Molina Medicare Choice Care (HMO)

Illinois Medicare Advantage Plan (2025 Plan)


Monthly Premium

Your Cost
$0
by Molina Healthcare of Illinois

Additional Coverage

Hearing

Overall Government Star Rating

(coming soon)

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Plan Name
Molina Medicare Choice Care (HMO)
Insurance Carrier
Molina Healthcare of Illinois
Plan Type
Medicare Advantage Plan With Part D Prescription Drug Coverage
Network Type
HMO

Molina Medicare Choice Care (HMO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Illinois and offered by the health insurance company Molina Healthcare of Illinois. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.

Monthly Premium
$0
Annual Deductible
$0
Max Out-of-Pocket
$9,350
Primary doctor visit
$0 copay
Specialist visit
$40 copay per visit
ER visit
$110 copay per visit (always covered)
Ambulance
20% coinsurance

Molina Medicare Choice Care (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $9,350 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Molina Medicare Choice Care (HMO) are defined below.

Yes
Part D Prescription Drug Coverage
No
Dental
No
Vision
Yes
Hearing

Molina Medicare Choice Care (HMO) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Molina Medicare Choice Care (HMO) includes coverage for hearing.

Medicare Advantage health plans can offer even more additional benefits. Molina Medicare Choice Care (HMO) includes coverage for the following additional benefits:

Other benefits

Fitness benefit
Limited coverage
Over the counter drug benefits
Not covered
In-home support services
Not covered
Home and bathroom safety devices
Not covered
Meals for short duration
Not covered
Annual physical exams
Limited coverage
Telehealth
Limited coverage

Monthly Premium
$0
Health Portion of Premium
$0
Drug Portion of Premium
$0
Health Plan Deductible
$0
Health Plan Max Out-of-Pocket
$9,350 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
No
Dental Coverage included
No

Doctor Services

Primary doctor visit
$0 copay
Specialist visit
$40 copay per visit

Tests, labs, & imaging

Diagnostic tests & procedures
0-20% coinsurance
Lab services
$0 copay
Diagnostic radiology services (like MRI)
20% coinsurance
Outpatient x-rays
$0 copay
Emergency care
$110 copay per visit (always covered)
Urgent care
$20 copay per visit (always covered)

Hospital Services

Inpatient hospital coverage
$295 per day for days 1 through 6
$0 per day for days 7 through 90
Outpatient hospital coverage
$0-500 copay per visit

Skilled nursing facility

Skilled nursing facility
$0 per day for days 1 through 20
$214 per day for days 21 through 100

Preventive services

Preventive services
$0 copay

Ambulance

Ground ambulance
20% coinsurance

Therapy services

Occupational therapy visit
$35 copay
Physical therapy & speech & language therapy visit
$35 copay

Mental health services

Outpatient group therapy with a psychiatrist
$45 copay
Outpatient individual therapy with a psychiatrist
$45 copay
Outpatient group therapy visit
$45 copay
Outpatient individual therapy visit
$45 copay

Opioid treatment services

Opioid treatment services
Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)
20% coinsurance per item
Prosthetics (like braces, artificial limbs)
20% coinsurance per item
Diabetes supplies
$0 copay

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseCatastrophic coverage phase
Preferred Generic$3.00 copay$0 copay
Generic$12.00 copay$0 copay
Preferred Brand$47.00 copay$0 copay
Non-Preferred Drug$100.00 copay$0 copay
Specialty Tier31% coinsurance$0 copay

Part B Drugs

Chemotherapy drugs
0-20% coinsurance
Other Part B drugs
0-20% coinsurance

Hearing

Hearing exam
$10 copay
Fitting/evaluation
Not covered
Hearing aids - Inner ear
Not covered
Hearing aids - Outer ear
Not covered
Hearing aids - Over the ear
Not covered

Preventive Dental

Oral exam
Not covered
Cleaning
Not covered
Fluoride treatment
Not covered
Dental x-rays
Not covered

Comprehensive dental

Restorative services
Not covered
Endodontics
Not covered
Periodontics
Not covered
Prosthodontics, removable
Not covered
Prosthodontics, fixed
Not covered
Maxillofacial prosthetics
Not covered
Implant services
Not covered
Oral and maxillofacial surgery
Not covered
Orthodontics
Not covered
Adjunctive general services
Not covered

Vision

Routine eye exam
Not covered
Contact lenses
Not covered
Eyeglasses (frames & lenses)
Not covered
Eyeglass frames (only)
Not covered
Eyeglass lenses (only)
Not covered
Upgrades
Not covered

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