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Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H2563-020

Sentara Community Complete Select (HMO D-SNP)

Offered by Sentara Medicare (Sentara Health Care (SHC)) · available in 133 counties in VA

Only for people who have both Medicare and Medicaid.

Monthly premium$6.30health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Enhanced Alternative
Star Rating★★★ 3 out of 52027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive and comprehensive dental, up to $4,000 a year for comprehensive
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids, plan pays up to $2,000 per year
Over-the-counter items$105 per month allowance
FitnessFitness benefit (gym membership or program)
TransportationRides to health-related locations
Personal emergency response systemMedical alert device or service
Home safetyHome and bathroom safety devices or modifications
In-home supportIn-home support services

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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