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Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H6396-017

CareSource MyCare Ohio (HMO D-SNP)

Offered by CareSource MyCare Ohio (HMO D-SNP) (CareSource) · available in 88 counties in OH

Only for people who have both Medicare and Medicaid.

Monthly premium$21.10health + drug coverage
Yearly out-of-pocket max$9,650in 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
Over-the-counter itemsAllowance offered (amount not listed in the CMS file)
FitnessFitness 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.

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