CommuniCare Advantage CSNP (HMO C-SNP)
Medicare Plan Details (2023 Plan)
Monthly Premium
by Communicare Advantage
Additional Coverage
Overall Government Star Rating
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Plan Type
Medicare Advantage (Part C) with Prescription Drug (Part D)
Medicare Advantage combines Part A and Part B. This plan = Part A + Part B + Part D
Plan Details
Medical Benefits
Doctor Services
Tests, labs, & imaging
Hospital Services
$0 per day for days 6 through 90
Skilled nursing facility
$194.50 per day for days 21 through 100
Preventive services
Ambulance
Therapy services
Mental health services
Opioid treatment services
Other services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
| Tiers | Initial coverage phase | Gap coverage phase | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic | $6.00 copay |
Brand-name drugs :
|
Brand-name drugs :
|
| Generic | $17.00 copay | ||
| Preferred Brand | $45.00 copay | ||
| Non-Preferred Drug | $92.00 copay | ||
| Specialty Tier | 25% |
Part B Drugs
Extra Benefits
Hearing
Preventive Dental
Comprehensive dental
Vision
Other benefits
Health Plan Star Ratings
(government star ratings are out of 5 stars)
Prescription Drug Plan Star Ratings
(government star ratings are out of 5 stars)
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