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Special Needs Plan (Medicare Advantage) · PPO D-SNP · Plan ID H8889-016

Medica Advantage Dual (PPO D-SNP)

Offered by Medica (Medica Holding Company) · available in 23 counties in ND

Only for people who have both Medicare and Medicaid.

Monthly premium$24.60health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Enhanced Alternative
Star Rating★★★★ 4 out of 52027 CMS rating

Extra benefits listed in the CMS file

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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