The Health Plan SecureCare SNP (HMO D-SNP)
West Virginia Medicare-Medicaid Dual Eligible D-SNP Plan (2023 Plan)
Overall Government Star Rating4.5
Ready to Enroll Online?
The Health Plan SecureCare SNP (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in West Virginia and offered by the health insurance company The Health Plan. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
The Health Plan SecureCare SNP (HMO D-SNP) has a monthly premium cost of $41 per month, with an annual deductible of $0 or $226 per year for in-network services. and a maximum out of pocket cost sharing of $8,300 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 The Health Plan SecureCare SNP (HMO D-SNP) are defined below.
Additional Benefits and Coverage
The Health Plan SecureCare 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. The Health Plan SecureCare SNP (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. The Health Plan SecureCare SNP (HMO D-SNP) includes coverage for the following additional benefits:
Comparing the Quality Score of The Health Plan SecureCare SNP (HMO D-SNP) to Other Plans in West 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 2023, The Health Plan SecureCare SNP (HMO D-SNP) received an overall government quality rating of 4.5 stars out of 5 stars.
The Health Plan SecureCare SNP (HMO D-SNP) performed better than West Virginia’s State average overall quality score of 4.1 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.
The Health Plan SecureCare SNP (HMO D-SNP) received 4 stars for its health plan quality score which is better than the West Virginia State average health plan quality score of 3.8 stars.
The Health Plan SecureCare SNP (HMO D-SNP) received 4.5 stars for its drug plan quality score which is better than the West Virginia State average drug plan quality score of 3.5 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
$1,600 deductible for days 1 through 60
$400 copay per day for days 61 through 90
Skilled nursing facility
$0 copay for days 1 through 20
$200 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
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.
Speak with a Licensed Insurance Agent
Mon-Fri: 8am-9pm ET
- Medicare Advantage Plans
- Medicare Prescription Drug Plans
- Medicare Supplement Insurance Plans
No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.
In this article we rank West Virginia 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.
The Medicare landscape in West Virginia 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 West Virginia.