Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H5433-001
CalOptima Health OneCare Complete (HMO D-SNP)
Offered by CalOptima Health OneCare (Orange County Health Authority) · available in 1 county in CA
Only for people who have both Medicare and Medicaid.
Monthly premium$7.30health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Defined Standard
Star Rating★★★½ 3.5 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | hearing aids, plan pays up to $500 per year |
| Over-the-counter items | $170 per quarter allowance |
| Fitness | Fitness benefit (gym membership or program) |
| 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
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- Are my prescriptions covered? (plan's drug list)
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- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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