Special Needs Plan (Medicare Advantage) · HMO-POS I-SNP · Plan ID H3467-001
ProCare Advantage (HMO-POS I-SNP)
Offered by ProCare Advantage (First Sacramento Capital Funding LLC) · available in 114 counties in TX
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$700Enhanced Alternative
Star RatingNot Enough Data Available2027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental, up to $480 a year for comprehensive |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids, plan pays up to $1,200 per year |
| Over-the-counter items | $150 per quarter allowance |
| In-home support | In-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.
Check the details that matter most
- Is my doctor in the network? (plan's provider directory)
- Are my prescriptions covered? (plan's drug list)
- Is my pharmacy in the network?
- Plan website
- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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