Provider Partners Maryland Community Plan (HMO I-SNP)
Maryland Institutional Special Needs I-SNP Plan (2025 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
Provider Partners Maryland Community Plan (HMO I-SNP) is a Institutional Special Needs Plan (I-SNP), which is available in Maryland and offered by the health insurance company Provider Partners Maryland Advantage Plan. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Provider Partners Maryland Community Plan (HMO I-SNP) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $3,750 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 Provider Partners Maryland Community Plan (HMO I-SNP) are defined below.
Additional Benefits and Coverage
Provider Partners Maryland Community Plan (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. Provider Partners Maryland Community Plan (HMO I-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Provider Partners Maryland Community Plan (HMO I-SNP) includes coverage for the following additional benefits:
Other benefits
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Tests, labs, & imaging
Hospital Services
Skilled nursing facility
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 | Catastrophic coverage phase |
---|---|---|
Preferred Generic |
Brand-name drugs :
|
Brand-name drugs :
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Generic | ||
Preferred Brand | ||
Non-Preferred Drug | ||
Specialty Tier |
Part B Drugs
Extra Benefits
Hearing
Preventive Dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Vision
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