Special Needs Plan (Medicare Advantage) · PPO I-SNP · Plan ID H4091-003
Simpra Advantage Assist (PPO I-SNP)
Offered by Simpra Advantage (Associated Care Ventures, Inc.) · available in 67 counties in AL
Only for people who live in, or need the level of care of, a nursing facility.
Monthly premium$90health + drug coverage
Yearly out-of-pocket max$6,700in network
Drug deductible$150Enhanced Alternative
Star RatingNot Enough Data Available2027 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 $2,000 every 2 years |
| Over-the-counter items | $200 per quarter allowance |
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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