Sentara Community Complete (HMO D-SNP)
Virginia Medicare-Medicaid Dual Eligible D-SNP Plan (2024 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
Sentara Community Complete (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Virginia and offered by the health insurance company Sentara Medicare. 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
Sentara Community Complete (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 $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 Sentara Community Complete (HMO D-SNP) are defined below.
Additional Benefits and Coverage
Sentara Community Complete (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. Sentara Community Complete (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Sentara Community Complete (HMO D-SNP) includes coverage for the following additional benefits:
Other benefits
Comparing the Quality Score of Sentara Community Complete (HMO D-SNP) to Other Plans in Virginia
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, Sentara Community Complete (HMO D-SNP) received an overall government quality rating of 3.0 stars out of 5 stars.
Sentara Community Complete (HMO D-SNP) performed worse than Virginia’s State average overall quality score of 3.4 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Sentara Community Complete (HMO D-SNP) received 3 stars for its health plan quality score which is worse than the Virginia State average health plan quality score of 3.2 stars.
Sentara Community Complete (HMO D-SNP) received 3 stars for its drug plan quality score which is worse than the Virginia State average drug plan quality score of 3.4 stars.
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 | Gap coverage phase | Catastrophic coverage phase |
|---|---|---|---|
| Preferred Generic |
Brand-name drugs :
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Brand-name drugs :
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| Generic | |||
| Preferred Brand | |||
| Non-Preferred Drug | |||
| Specialty Tier |
Part B Drugs
Extra Benefits
Hearing
Preventive Dental
Comprehensive dental
Vision
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