Health Partners Medicare Special (HMO SNP)

Health Partners Medicare Special (HMO SNP)

Health Partners Medicare Special (HMO SNP) is designed especially for people with Medicare and full Medicaid coverage and provides extra benefits not offered by Medicare or Medicaid. Premium is $0 for most members. Even if you have PA Community HealthChoices, you can still enroll.

$0 Monthly plan premium ($35.60 without Extra Help)

  • $0 or $3,400 maximum annual out-of-pocket (in-network medical services)
  • $0 or Original Medicare deductible for in-network medical services  

Coinsurance

  • Doctor’s Office Visits: 0% or 20% coinsurance
  • Specialist Visits: 0% or 20% coinsurance  
  • Inpatient Hospital Care: 0% or Medicare cost sharing 
  • Emergency Care: 0% or 20% (max. $120/visit, waived if admitted) 
  • Urgent Care: 0% or 20% (max. $65/visit)  

Coinsurance

  • Doctor’s Office Visits: 0% or 20% coinsurance
  • Specialist Visits: 0% or 20% coinsurance
  • Inpatient Hospital Care: 0% or Medicare cost sharing 
  • Emergency Care: 0% or 20% (max. $120/visit, waived if admitted) 
  • Urgent Care: 0% or 20% (max. $65/visit)  

Benefits

Part D prescriptions

$0 annual vision exam and eyewear ($200 limit) 

$0 dental exams* a up to $3,000 supplemental

$0 annual hearing exam and $1,500 hearing aid benefit

24/7 customer service

$0 access to over 15,000 fitness centers with SilverSneakers®*

$0 routine transportation (85 one-way trips)

$0 phone or video access to doctors 24/7

Over-the-counter items ($300/quarter)

Worldwide emergency care

Benefits

Part D prescriptions

$0 annual vision exam and eyewear ($200 limit)

$0 dental exams* and up to $3,000 supplemental

$0 annual hearing exam and $1,500 hearing aid benefit

24/7 customer service

$0 access to over 15,000 fitness centers with SilverSneakers®

$0 routine transportation (85 one-way trips)

$0 phone or video access to doctors 24/7

Over-the-counter items ($300/quarter)

Worldwide emergency care

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