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Special Needs Plan (Medicare Advantage) · HMO-POS C-SNP · Plan ID H2593-043

Wellpoint Kidney Care (HMO-POS C-SNP)

Offered by Wellpoint (Elevance Health, Inc.) · available in 56 counties in TX

Only for people with a qualifying chronic condition the plan names.

Monthly premium$0health + drug coverage
Yearly out-of-pocket max$2,900in network
Drug deductible$275Enhanced Alternative
Star Rating★★★ 3 out of 52027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive and comprehensive dental
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids, plan pays up to $3,000 per year
Over-the-counter items$115 per quarter allowance
FitnessFitness benefit (gym membership or program)
MealsMeal benefit (usually after a hospital stay or for a qualifying condition)
TransportationRides to health-related locations
Personal emergency response systemMedical alert device or service
Home safetyHome and bathroom safety devices or modifications

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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