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Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H6351-005

Liberty Medicare Dual Plan (HMO D-SNP)

Offered by Liberty Medicare Advantage (Liberty Healthcare Insurance) · available in 54 counties in NC

Only for people who have both Medicare and Medicaid.

Monthly premium$17.50health + drug coverage
Yearly out-of-pocket max$7,550in network
Drug deductible$700Defined Standard
Star Rating★★★½ 3.5 out of 52027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive and comprehensive dental
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids, plan pays up to $2,500 every 3 years
MealsMeal benefit (usually after a hospital stay or for a qualifying condition)
TransportationRides to health-related locations
Personal emergency response systemMedical alert device or service

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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