Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H8928-001
NaviCare NHC (HMO D-SNP)
Offered by Fallon Health (Fallon Community Health Plan, Inc.) · available in 12 counties in MA
Only for people who have both Medicare and Medicaid.
Monthly premium$25.20health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Defined Standard
Star Rating★★★½ 3.5 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental |
|---|---|
| Vision | eyewear |
| Over-the-counter items | $375 per quarter allowance |
| Fitness | Fitness benefit (gym membership or program) |
| 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.
Compare every plan in your ZIP code
Nobody will call you. We don't sell insurance, and we don't pass your information to anyone who does.