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Special Needs Plan (Medicare Advantage) · PPO D-SNP · Plan ID H4086-002

Healthy Arkansas Dual Advantage (PPO D-SNP)

Offered by Healthy Arkansas, Inc. (Singh Holdings LLC) · available in 35 counties in AR

Only for people who have both Medicare and Medicaid.

Monthly premium$6.30health + drug coverage
Yearly out-of-pocket max$9,250in network
Drug deductible$700Enhanced Alternative
Star RatingPlan Too New To Be Measured2027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive and comprehensive dental
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids
Over-the-counter items$340 per month allowance
FitnessFitness benefit (gym membership or program)
MealsMeal benefit (usually after a hospital stay or for a qualifying condition)
TransportationRides to health-related locations
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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