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Paramount Elite Courage (PPO)

H5232 - 002 - 0
Plan Not Rated

Paramount Elite Courage (PPO) is a Medicare Advantage Plan by Paramount Elite Medicare Plans.

This page features plan details for 2025 Paramount Elite Courage (PPO) H5232 – 002 – 0 available in Select counties throughout OH, MI, IN and KY.

Locations

Paramount Elite Courage (PPO) is offered in the following locations.

Adams County, Indiana
Adams County, Ohio
Allen County, Indiana

Click to see more locations

Plan Overview

Paramount Elite Courage (PPO) offers the following coverage and cost-sharing.

Insurer:Paramount Elite Medicare Plans
Health Plan Deductible:$0
MOOP:$8,950 In and Out-of-network
$4,151 In-network
$8,950 Out-of-network
Drugs Covered:No

Ready to sign up for Paramount Elite Courage (PPO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Medicare Part B Give Back Benefit

The Part B Premium Reduction (Medicare Part B Give Back Benefit) lowers the cost of some Medicare Advantage plans. 

Paramount Elite Courage (PPO) qualifies for a monthly Medicare Give Back Benefit of $50.00.

Premium Reduction:$50.00

Premium Breakdown

Paramount Elite Courage (PPO) has a monthly premium of $0.00. This amount includes your Part C premium but does not include your Part B premium.
Part B Part C Part B Give Back Total
$185.00 $0.00 $50.00 $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.

Additional Benefits

Paramount Elite Courage (PPO) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

    • In-Network: No

Comprehensive Dental

  • Adjunctive General Services
    • In-Network: No Coins – No Co pay
    • Out-of-Network: 30% Coins – No Copay
  • Endodontics
    • In-Network: No Coins – No Co pay
    • Out-of-Network: 30% Coins – No Copay
  • Oral and Maxillofacial Surgery
    • In-Network: No Coins – No Co pay (Limits Apply)
    • Out-of-Network: 30% Coins – No Copay (Limits Apply)
  • Periodontics
    • In-Network: No Coins – No Co pay
    • Out-of-Network: 30% Coins – No Copay
  • Prosthodontics, fixed
    • In-Network: No Coins – No Co pay
    • Out-of-Network: 30% Coins – No Copay
  • Prosthodontics, removable
    • In-Network: No Coins – No Co pay
    • Out-of-Network: 30% Coins – No Copay
  • Restorative Services
    • In-Network: No Coins – No Co pay
    • Out-of-Network: 30% Coins – No Copay

Diagnostic and Preventive Dental

  • Dental X-Rays
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: 30% Coins – No Copay
  • Fluoride Treatment
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: 30% Coins – No Copay
  • Oral Exams
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: 30% Coins – No Copay
  • Prophylaxis (cleaning)
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: 30% Coins – No Copay

Diagnostic procedures/lab services/imaging

  • Diagnostic radiology services (e.g., MRI)
    • In-Network: $0-200 copay (Authorization Required)
  • Diagnostic tests and procedures
    • In-Network: $10 copay (Authorization Required)
  • Lab services
    • In-Network: $0-5 copay (Authorization Required)
  • Outpatient x-rays
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Diagnostic radiology services (e.g., MRI)
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Lab services
    • Out-of-Network: 10-30% coinsurance (Authorization Required)
  • Diagnostic tests and procedures
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Outpatient x-rays
    • In-Network: $10 copay (Authorization Required)

Doctor visits

  • Specialist
    • Out-of-Network: 30% coinsurance per visit
  • Primary
    • In-Network: $0 copay
    • Out-of-Network: 30% coinsurance per visit
  • Specialist
    • In-Network: $35 copay per visit

Emergency care/Urgent care

  • Urgent care
    • $35 copay per visit (always covered)
  • Emergency
    • $125 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • In-Network: $35 copay
    • Out-of-Network: 30% coinsurance
  • Routine foot care
    • In-Network: $10 copay

