HealthSpring TotalCare (HMO D-SNP)

HealthSpring TotalCare (HMO D-SNP) is a HMO D-SNP plan offered by Healthspring Healthcare of Colorado, Inc. available for the 2026 plan year to people living in Ohio. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that HealthSpring TotalCare (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about HealthSpring TotalCare (HMO D-SNP).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

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.

Common Services:

Drug Coverage

The HealthSpring TotalCare (HMO D-SNP) Medicare prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members pay no copay when using preferred pharmacies or preferred mail order services, while standard pharmacies require a $19 copay for a one-month supply. Tier 2 generic drugs generally carry a $20 copay for a one-month supply, though a three-month supply is available with no copay through preferred mail order. Brand-name and specialty medications are covered under coinsurance rather than flat copayments. Tier 3 preferred brand drugs require a 24% coinsurance, while Tier 4 non-preferred drugs and Tier 5 specialty drugs both carry a 25% coinsurance. These coinsurance percentages remain consistent across all standard and preferred pharmacy and mail order channels.

Additional Benefits

The HealthSpring TotalCare (HMO D-SNP) plan offers robust coverage with no copays or coinsurance for many essential services, including primary care visits, preventive care, home health, and skilled nursing facility stays. Beneficiaries also benefit from no copays or coinsurance for routine dental care up to $2,400 annually, routine hearing exams, and vision care with a $400 annual eyewear allowance. For other critical needs like outpatient services, durable medical equipment, and dialysis, the plan charges no copay but requires a 20% coinsurance. For emergency and urgent care, members will pay a predictable flat copay of $115 for emergency room visits, which is waived if admitted, and $40 for urgent care. Additionally, the plan includes valuable extra benefits like up to 40 one-way transportation trips to plan-approved locations and a $150 quarterly over-the-counter allowance at no copay or coinsurance. Prior authorizations are required for several services, including inpatient hospital stays, which are subject to Medicare-defined copays.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.