Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Tribute Select (HMO-POS I-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Tribute Select (HMO-POS I-SNP) in 2026, please refer to our full plan details page.
Tribute Select (HMO-POS I-SNP) is a HMO-POS I-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 Tribute Select (HMO-POS I-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Tribute Select (HMO-POS I-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 Tribute Select (HMO-POS I-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Tribute Select (HMO-POS I-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 $57.70. 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 Tribute Select (HMO-POS I-SNP) Medicare plan features a defined standard drug benefit with an annual prescription drug deductible of $615.00. After meeting this deductible, you will pay copays or coinsurance during the initial coverage phase until your total drug costs reach $2,100.00. Additionally, individuals who qualify for the Low-Income Subsidy can receive a reduced Part D premium of $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 Medicare Part D covered drugs. While there is no cost for standard covered prescriptions in this phase, you may still pay a share of the costs for any excluded drugs. This coverage structure helps protect you from high prescription drug expenses throughout the year.
The Tribute Select (HMO-POS I-SNP) plan offers coverage for essential medical services with a consistent cost structure, generally requiring a twenty percent coinsurance and no copay. This cost-sharing applies to primary care, outpatient services, emergency care, diagnostic tests, and durable medical equipment. Additionally, members benefit from having no copay and no coinsurance for home health services, annual physicals, and Medicare-covered preventive care. However, the plan does not cover several routine services, including routine dental, hearing, vision, and cardiac rehabilitation. Prior authorization is required for key benefits like inpatient hospital stays, skilled nursing facility care, and home health services. For prescription home infusion drugs, members can expect no copay and up to twenty percent coinsurance, except for Part B insulin which carries a thirty-five dollar copay.
Tribute Select (HMO-POS I-SNP) partially covers inpatient hospital acute and psychiatric services, which require prior authorization and follow Original Medicare-defined coinsurance with no copays. Sub-services such as additional days, non-Medicare-covered stays, and acute care upgrades are not covered.
Outpatient Services under Tribute Select (HMO-POS I-SNP) are covered with a 20% coinsurance and no copay for outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services. Prior authorization is required for outpatient substance abuse services, and there is no deductible for outpatient blood services.
Tribute Select (HMO-POS I-SNP) covers partial hospitalization benefits with a 20% coinsurance and no copay. Prior authorization is required for this service.
Ambulance and transportation services are partially covered by Tribute Select (HMO-POS I-SNP), with ground and air ambulance services requiring a 20% coinsurance and no copay. Transportation services to plan-approved or any health-related locations are not covered.
Tribute Select (HMO-POS I-SNP) emergency services are partially covered, offering emergency and urgently needed services with a 20% coinsurance and no copay, which is waived if you are admitted to the hospital within 3 days. Worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation are not covered.
Tribute Select (HMO-POS I-SNP) partially covers Primary Care benefits 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 under this plan.
Tribute Select (HMO-POS I-SNP) covers Medicare-covered preventive services and annual physicals with no copay or coinsurance, while kidney education, glaucoma screenings, diabetes training, digital rectal exams, and post-welcome visit EKGs require a 20% coinsurance and no copay. Additional preventive services are partially covered; health education has no copay or coinsurance, but in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, fitness, disease management, telemonitoring, remote access, bathroom modifications, and counseling are not covered.
Hearing services are not covered under Tribute Select (HMO-POS I-SNP), as routine hearing exams, fitting and evaluations, prescription hearing aids, and over-the-counter hearing aids are all excluded from coverage.
Vision services are not covered under the Tribute Select (HMO-POS I-SNP) plan. Routine eye exams and all eyewear sub-services, including contact lenses, eyeglasses, lenses, frames, and upgrades, are not covered.
Tribute Select (HMO-POS I-SNP) partially covers dental services, offering Medicare-covered dental services with a 20% coinsurance and no copay. However, orthodontic, restorative, adjunctive general, endodontics, periodontics, prosthodontics, maxillofacial prosthetics, implant, and oral and maxillofacial surgery services are not covered.
Tribute Select (HMO-POS I-SNP) covers home infusion bundled services, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs carry no copay and between no coinsurance and 20% coinsurance, while Part B insulin drugs require a $35 copay and between no coinsurance and 20% coinsurance.
Dialysis services are covered by Tribute Select (HMO-POS I-SNP) with a 20% coinsurance and no copay.
Medical Equipment benefits are covered by Tribute Select (HMO-POS I-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic equipment. Prior authorization is required for durable medical equipment and prosthetics.
Tribute Select (HMO-POS I-SNP) partially covers Diagnostic and Radiological Services, offering diagnostic procedures, tests, and lab services with a 20% coinsurance and no copay. However, radiological services, including diagnostic radiological, therapeutic radiological, and outpatient x-ray services, are not covered under this plan.
Home Health Services are covered under Tribute Select (HMO-POS I-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services are not covered under the Tribute Select (HMO-POS I-SNP) plan. This exclusion applies to all sub-services, including cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation.
Tribute Select (HMO-POS I-SNP) partially covers Skilled Nursing Facility (SNF) services with no copay and Medicare-defined coinsurance, though prior authorization is required. While a prior three-day inpatient hospital stay is not required for admission, additional days beyond the Medicare-covered limit are not covered.
Other Services are partially covered by Tribute Select (HMO-POS I-SNP), with Advanced Placement of DME requiring a doctor referral and carrying a 20% coinsurance and no copay. Acupuncture, Over-the-Counter (OTC) items, meal benefits, and Dual Eligible SNPs with Highly Integrated Services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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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.
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