hospital that’s outside our network, you’ll likely have to pay more for covered services.

Coverage details Get detailed information about our plan and print copies for your records

Summary of Benefits

Deductibles, copays and more.

Evidence of Coverage

What we cover and what you pay.

CMS Plan Rating

See how we're rated by Medicare.

Drug lists (formulary)

See our drug tiers and print yourself a copy.

Medicare drug list

Provider Directory

Find your doctor and other providers.