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Special Needs Plan (Medicare Advantage) · HMO-POS I-SNP · Plan ID H1587-003

Tribute Select (HMO-POS I-SNP)

Offered by Arkansas Superior Select Health Plans (Select Founders, LLC) · available in 75 counties in AR

Only for people who live in, or need the level of care of, a nursing facility.

Monthly premium$0health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Defined Standard
Star RatingNot Enough Data Available2027 CMS rating

Extra benefits listed in the CMS file

Part B premium reductionGives back $199 a month toward your Part B premium
Over-the-counter items$150 per year allowance

Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.

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