Texas Medicare-Medicaid Dual Eligible D-SNP Plan (2025 Plan)
Community First Medicare Advantage D-SNP (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Texas and offered by the health insurance company Community First. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Community First Medicare Advantage D-SNP (HMO D-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 $9,150 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 Community First Medicare Advantage D-SNP (HMO D-SNP) are defined below.
Community First Medicare Advantage D-SNP (HMO D-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. Community First Medicare Advantage D-SNP (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Community First Medicare Advantage D-SNP (HMO D-SNP) includes coverage for the following additional benefits:
| Tiers | Initial coverage phase | Catastrophic coverage phase |
|---|---|---|
| Preferred Generic | 25% coinsurance | $0 copay |
| Generic | 25% coinsurance | $0 copay |
| Preferred Brand | 25% coinsurance | $0 copay |
| Non-Preferred Drug | ||
| Specialty Tier | 25% coinsurance | $0 copay |
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Health Plan RadarIn this article we rank Texas Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
Health Plan RadarThe Medicare landscape in Texas is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Texas.
