Wellpoint I CareMore Home Care (HMO I-SNP)

Wellpoint I CareMore Home Care (HMO I-SNP) is a HMO I-SNP plan offered by Elevance Health, Inc. available for enrollment in 2025 to people living in Pima County. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Wellpoint I CareMore Home Care (HMO I-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 Wellpoint I CareMore Home Care (HMO I-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 Wellpoint I CareMore Home Care (HMO I-SNP) plan features an Enhanced Alternative drug benefit with an annual prescription drug deductible of $150. After meeting this deductible, you will pay no copay for Tier 1 preferred generic and Tier 5 specialty drugs filled at standard retail or standard mail-order pharmacies. For other drug tiers, you will pay a coinsurance of 25% for Tier 2 standard generics, 30% for Tier 3 preferred brands, and 31% for Tier 4 non-preferred drugs. These cost-sharing rates apply during the initial coverage phase until total drug costs reach $2,100. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and will pay nothing for Medicare Part D covered drugs. Additionally, individuals who qualify for the low-income subsidy, or Extra Help, will have their Part D costs reduced to $0.

Additional Benefits

The Wellpoint I CareMore Home Care (HMO I-SNP) plan offers robust medical coverage with no copay and no coinsurance for primary care, specialist visits, home health services, and skilled nursing facility stays for up to 100 days. For hospital care, inpatient stays require a $150 daily copay for days one through five, which transitions to no copay for days six through 90. Additionally, emergency services feature a $120 copay that is waived if you are admitted, while most outpatient and diagnostic laboratory services require no copay. Supplemental benefits include routine dental care covered up to $1,500 annually and vision services up to $300 with no copay or coinsurance. Hearing care is also covered with no copay, offering up to $3,000 annually for prescription hearing aids and $300 for over-the-counter devices. Members can also take advantage of up to 14 free one-way transportation trips per year and a $200 quarterly allowance for over-the-counter items with no copay.