Kansas Health Advantage Choice (HMO I-SNP)

Kansas Institutional Special Needs I-SNP Plan (2025 Plan)


Monthly Premium

Your Cost
$52
by Kansas Health Advantage

Additional Coverage

HearingVision

Overall Government Star Rating

(coming soon)

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Plan Name
Kansas Health Advantage Choice (HMO I-SNP)
Insurance Carrier
Kansas Health Advantage
Plan Type
Institutional Special Needs Plan (I-SNP)
Network Type
HMO

Kansas Health Advantage Choice (HMO I-SNP) is a Institutional Special Needs Plan (I-SNP), which is available in Kansas and offered by the health insurance company Kansas Health Advantage. 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
$52
Annual Deductible
Coming soon
Max Out-of-Pocket
$9,350
Primary doctor visit
$0 copay
Specialist visit
0-20% coinsurance per visit
ER visit
20% coinsurance per visit (always covered)
Ambulance
20% coinsurance

Kansas Health Advantage Choice (HMO I-SNP) has a monthly premium cost of $52 per month, with an annual deductible of Coming soon 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 Kansas Health Advantage Choice (HMO I-SNP) are defined below.

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

Kansas Health Advantage Choice (HMO I-SNP) 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. Kansas Health Advantage Choice (HMO I-SNP) includes coverage for hearing, vision.

Medicare Advantage health plans can offer even more additional benefits. Kansas Health Advantage Choice (HMO I-SNP) includes coverage for the following additional benefits:

Other benefits

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

Monthly Premium
$52
Health Portion of Premium
$0
Drug Portion of Premium
$52
Health Plan Deductible
Coming soon
Health Plan Max Out-of-Pocket
$9,350 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
No

Doctor Services

Primary doctor visit
$0 copay
Specialist visit
0-20% coinsurance per visit

Tests, labs, & imaging

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

Hospital Services

Inpatient hospital coverage
Coming soon
Outpatient hospital coverage
20% coinsurance per visit

Skilled nursing facility

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

Preventive services

Preventive services
$0 copay

Ambulance

Ground ambulance
20% coinsurance

Therapy services

Occupational therapy visit
0-20% coinsurance
Physical therapy & speech & language therapy visit
0-20% coinsurance

Mental health services

Outpatient group therapy with a psychiatrist
0-20% coinsurance
Outpatient individual therapy with a psychiatrist
0-20% coinsurance
Outpatient group therapy visit
0-20% coinsurance
Outpatient individual therapy visit
0-20% coinsurance

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


Generic drugs :
25% coinsurance

Brand-name drugs :
25% coinsurance


Generic drugs :
0% coinsurance

Brand-name drugs :
0% coinsurance

Generic
Preferred Brand
Non-Preferred Drug
Specialty Tier

Part B Drugs

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

Hearing

Hearing exam
20% coinsurance
Fitting/evaluation
$0 copay
Hearing aids - All types
$0 copay

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
$0 copay
Contact lenses
$0 copay
Eyeglasses (frames & lenses)
$0 copay
Eyeglass frames (only)
$0 copay
Eyeglass lenses (only)
$0 copay
Upgrades
$0 copay

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