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Tribute Select (HMO-POS I-SNP)
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 2025, 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 2025.
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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Tribute Select (HMO-POS 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.
For Tribute Select (HMO-POS I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.90. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $2.50. 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 $590.00 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 $9350.00 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 Tribute Select (HMO-POS I-SNP) plan has a $590 deductible for prescription drugs. After you meet your deductible, you will pay the costs for your drugs in each tier until your total drug costs reach $2000. If you qualify for the low-income subsidy, your Part D premium will be $20.90. Once your yearly out-of-pocket drug costs reach $2000, you will pay nothing for your Medicare Part D covered drugs.
Additional Benefits
The Tribute Select (HMO-POS I-SNP) plan offers coverage for a range of services, including inpatient and outpatient care, with coinsurance costs typically around 20%. Emergency, ambulance, and home health services are covered with no copay. Preventive services have no copay, and other services like vision, hearing, and dental have partial coverage with coinsurance. The plan also covers medical equipment and home infusion bundled services. However, some services like routine exams, specific dental and vision procedures, and certain other services are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric care, are covered under the Tribute Select (HMO-POS I-SNP) plan. However, additional days, non-Medicare stays, and upgrades for both acute and psychiatric care are not covered.
Outpatient Services See details
Outpatient Services, including outpatient hospital services and observation services, are covered with a 20% coinsurance. Ambulatory Surgical Center (ASC) Services are covered with a 20% coinsurance. Outpatient Substance Abuse Services, including individual and group sessions, are covered with a 20% coinsurance. Outpatient blood services are not covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the Tribute Select (HMO-POS I-SNP) plan, but requires prior authorization. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered under the Tribute Select (HMO-POS I-SNP) plan. There is no copay for ambulance services. Ground and air ambulance services have a 20% coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Tribute Select (HMO-POS I-SNP) plan. For Emergency and Urgently Needed Services, there is a 20% coinsurance, and no copay. Worldwide Emergency Services are not covered.
Primary Care See details
Primary Care benefits include coverage for Primary Care Physician Services and Occupational Therapy Services with a 20% coinsurance and authorization required. Chiropractic Services are partially covered, but Routine Chiropractic Care is not covered. Additional Telehealth benefits are available with a 20% coinsurance, and Physical Therapy and Speech-Language Pathology Services are covered with a 20% coinsurance and authorization required. Mental Health and Psychiatric Services are partially covered, as Individual and Group Sessions are not covered.
Preventive Services See details
The Tribute Select (HMO-POS I-SNP) plan covers preventive services, including Medicare-covered services with no copay, and additional preventive services, but does not cover annual physical exams. Counseling Services are covered for 18 sessions with no copay. Other preventive services are covered with a 20% coinsurance for services like Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit.
Hearing Services See details
Hearing services are partially covered under the Tribute Select (HMO-POS I-SNP) plan. Hearing exams have a coinsurance of at most 20%, but routine hearing exams and fitting/evaluation for hearing aids are not covered. Prescription hearing aids and OTC hearing aids are not covered.
Vision Services See details
Vision services are partially covered by the Tribute Select (HMO-POS I-SNP) plan. Eye exams and eyewear have a 20% coinsurance, but routine eye exams, contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services with this plan include Medicare Dental Services with a 20% coinsurance, but Orthodontic Services, Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics (removable and fixed), Maxillofacial Prosthetics, Implant Services, Oral and Maxillofacial Surgery, and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered and require prior authorization. Medicare Part B Insulin Drugs have a copay of $0-$35, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0-20%.
Dialysis Services See details
Dialysis Services are covered by the Tribute Select (HMO-POS I-SNP) plan. The coinsurance for dialysis services is between 20% and 20%.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME) with no copay or coinsurance, and Prosthetic Devices, Medical Supplies, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts with 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the Tribute Select (HMO-POS I-SNP) plan. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Lab Services has a coinsurance of at most 0%, and Therapeutic Radiological and Outpatient X-Ray Services have a coinsurance of at most 20%. There is no copay for any of these services.
Home Health Services See details
Home Health Services are covered by the Tribute Select (HMO-POS I-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover the services. There is coinsurance for the services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but the plan does not cover additional days beyond Medicare-covered SNF services or non-Medicare-covered SNF stays. The plan requires prior authorization and charges the Medicare-defined cost share for tier 1, with coinsurance details available.
Other Services See details
Other Services are not covered by the Tribute Select (HMO-POS I-SNP) plan. Specifically, acupuncture, over-the-counter items, meal benefits, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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