Clover Health LiveHealthy Giveback (PPO) — 2026 Medicare Advantage Prescription Drug Plan

MA-PDPPO

Clover Health

Plan ID: H5141_063

3.5-0.5

Declined from 4 stars last year

95/100

Very Stable

What affects this score:

Rating dropped from 4 to 3.5-5

Monthly Premium

$0

Medical Deductible

N/A

Drug Deductible

$590

Max Out-of-Pocket

$9,250

Key Copays

Primary Care

Specialist

$115

Emergency Room

$40

Urgent Care

Supplemental Benefits

🦷 Dental
👁️ Vision
👂 Hearing
🏋️ Fitness
💊 OTC Benefit
🚘 Transportation
📱 Telehealth
🍲 Meals

OTC Allowance: $50/quarter

Benefit Details

Preventive Dental$40 copay
Vision - Eye Exams$40 copay
Vision - Eyewear
Hearing Exams & Aids
OTC Allowance · 50.0
Meals

Drug Coverage Summary

Drug Deductible

$590

Drug Premium

$0/mo

This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.

Medical Benefits

Inpatient Hospital

inpatient

Emergency Room

emergency

In: $115 copay

Urgent Care

urgent_care

In: $40 copay

Primary Care

primary_care

Specialist

specialist

Outpatient Hospital

outpatient

Dental - Preventive

dental

In: $40 copay

Vision - Eye Exams

vision

In: $40 copay

Hearing - Exams & Aids

hearing

Counties Served (151)

Georgia

Appling CountyAtkinson CountyBacon CountyBaker CountyBaldwin CountyBanks CountyBarrow CountyBartow CountyBen Hill CountyBerrien CountyBibb CountyBleckley CountyBrantley CountyBrooks CountyBryan CountyBulloch CountyBurke CountyButts CountyCalhoun CountyCamden CountyCandler CountyCarroll CountyCatoosa CountyCharlton CountyChatham CountyChattahoochee CountyChattooga CountyClarke CountyClay CountyClinch CountyCoffee CountyColquitt CountyColumbia CountyCook CountyCrawford CountyCrisp CountyDade CountyDawson CountyDecatur CountyDodge CountyDooly CountyDougherty CountyEarly CountyEchols CountyEffingham CountyElbert CountyEmanuel CountyEvans CountyFannin CountyFranklin CountyGilmer CountyGlascock CountyGlynn CountyGrady CountyGreene CountyHabersham CountyHall CountyHancock CountyHaralson CountyHarris CountyHart CountyHeard CountyHouston CountyIrwin CountyJackson CountyJasper CountyJeff Davis CountyJefferson CountyJenkins CountyJohnson CountyJones CountyLamar CountyLaurens CountyLee CountyLiberty CountyLincoln CountyLong CountyLumpkin CountyMacon CountyMadison CountyMarion CountyMcDuffie CountyMcIntosh CountyMeriwether CountyMiller CountyMitchell CountyMonroe CountyMontgomery CountyMorgan CountyMurray CountyMuscogee CountyNewton CountyOconee CountyOglethorpe CountyPaulding CountyPeach CountyPickens CountyPierce CountyPike CountyPolk CountyPulaski CountyPutnam CountyQuitman CountyRabun CountyRandolph CountyRichmond CountyRockdale CountySchley CountyScreven CountySeminole CountyStephens CountyStewart CountySumter CountyTalbot CountyTaliaferro CountyTattnall CountyTaylor CountyTelfair CountyTerrell CountyThomas CountyTift CountyTreutlen CountyTroup CountyTurner CountyTwiggs CountyUnion CountyUpson CountyWalton CountyWare CountyWarren CountyWashington CountyWayne CountyWebster CountyWheeler CountyWhite CountyWilcox CountyWilkes CountyWilkinson CountyWorth County

South Carolina

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