Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) in 2026, please refer to our full plan details page.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) is a HMO D-SNP plan offered by Select Founders, LLC available for enrollment in 2025 to people living in Arkansas. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-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.
Below are a few key facts and commonly-asked questions about Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $8.90. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $18.10. 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 $9250.00 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 Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) plan features a defined standard drug benefit with an annual prescription drug deductible of $615.00. After meeting this deductible, you pay plan-defined costs during the initial coverage phase until your total drug costs reach $2,100.00. If you qualify for the Low-Income Subsidy (LIS), your premium may be reduced to $8.90. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will have no copay for covered Part D prescription drugs. You may still be responsible for a share of the costs for any excluded drugs covered under enhanced benefits. Be sure to check the plan's formulary to confirm coverage for your specific medications.
The Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) offers comprehensive coverage where most medical services, including primary care, specialist visits, outpatient care, emergency services, and diagnostics, require no copay and a 20% coinsurance. Inpatient hospital stays and skilled nursing facility services are partially covered with cost-sharing based on Original Medicare guidelines. Additionally, home health services are fully covered with no copay and no coinsurance. This plan also features valuable supplemental benefits, such as preventive services and a Personal Emergency Response System with no copay or coinsurance, alongside a $30 monthly over-the-counter allowance. Vision and hearing benefits include a $450 annual limit for exams and eyewear and a $500 annual limit for hearing exams, with no deductibles. However, routine dental care, routine podiatry, and cardiac rehabilitation services are not covered under this plan.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) partially covers inpatient acute and psychiatric hospital services, which require prior authorization and cost-sharing based on Original Medicare coinsurance with no plan copay. Additional days, non-Medicare-covered stays, and acute upgrades are not covered.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) covers outpatient services—including outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services—with no copay and a 20% coinsurance. Prior authorization is required for outpatient substance abuse services, and there is no deductible for outpatient blood services.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) covers partial hospitalization benefits with no copay and a 20% coinsurance. Prior authorization is required to access these services.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) partially covers ambulance and transportation services, offering ground and air ambulance coverage with a 20% coinsurance and no copay. However, transportation services to plan-approved or any other health-related locations are not covered.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) partially covers emergency services, offering emergency and urgent care with a 20% coinsurance and no copay. Under this plan, worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation are not covered.
Primary Care benefits are covered by Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) with a 20% coinsurance and no copay for most services, including primary care, specialist, and therapy visits. Podiatry services and routine chiropractic care are not covered.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) partially covers preventive services, offering Medicare-covered zero-dollar services and a Personal Emergency Response System (PERS) with no copays or coinsurance. A 20% coinsurance and no copay apply to glaucoma screenings, diabetes self-management training, digital rectal exams, and post-welcome visit EKGs, while annual physical exams, fitness benefits, health education, and in-home safety assessments are not covered.
Hearing services are covered by Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) with no deductible and a $500 annual maximum for exams, though copay and coinsurance details are not specified. Routine exams, fitting evaluations, and OTC hearing aids are covered, while prescription hearing aids are only partially covered as inner ear, outer ear, and over-the-ear models are not covered.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) covers vision services with no copay and a 20% coinsurance for routine eye exams. The plan has no deductible and offers a maximum annual benefit of $450 for eye exams and eyewear, which includes contacts, lenses, frames, and upgrades.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) partially covers dental services, offering Medicare-covered dental care with a 20% coinsurance and no copay. Sub-services that are not covered under this plan include restorative services, endodontics, periodontics, prosthodontics, implants, orthodontics, and oral surgery.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) covers home infusion bundled services with prior authorization. Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs require no copay and no coinsurance to 20% coinsurance.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) covers dialysis services with 20% coinsurance and no copay. This coverage helps beneficiaries clearly understand and manage their out-of-pocket costs for dialysis treatments.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic supplies. These covered services require no copay and a 20% coinsurance, with prior authorization needed for durable medical equipment and prosthetics.
Diagnostic and radiological services are covered by Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) with a 20% coinsurance and no copay. These covered benefits include lab services, diagnostic procedures, and radiological services, with prior authorization required for all radiological services.
Home Health Services are covered by Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) with no copay and no coinsurance, although prior authorization is required.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) indicates some services are covered for Cardiac Rehabilitation Services, but in practice, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered. Because these specific sub-services are not covered, there are no copays or coinsurance costs associated with them.
Skilled Nursing Facility (SNF) benefits are partially covered by Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP), with Medicare-defined copays and coinsurance applying to covered services. Prior authorization is required, and although a 3-day prior inpatient hospital stay is not required for admission, additional days beyond the Medicare-covered limit are not covered.
Arkansas Integrated Providers (AIP) Dual Advantage (HMO D-SNP) partially covers other services, offering a $30 monthly OTC allowance and chronic illness meal benefits with no copay or coinsurance. Advanced placement of DME is covered with a 20% coinsurance and no copay, while acupuncture and highly integrated SNP services are not covered.
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* 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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