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Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H9955-009

Molina Complete Care Connect for MyCare Ohio (HMO D-SNP)

Offered by Molina Healthcare of Ohio (Molina Healthcare, Inc.) · 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$9,850in network
Drug deductible$700Actuarially Equivalent Standard
Star Rating★★★ 3 out of 52027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive and comprehensive dental
Over-the-counter items$264 per month allowance
FitnessFitness benefit (gym membership or program)
MealsMeal benefit (usually after a hospital stay or for a qualifying condition)
Home safetyHome and bathroom safety devices or modifications

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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