Clover Health LiveHealthy (PPO)
Clover Health
PPO
SC
2025

Heading

Clover Health

PPO

SC

2025

$

0

/mo

Monthly Premium

$

6500

Max Out-of-Pocket (MOOP)

3.5

Star Rating

Plan Costs at a Glance

Total Premium (incl. Part B)

$

0

/ month

Max Out-of-Pocket (MOOP)

$

6500

Contract ID

H5141

Plan ID

036

Included Benefits

Dental Coverage

Comprehensive dental up to $1,000/yr

Vision Coverage

Routine eye exams + eyewear (glasses/contacts) allowance

Hearing Benefits

Hearing exams + aid allowance

OTC Benefit

$5/quarterly OTC benefit for approved items

5

Transportation

"Non-emergency medical transportation"

Telehealth

24/7 virtual care visits

Fitness Benefit

SilverSneakers / gym access

What You Pay at the Doctor

Primary Care (PCP) Visit

$

15

copay

Specialist Visit

$

10

copay

Medicare Plans

Is

Clover Health LiveHealthy (PPO)

Right for You?

Talk to Skyler Abilla — licensed Medicare advisor serving

SC

Free consultation.

About

Clover Health

Clover Health offers Medicare Advantage PPO plans in North and South Carolina with $0 to low premiums, no referrals required, and supplemental benefits including dental, vision, OTC allowances, and the LiveHealthy Rewards program. Clover's technology platform supports proactive care management for its members.