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Solis Wellness Giveback Plan (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Solis Wellness Giveback Plan (HMO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Solis Wellness Giveback Plan (HMO C-SNP) in 2026, please refer to our full plan details page.
Solis Wellness Giveback Plan (HMO C-SNP) is a HMO C-SNP plan offered by Athena Healthcare Holdings, LLC available for enrollment in 2026 to people living in Broward, Palm Beach. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Solis Wellness Giveback Plan (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Solis Wellness Giveback Plan (HMO C-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Solis Wellness Giveback Plan (HMO C-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.
For Solis Wellness Giveback Plan (HMO C-SNP), 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 $185.00. 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 no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3400.00 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.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Solis Wellness Giveback Plan (HMO C-SNP) features a $0 drug deductible, meaning your prescription drug coverage begins immediately. Under this plan, you will pay no copay for Tier 1 preferred generic and Tier 2 generic medications at standard pharmacies for one-month, two-month, and three-month supplies, as well as for three-month standard mail orders. Additionally, Tier 6 supplemental drugs are available with no copay for a one-month supply at standard pharmacies. For higher-tier medications, Tier 3 preferred brands require a copay of $35 for a one-month supply, $70 for a two-month supply, and $100 for a three-month supply at standard pharmacies. Tier 4 non-preferred drugs carry a $100 copay for a one-month supply, while Tier 5 specialty drugs require a 33% coinsurance. This structured pricing helps you easily estimate your out-of-pocket costs for prescription medications under this Solis Medicare plan.
Additional Benefits
The Solis Wellness Giveback Plan (HMO C-SNP) offers robust coverage with major savings on everyday healthcare needs, featuring no copays or coinsurance for primary care, preventive care, and routine dental, vision, and hearing services. Specialist visits are highly affordable at just a $5 copay, while emergency care and inpatient hospital stays are covered with predictable daily copays and no coinsurance. Additionally, members benefit from valuable extra perks including a $115 monthly allowance for over-the-counter items, up to 24 free one-way transportation trips, and home health services with no copay. For specialized care, diagnostic tests and durable medical equipment are covered with minimal copays or a standard twenty percent coinsurance.
Inpatient Hospital See details
Solis Wellness Giveback Plan (HMO C-SNP) provides partially covered inpatient acute and psychiatric hospital services with no coinsurance, requiring a $125 daily copay for days 1 to 5 and no copay for days 6 to 90. Additional days, upgrades, and non-Medicare-covered stays are not covered under this benefit, and prior authorization and referrals are required.
Outpatient Services See details
Outpatient services are covered by the Solis Wellness Giveback Plan (HMO C-SNP) with no coinsurance, featuring a $200 copay for outpatient hospital and observation services, a $25 copay for ambulatory surgical center visits, and a $40 copay for outpatient substance abuse sessions. Outpatient blood services are also covered with no copay and no coinsurance, though prior authorization and referrals are required for most of these services.
Partial Hospitalization See details
Solis Wellness Giveback Plan (HMO C-SNP) covers partial hospitalization with a copay of either $55.00 or $180.00 and no coinsurance. Prior authorization and a referral are required for these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by the Solis Wellness Giveback Plan (HMO C-SNP), with ground ambulance services requiring a $200 copay (no coinsurance) and air ambulance services requiring a 20% coinsurance (no copay). Plan-approved transportation is partially covered with no copay and no coinsurance for up to 24 one-way trips per year, though transportation to any health-related location is not covered.
Emergency Services See details
Solis Wellness Giveback Plan (HMO C-SNP) covers emergency services with an $85 copay and urgently needed services with a $20 copay, both featuring no coinsurance and copay waivers if admitted to the hospital within 24 hours. Worldwide emergency services are partially covered up to a $75,000 maximum benefit with an $85 copay and no coinsurance, while worldwide urgent coverage and worldwide emergency transportation are not covered.
Primary Care See details
Solis Wellness Giveback Plan (HMO C-SNP) offers primary care, podiatry, and other healthcare professional services with no copay and no coinsurance, while chiropractic services are not covered. Specialist visits require a $5 copay, mental health and psychiatric sessions require a $20 copay, and physical, occupational, and speech therapies require a $10 to $40 copay, all with no coinsurance.
Preventive Services See details
Solis Wellness Giveback Plan (HMO C-SNP) covers preventive services, including annual physical exams and kidney disease education, with no copay and no coinsurance. Additional preventive benefits are partially covered, as the plan does not cover in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, smoking cessation, enhanced disease management, telemonitoring, home safety devices, and counseling.
Hearing Services See details
Solis Wellness Giveback Plan (HMO C-SNP) provides hearing services with no copay and no coinsurance, covering one routine hearing exam and one fitting evaluation per year. Prescription hearing aids are partially covered up to a $1,250 annual maximum with no copay and no coinsurance, though OTC hearing aids, inner ear, outer ear, and over the ear prescription aids are not covered.
Vision Services See details
Solis Wellness Giveback Plan (HMO C-SNP) offers partially covered vision services with no copay, no coinsurance, and no deductible for covered care. This benefit includes one routine eye exam per year and up to $300 annually for contacts and eyeglasses, although other eye exam services are not covered.
Dental Services See details
Dental services are partially covered by the Solis Wellness Giveback Plan (HMO C-SNP) with no copay and no coinsurance for covered benefits, including oral exams, cleanings, x-rays, fluoride, and periodontics. Sub-services that are not covered include other diagnostic and preventive services, restorative care, endodontics, adjunctive general services, prosthodontics, maxillofacial prosthetics, implants, oral and maxillofacial surgery, and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by the Solis Wellness Giveback Plan (HMO C-SNP) with no copay and no coinsurance, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other Part B drugs carry a coinsurance of 0% (no coinsurance) to 20%, while Part B insulin is covered with a $35 copay and 0% (no coinsurance) to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the Solis Wellness Giveback Plan (HMO C-SNP) with no copay and a 20% coinsurance. Prior authorization and a referral are required to access these services.
Medical Equipment See details
Solis Wellness Giveback Plan (HMO C-SNP) covers medical equipment with no copay and 20% coinsurance for durable medical equipment and prosthetic devices, and no copay or coinsurance for diabetic equipment. This benefit is partially covered, as medical supplies, diabetic supplies, and diabetic therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by the Solis Wellness Giveback Plan (HMO C-SNP), with diagnostic services being partially covered as lab services are not covered. Covered diagnostic tests and procedures have no coinsurance and a $0 to $150 copay, while radiological services require prior authorization and referrals, featuring no copay for outpatient X-rays and a minimum 20% coinsurance for therapeutic services.
Home Health Services See details
Home Health Services are covered under the Solis Wellness Giveback Plan (HMO C-SNP) with no copay and no coinsurance, though prior authorization and a referral are required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the Solis Wellness Giveback Plan (HMO C-SNP) with no coinsurance, although some services are covered while cardiac, intensive cardiac, pulmonary, and Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) services are not covered and require a $10 copay. Prior authorization and referrals are required for these services.
Skilled Nursing Facility (SNF) See details
Solis Wellness Giveback Plan (HMO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 through 20 and a $60 copay for days 21 through 100. Prior authorization and referrals are required for these services, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Solis Wellness Giveback Plan (HMO C-SNP) provides partially covered other services, including over-the-counter items up to $115 monthly and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit.
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