Great Plains Medicare Advantage (HMO I-SNP)
Nebraska Institutional Special Needs I-SNP Plan (2024 Plan)
Overall Government Star RatingNo Rating (new plan)
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Great Plains Medicare Advantage (HMO I-SNP) is a Institutional Special Needs Plan (I-SNP), which is available in Nebraska and offered by the health insurance company Great Plains Medicare Advantage. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Great Plains Medicare Advantage (HMO I-SNP) has a monthly premium cost of $31 per month, with an annual deductible of $240 per year for in-network services. and a maximum out of pocket cost sharing of $8,850 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 Great Plains Medicare Advantage (HMO I-SNP) are defined below.
Additional Benefits and Coverage
Great Plains Medicare Advantage (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. Great Plains Medicare Advantage (HMO I-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Great Plains Medicare Advantage (HMO I-SNP) includes coverage for the following additional benefits:
Plan Benefits and Coverage Details
Tests, labs, & imaging
$1,632 deductible for days 1 through 60
$408 copay per day for days 61 through 90
Skilled nursing facility
$0 copay for days 1 through 20
$204 copay per day for days 21 through 100
Mental health services
Opioid treatment 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|
Brand-name drugs :
Brand-name drugs :
Part B Drugs
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