Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HealthSpring Preferred Savings (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HealthSpring Preferred Savings (HMO) in 2026, please refer to our full plan details page.
HealthSpring Preferred Savings (HMO) is a HMO plan offered by Health Care Service Corporation available for enrollment in 2025 to people living in Central Arizona. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that HealthSpring Preferred Savings (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Below are a few key facts and commonly-asked questions about HealthSpring Preferred Savings (HMO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For HealthSpring Preferred Savings (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $110.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $300.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3500.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The HealthSpring Preferred Savings (HMO) Medicare plan offers an Enhanced Alternative drug benefit with a $300 prescription drug deductible. After meeting this deductible, you will enjoy no copay for Tier 1 preferred generic drugs at preferred pharmacies and through preferred mail order. Standard generic drugs carry a $47 copay, while Tier 3 preferred brands and Tier 4 non-preferred drugs require 50% and 29% coinsurance respectively. These copays and coinsurance rates remain in effect until your total drug costs reach $2,100, which transitions you into the catastrophic coverage phase. Once you reach this out-of-pocket limit, you will pay nothing for your Medicare Part D covered prescription drugs for the rest of the year. Additionally, individuals who qualify for the low-income subsidy can receive reduced plan premiums and lower overall costs.
The HealthSpring Preferred Savings (HMO) plan offers robust core medical coverage with predictable out-of-pocket costs, featuring no copay for primary care visits and copays up to $30 for specialist visits. Inpatient hospital stays require a $325 daily copay for the first seven days, followed by no copay for days 8 through 90. Additionally, emergency care is available with a $150 copay, which includes worldwide emergency coverage up to a $50,000 maximum benefit. This plan also includes valuable supplemental benefits, such as routine dental care covered up to a $1,600 annual limit and a $100 yearly allowance for eyewear. Members pay no copay for annual physicals and preventive services, while routine hearing exams and hearing aids are covered with low copays. To further support wellness, the plan provides a $45 quarterly allowance for over-the-counter items alongside covered home health services.
Inpatient hospital services are partially covered by HealthSpring Preferred Savings (HMO) with prior authorization, requiring a $325 daily copay for days 1 to 7, no copay for days 8 to 90, and no coinsurance. While unlimited additional acute days are covered, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
HealthSpring Preferred Savings (HMO) covers outpatient services with no coinsurance, featuring no copay for ambulatory surgical center services and a $30 copay for outpatient substance abuse sessions. Outpatient hospital services range from no copay to a $295 copay, while outpatient observation services require a $275 copay per stay.
Partial hospitalization is covered by HealthSpring Preferred Savings (HMO) with a $175.00 copay and no coinsurance. Prior authorization is required to access these services.
Ambulance and transportation services are partially covered by HealthSpring Preferred Savings (HMO), as transportation to plan-approved or any health-related locations is not covered. Covered ground ambulance services require a $235 copay and no coinsurance, while air ambulance services require a 20% coinsurance and no copay.
HealthSpring Preferred Savings (HMO) covers emergency services with a $150 copay and urgently needed services with a $50 copay, both with no coinsurance. Worldwide emergency coverage, urgent care, and emergency transportation are also covered up to a $50,000 maximum benefit with a $150 copay and no coinsurance.
HealthSpring Preferred Savings (HMO) covers primary care benefits with no coinsurance and copays ranging from no copay to $30 for services such as specialist visits, physical therapy, and chiropractic care. Mental health specialty and psychiatric services are not covered under this plan.
HealthSpring Preferred Savings (HMO) offers partial coverage for preventive services, featuring no copay or coinsurance for Medicare-covered zero-dollar services, annual physicals, caregiver support, and fitness benefits. However, the plan does not cover health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, smoking cessation, disease management, telemonitoring, remote access, bathroom safety, or counseling.
HealthSpring Preferred Savings (HMO) partially covers hearing services, including annual routine hearing exams and fittings for a $25 copay and no coinsurance. Up to two OTC or prescription hearing aids are covered yearly with no coinsurance and copays ranging from $399 to $1,800, though inner ear, outer ear, and over the ear prescription models are not covered.
HealthSpring Preferred Savings (HMO) covers vision services, including eye exams with a copay ranging from no copay to $30 and no coinsurance. The plan also features a $100 annual allowance for eyewear, including contacts and eyeglasses, with no deductibles, copays, or coinsurance.
HealthSpring Preferred Savings (HMO) covers dental services, including Medicare-covered dental care for a $30 copay and no coinsurance, subject to prior authorization. Other preventive and comprehensive dental benefits, such as exams, cleanings, and reconstructive services, are covered up to a maximum of $1,600 annually.
HealthSpring Preferred Savings (HMO) covers home infusion bundled services with prior authorization, requiring no copay and ranging from no coinsurance to 20% coinsurance for chemotherapy, radiation, and other Part B drugs. Medicare Part B insulin drugs are covered under this benefit with a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services are covered by HealthSpring Preferred Savings (HMO) with a 20% coinsurance and no copay. Prior authorization is required to receive these covered services.
Medical equipment is partially covered by HealthSpring Preferred Savings (HMO), requiring a 20% coinsurance and no copay for durable medical equipment, prosthetic devices, and medical supplies. Under this benefit, diabetic supplies and diabetic therapeutic shoes/inserts are not covered.
Diagnostic and radiological services are covered by HealthSpring Preferred Savings (HMO), with prior authorization required for all services. Lab services have no copay, outpatient X-rays require a $10 copay, and diagnostic tests and radiological services range from no copay up to $60 and $275, respectively, with no coinsurance. Therapeutic radiological services require 20% coinsurance and no copay.
Home Health Services are covered under the HealthSpring Preferred Savings (HMO) plan, though prior authorization is required to receive these benefits.
Cardiac Rehabilitation Services are not covered under the HealthSpring Preferred Savings (HMO) plan, as all sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are excluded from coverage.
Skilled Nursing Facility (SNF) services are partially covered by HealthSpring Preferred Savings (HMO) with no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and no coinsurance. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services are partially covered by HealthSpring Preferred Savings (HMO), which features a $45 quarterly allowance for over-the-counter items and limited-duration meal benefits for chronic or home-confining illnesses. Acupuncture and dual-eligible SNP services are not covered under this plan.
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Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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