Molina Medicare Elect (HMO D-SNP)

by Molina Healthcare of Washington, Inc.

2027 Medicare-Medicaid Dual Eligible D-SNP plan available in Washington

Plan ID H5823-015-0

Additional coverage:

Rx (none)

Medicare-Medicaid Dual Eligible D-SNP HMO 3.0 Overall

Monthly plan premium $8 / mo

Annual deductible Coming / yr

Max out-of-pocket · in-network $8,875 / yr

Drug deductible $700 / yr

3.0 Overall Government Star Rating 2027 · out of 5 stars

Ready to enroll online?

Find your plan and self-enroll online

Enroll online →

Support Our Senior 65+ Partner

Get Sign Up Help

Quote · Compare · Enroll

Speak with a licensed
insurance agent

(888) 763-2752

TTY 711

Medicare Advantage Plans Medicare Prescription Drug Plans Medicare Supplement Insurance Plans

Mon-Fri: 8am-10pm ET

Plan Overview

Molina Medicare Elect (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Washington and offered by the health insurance company Molina Healthcare of Washington, Inc.. This plan's network type is HMO, which determines the in-network doctors who accept the plan and whether a referral is needed.

Plan Name Molina Medicare Elect (HMO D-SNP)

Insurance Carrier Molina Healthcare of Washington, Inc.

Plan Type Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)

Network Type HMO

Cost Summary

Molina Medicare Elect (HMO D-SNP) has a monthly premium cost of $8 per month, with an annual deductible of Coming soon and a maximum out-of-pocket cost sharing of $8,875. The most common costs people evaluate when choosing a plan are listed here; a full list of benefit costs is defined below.

Monthly Premium $8 / mo

Health portion of premium $0

Drug portion of premium $8

Annual Deductible Coming soon / yr

Max Out-of-Pocket · in-network $8,875 / yr

Primary doctor visit 30% coinsurance

Specialist visit 30% coinsurance

ER visit 30% coinsurance

Ambulance 20% coinsurance

Additional Benefits and Coverage

Molina Medicare Elect (HMO D-SNP) is a Medicare Advantage plan which includes Medicare Part D prescription drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Molina Medicare Elect (HMO D-SNP) includes coverage for .

Part D Prescription Drug Coverage Yes

Dental No

Vision No

Hearing No

Nationwide Coverage No

Other benefits

Fitness benefit Not covered

Over-the-counter drug benefits Not covered

In-home support services Not covered

Home & bathroom safety devices Not covered

Meals for short duration Not covered

Annual physical exams Not covered

Telehealth Limited coverage

Medical Benefits

Doctor Services

Primary doctor visit In-network: 30% coinsurance
Out-of-network: 30% coinsurance

Specialist visit In-network: 30% coinsurance
Out-of-network: 30% coinsurance

Tests, labs & imaging

Diagnostic tests & procedures In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Lab services In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Diagnostic radiology services (like MRI) In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Outpatient x-rays In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Emergency care 30% coinsurance

Urgent care 30% coinsurance

Hospital Services

Inpatient hospital coverage Tier 1
$2241 per stay

Outpatient hospital coverage In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Skilled nursing facility

Skilled nursing facility Tier 1
$0 per day for days 1-20
$217 per day for days 21-100

Preventive services

Preventive services In-network: $0 copay
Out-of-network: $0 copay

Ambulance

Ground ambulance In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Therapy services

Occupational therapy visit In-network: 30% coinsurance
Out-of-network: 30% coinsurance

Physical therapy & speech & language therapy visit In-network: 30% coinsurance
Out-of-network: 30% coinsurance

Mental health services

Outpatient group therapy with a psychiatrist In-network: 30% coinsurance
Out-of-network: 30% coinsurance

Outpatient individual therapy with a psychiatrist In-network: 30% coinsurance
Out-of-network: 30% coinsurance

Outpatient group therapy visit In-network: 30% coinsurance
Out-of-network: 30% coinsurance

Outpatient individual therapy visit In-network: 30% coinsurance
Out-of-network: 30% coinsurance

Opioid treatment services

Opioid treatment services Covered

Other services

Durable medical equipment (like wheelchairs & oxygen) In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Prosthetics (like braces, artificial limbs) In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Diabetes supplies In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Prescription drugs (Part D benefits)

Drug tier standard retail · 1-month supply Initial coverage Catastrophic

Preferred Generic 20% coinsurance $0 copay

Generic 20% coinsurance $0 copay

Preferred Brand 25% coinsurance $0 copay

Non-Preferred Drug 36% coinsurance $0 copay

Specialty Tier 25% coinsurance $0 copay

Part B drugs

Chemotherapy drugs In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Other Part B drugs In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Medicare star rating

Each year the federal government rates Medicare Advantage and Part D plans on a 5-star system covering quality of care, chronic-condition management, member experience, and customer service. For 2027, Molina Medicare Elect (HMO D-SNP) earned an overall rating of 3.0 stars — worse than Washington's state average of 3.7 stars.

Rating category This plan State average

Overall star rating ★ 3.0 3.7

Health plan quality

Summary rating of health plan quality ★ 3.0 3.6

Staying healthy: screenings, tests & vaccines ★ 3.0 3.3

Managing chronic (long-term) conditions ★ 3.0 3.4

Member experience with health plan ★ 1.0 3.0

Member complaints & changes in performance ★ 4.0 4.0

Health plan customer service ★ 4.0 4.5

Drug plan quality

Summary rating of drug plan quality ★ 3.0 3.6

Drug plan customer service ★ 4.0 4.8

Member complaints & changes in performance ★ 3.0 3.8

Member experience with the drug plan – 4.0

Drug safety & accuracy of drug pricing ★ 3.0 3.1

Extra Benefits

Hearing

Hearing exam Not covered

Fitting/evaluation Not covered

Hearing aids - prescription Not covered

Hearing aids - over the counter Not covered

Preventive dental

Oral exam Not covered

Cleaning Not covered

Fluoride treatment Not covered

Dental x-rays Not covered

Comprehensive dental

Restorative services Not covered

Endodontics Not covered

Periodontics Not covered

Prosthodontics, removable Not covered

Prosthodontics, fixed Not covered

Maxillofacial prosthetics Not covered

Implant services Not covered

Oral and maxillofacial surgery Not covered

Orthodontics Not covered

Adjunctive general services Not covered

Vision

Routine eye exam Not covered

Contact lenses Not covered

Eyeglasses (frames & lenses) Not covered

Eyeglass frames (only) Not covered

Eyeglass lenses (only) Not covered

Upgrades Not covered

Plan documents & tools

Plan details (carrier site)Provider directory Drug list (formulary)

When can I sign up for Medicare?

Enter your birthday month and year to see when you can enroll in each part of Medicare.

Best Washington Medicare Advantage Health Insurance Companies for 2027

Health Plan Radar

In this article we rank Washington Medicare Advantage plans based on our evaluation of government 5-star quality scores.

New Washington Medicare Advantage Health Insurance Companies for 2027