Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H4193-001
HAP CareSource MI Coordinated Health (HMO D-SNP)
Offered by HAP CareSource MI Coordinated Health (Henry Ford Health System) · available in 2 counties in MI
Only for people who have both Medicare and Medicaid.
Monthly premium$6.30health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Actuarially Equivalent Standard
Star RatingPlan Too New To Be Measured2027 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 |
| Over-the-counter items | Allowance offered (amount not listed in the CMS file) |
| Fitness | Fitness benefit (gym membership or program) |
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
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