Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H3755-006
Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)
Offered by CommunityCare Senior Health Plan (HMO) (St Francis Health System & St John Health System) · available in 40 counties in OK
Only for people who have both Medicare and Medicaid.
Monthly premium$11health + drug coverage
Yearly out-of-pocket max$9,250in network
Drug deductible$700Enhanced Alternative
Star Rating★★★★ 4 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids, plan pays up to $250 every 2 years |
| Over-the-counter items | $170 per month allowance |
| Meals | Meal benefit (usually after a hospital stay or for a qualifying condition) |
| Transportation | Rides to health-related locations |
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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