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Clover Health Valor (PPO) (2027)

Medicare Advantage plan without drug coverage from Clover Health, plan ID H5141-061-000. Sold in 20 counties in New Jersey, 3 counties in Pennsylvania.

★★★★★5.0

2027 costs

Monthly premium$0
Medical deductible$0
Out-of-pocket maximum (in network)$9,850
Plan typeMedicare Advantage plan without drug coverage, PPO
Referral needed to see a specialistNo
Plan IDH5141-061-000

With a Medicare Advantage plan you also keep paying your Medicare Part B premium.

What this plan would cost for your prescriptions

Add your prescriptions to see this plan's estimated yearly cost for them, which of them are on its drug list, and how each compares with Cost Plus Drugs prices.

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What you pay for medical care

Primary care visit$0
Specialist visit$30
Preventive care$0
Urgent care$25
Emergency room$115
Hospital stay$405/day
Outpatient surgery$0–$405
Lab tests$0–$250
X-rays and scans$50
Mental health visit$45
Physical therapy$35
Medical equipment20%
TelehealthCovered

In-network amounts. A range means it depends on the service or provider.

Extra benefits

DentalCovered — up to $1500 allowance
VisionCovered — up to $200/yr allowance
HearingCovered — $499–$999 copay per aid
Over-the-counter itemsCovered — up to $80/quarter allowance
FitnessCovered
Rides to appointmentsNot covered

Where it's sold

New Jersey (20 counties)

Pennsylvania (3 counties)

Plan costs and benefits are from CMS's 2027 Medicare plan data (data as of October 27, 2026). Star ratings are CMS's 2027 Star Ratings. Every year, Medicare evaluates plans based on a 5-star rating system. Benefits, premiums and copays can change from year to year; check the plan's Evidence of Coverage, call the plan, or use Medicare.gov before you enroll.