Ground ambulance

    • Out-of-Network: $250 copay
    • In-Network: $250 copay

Health plan deductible

    • $0

Hearing

  • Fitting/evaluation
    • In-Network: $0 copay (Limits Apply)
  • Hearing aids
    • In-Network: $0 copay (Limits Apply)
  • Fitting/evaluation
    • Out-of-Network: $0 copay or 50% coinsurance (Limits Apply)
  • Hearing aids OTC
    • Not covered
  • Medicare-Covered Hearing Exam
    • Out-of-Network: $0 copay or 50% coinsurance
  • Hearing aids
    • Out-of-Network: $0 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • In-Network: $35 copay

Inpatient hospital coverage

    • Out-of-Network: 30% per day for days 1 and beyond (Authorization Required)
    • In-Network: $300 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

    • $8,950 In and Out-of-network
      $4,151 In-network
      $8,950 Out-of-network

Medical equipment/supplies

  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • In-Network: 0-20% coinsurance per item (Authorization Required)
    • Out-of-Network: 30% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • Out-of-Network: 50% coinsurance per item (Authorization Required)
  • Diabetes supplies
    • In-Network: 0-20% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • In-Network: 20% coinsurance per item (Authorization Required)
  • Diabetes supplies
    • Out-of-Network: 0-20% coinsurance per item (Authorization Required)

Medicare Part B drugs

  • Chemotherapy
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Other Part B drugs
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Chemotherapy
    • In-Network: 0-20% coinsurance (Authorization Required)
  • Other Part B drugs
    • In-Network: 0-20% coinsurance (Authorization Required)

Mental health services

  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $35 copay (Authorization Required)
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Inpatient hospital – psychiatric
    • Out-of-Network: 30% per day for days 1 and beyond (Authorization Required)
  • Outpatient group therapy visit
    • Out-of-Network: 30% coinsurance
  • Outpatient individual therapy visit
    • Out-of-Network: 30% coinsurance
  • Inpatient hospital – psychiatric
    • In-Network: $300 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)
  • Outpatient group therapy visit
    • In-Network: $35 copay
  • Outpatient individual therapy visit
    • In-Network: $35 copay
  • Outpatient individual therapy visit with a psychiatrist
    • Out-of-Network: 30% coinsurance (Authorization Required)
    • In-Network: $35 copay (Authorization Required)

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • In-Network: $0-200 copay per visit (Authorization Required)
    • Out-of-Network: $0-200 copay per visit (Authorization Required)

Preventive care

    • In-Network: $0 copay
    • Out-of-Network: $0 copay

Rehabilitation services

  • Physical therapy and speech and language therapy visit
    • In-Network: $25 copay (Authorization Required)
  • Occupational therapy visit
    • In-Network: $25 copay (Authorization Required)
    • Out-of-Network: 30% coinsurance (Authorization Required)
  • Physical therapy and speech and language therapy visit
    • Out-of-Network: 30% coinsurance (Authorization Required)

Skilled Nursing Facility

    • In-Network: $0 per day for days 1 through 20
      $214 per day for days 21 through 100 (Authorization Required)
    • Out-of-Network: 30% per stay
      30% per day for days 1 through 100 (Authorization Required)

Transportation

    • Not covered

Vision

  • Eyeglass frames
    • Not covered
  • Contact lenses
    • Out-of-Network: $200 copay (Limits Apply)
  • Eyeglass lenses
    • Not covered
  • Eyeglasses (frames and lenses)
    • In-Network: $0 copay (Limits Apply)
  • Other
    • Not covered
  • Routine eye exam
    • Out-of-Network: $0 copay (Limits Apply)
  • Upgrades
    • Not covered
  • Contact lenses
    • In-Network: $0 copay (Limits Apply)
  • Eyeglasses (frames and lenses)
    • Out-of-Network: $200 copay (Limits Apply)
  • Routine eye exam
    • In-Network: $0 copay (Limits Apply)

Wellness programs (e.g., fitness, nursing hotline)

    • Covered

Ready to sign up for Paramount Elite Courage (PPO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

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Get help enrolling in a Medicare Advantage or Medicare Prescription Drug Plan by calling a licensed insurance agent today.

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint

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