Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H5580-004
Mercy Care Advantage (HMO D-SNP)
Offered by Mercy Care Advantage (Mercy Care) · available in 4 counties in AZ
Only for people who have both Medicare and Medicaid.
Monthly premium$16.80health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Defined Standard
Star Rating★★★ 3 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental, up to $5,000 a year for comprehensive |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids, plan pays up to $1,900 every 2 months |
| Over-the-counter items | $110 per month allowance |
| Fitness | Fitness benefit (gym membership or program) |
| 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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