Special Needs Plan (Medicare Advantage) · HMO C-SNP · Plan ID H7239-005
Prominence Diabetes and Heart Giveback (HMO C-SNP)
Offered by Prominence Health Plan (Universal Health Services, Inc.) · available in 1 county in FL
Only for people with a qualifying chronic condition the plan names.
Monthly premium$0health + drug coverage
Yearly out-of-pocket max$2,600in network
Drug deductible$150Enhanced Alternative
Star Rating★★★★½ 4.5 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Part B premium reduction | Gives back $202.90 a month toward your Part B premium |
|---|---|
| Dental | Preventive and comprehensive dental |
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids, plan pays up to $300 per year |
| Over-the-counter items | $60 per quarter 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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