UCare's Minnesota Senior Health Options (HMO D-SNP)

Medicare Plan Details (2023 Plan)


Monthly Premium

 

by UCare's MSHO
Additional Coverage
HearingDental
Overall Government Star Rating
 3.5
out of 5 stars

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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

 

$0
$0
$0
$0
$8,300 In-network
No
Yes
No
Yes

Doctor Services

$0 copay
$0 copay

Tests, labs, & imaging

$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay

Hospital Services

$0 copay
$0 copay

Skilled nursing facility

$0 copay

Preventive services

$0 copay

Ambulance

$0 copay

Therapy services

$0 copay
$0 copay

Mental health services

$0 copay
$0 copay
$0 copay
$0 copay

Opioid treatment services

Covered

Other services

$0 copay
$0 copay
$0 copay

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

TiersInitial coverage phaseGap coverage phaseCatastrophic coverage phase
Preferred Generic


Generic drugs :
25%

Brand-name drugs :
25%


Generic drugs :
$4.15 copay or 5% (whichever costs more)

Brand-name drugs :
$10.35 copay or 5% (whichever costs more)

Generic
Preferred Brand
Non-Preferred Drug
Specialty Tier

Part B Drugs

$0 copay
$0 copay

Hearing

$0 copay
Not covered
Not covered
Not covered
Not covered

Preventive Dental

$0 copay
Not covered
$0 copay
$0 copay

Comprehensive dental

Not covered
Not covered
$0 copay
$0 copay
$0 copay
Not covered
$0 copay

Vision

Not covered
Not covered
Not covered
Not covered
Not covered
$0 copay

Other benefits

Limited coverage
Limited coverage
Limited coverage
Not covered
Not covered
Not covered
Limited coverage
 3.5
 3
 4
 3
 4
 4
 3.5
 5
 4
 2
 3

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

 

 


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