A non-government entity
CareComplete Platinum (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for CareComplete Platinum (HMO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on CareComplete Platinum (HMO C-SNP) in 2026, please refer to our full plan details page.
CareComplete Platinum (HMO C-SNP) is a HMO C-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Orlando & Tampa Area. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that CareComplete Platinum (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:
CareComplete Platinum (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 CareComplete Platinum (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 CareComplete Platinum (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 $177.00. 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 $615.00 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 $2500.00 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:
Sign up for CareComplete Platinum (HMO C-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The CareComplete Platinum (HMO C-SNP) plan has an annual prescription drug deductible of $615. Beneficiaries enjoy no copay for Tier 1 (Preferred Generic), Tier 2 (Generic), and Tier 6 (Select Care Drugs) when filled as a 1-month or 3-month supply at standard pharmacies or through preferred mail order. Standard mail order for Tier 1 and Tier 2 generic drugs incurs small copays ranging from $2 to $48 depending on the tier and supply length. For Tier 3 (Preferred Brand) drugs, copays start at $30 for a 1-month supply at standard pharmacies or preferred mail order, rising up to $141 for standard mail order. Tier 4 (Non-Preferred) drugs require a 50% coinsurance across all pharmacy options, while Tier 5 (Specialty) drugs require a 25% coinsurance for a 1-month supply.
Additional Benefits
CareComplete Platinum (HMO C-SNP) offers robust medical coverage with no copays for primary care visits, preventive services, and home health care. Specialist visits and outpatient services feature low copays starting at $10, while inpatient hospital stays require a $50 daily copay for the first seven days and no copay thereafter. Emergency room services carry a $150 copay, which is completely waived if you are admitted to the hospital within 24 hours. This plan also includes comprehensive dental, vision, and hearing benefits with no copays for routine exams and preventive care. Members benefit from a $400 annual eyewear allowance and up to $1,500 per ear annually for prescription hearing aids with no copay or coinsurance. Additional perks include no-copay acupuncture treatments, over-the-counter items, and up to 26 one-way transportation trips per year to plan-approved locations.
Inpatient Hospital See details
Inpatient hospital services are partially covered by CareComplete Platinum (HMO C-SNP) with no coinsurance, requiring a $50 daily copay for days 1 to 7 and no copay for days 8 to 90. While unlimited additional acute care days are covered with no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
CareComplete Platinum (HMO C-SNP) covers outpatient services with no coinsurance, featuring a $0 to $50 copay for outpatient hospital services and a $10 copay for outpatient substance abuse sessions. Ambulatory surgical center, observation, and outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
CareComplete Platinum (HMO C-SNP) covers partial hospitalization services with a $25.00 copay and no coinsurance. Prior authorization and a referral are required to receive this covered care.
Ambulance and Transportation Services See details
CareComplete Platinum (HMO C-SNP) covers ground ambulance services with a copay of up to $250 plus coinsurance, and air ambulance services with a 20% coinsurance plus a copay, both requiring prior authorization. Transportation services are partially covered with no copay and no coinsurance for up to 26 one-way trips per year to plan-approved locations, though trips to any health-related location are not covered.
Emergency Services See details
CareComplete Platinum (HMO C-SNP) emergency services are covered with a $150 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $10 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no coinsurance and copays ranging from $10 to $150.
Primary Care See details
CareComplete Platinum (HMO C-SNP) covers primary care physician services with no copay and no coinsurance, while specialist, therapy, and mental health services require a $10 copay and no coinsurance. Chiropractic care is partially covered with a $15 copay and no coinsurance, though other non-routine chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by CareComplete Platinum (HMO C-SNP) with no copay and no coinsurance for annual physical exams, memory fitness, kidney disease education, and select screenings. However, several supplemental benefits are not covered, including health education, personal emergency response systems, in-home safety assessments, medical nutrition therapy, and weight management programs.
Hearing Services See details
CareComplete Platinum (HMO C-SNP) offers hearing services with no coinsurance, featuring a $10 copay for Medicare-covered exams and no copay for annual routine exams, fittings, and OTC hearing aids. Prescription hearing aids are partially covered with no copay or coinsurance up to $1,500 per ear annually, though inner ear, outer ear, and over-the-ear types are not covered.
Vision Services See details
Vision services are partially covered by CareComplete Platinum (HMO C-SNP) with no deductibles or coinsurance, offering one routine eye exam per year with no copay. Covered eyewear, including contact lenses and eyeglasses (lenses and frames), has no copay up to a $400 annual limit, while other eye exam services, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
CareComplete Platinum (HMO C-SNP) offers partially covered dental services, featuring a $10 copay and no coinsurance for Medicare-covered dental, and no copay or coinsurance for covered preventive and comprehensive services. However, fluoride treatment, endodontics, maxillofacial prosthetics, implant services, fixed prosthodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
CareComplete Platinum (HMO C-SNP) covers home infusion bundled services with no copay and no coinsurance, subject to prior authorization. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and range from no coinsurance to 20% coinsurance, while covered Part B insulin requires a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by CareComplete Platinum (HMO C-SNP) with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these covered services.
Medical Equipment See details
CareComplete Platinum (HMO C-SNP) covers medical equipment, offering durable medical equipment (DME) at a 20% coinsurance with no copay, and prosthetic devices with no copay. Medical supplies are covered with a 20% coinsurance, while diabetic supplies have no copay or coinsurance, and diabetic therapeutic shoes or inserts require a $10 copay.
Diagnostic and Radiological Services See details
CareComplete Platinum (HMO C-SNP) covers diagnostic and radiological services, with prior authorization and referrals required. Lab services have no copay or coinsurance, diagnostic tests have a $0 to $100 copay with no coinsurance, and therapeutic radiological services require a minimum $10 copay and 20% coinsurance.
Home Health Services See details
CareComplete Platinum (HMO C-SNP) covers home health services with no copay and no coinsurance. Both prior authorization and a referral are required to receive these services.
Cardiac Rehabilitation Services See details
CareComplete Platinum (HMO C-SNP) covers some cardiac rehabilitation services with no coinsurance, though prior authorization and a referral are required. However, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered and carry a $10.00 copay.
Skilled Nursing Facility (SNF) See details
CareComplete Platinum (HMO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 through 20 and a $160 daily copay for days 21 through 100. Prior authorization and referrals are required, and while a prior three-day inpatient hospital stay is not required, additional days beyond the Medicare-covered 100 days are not covered.
Other Services See details
CareComplete Platinum (HMO C-SNP) partially covers other services with no copay and no coinsurance, offering up to 25 acupuncture treatments per year, over-the-counter items, and meals for chronic illnesses. However, additional benefits under this category, including Other 1, Other 2, Other 3, and highly integrated services for dual-eligible SNPs, are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved