Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Longevity Health Plan (HMO I-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Longevity Health Plan (HMO I-SNP) in 2026, please refer to our full plan details page.
Longevity Health Plan (HMO I-SNP) is a HMO I-SNP plan offered by Longevity Health Founders, LLC available for enrollment in 2026 to people living in Florida (partial). The overall rating for this plan is not yet available for 2026.
It's important to know that Longevity Health Plan (HMO I-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Longevity Health Plan (HMO 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 Longevity Health Plan (HMO I-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Longevity Health Plan (HMO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $4.80. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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.
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The Longevity Health Plan (HMO I-SNP) features an annual prescription drug deductible of $615. This means you will need to pay this amount out-of-pocket for your covered medications before the plan begins to pay its share. Specific drug coverage tier details, including individual copayments and coinsurance rates, are currently unavailable for this plan. To find out how much your specific prescriptions will cost under this plan, it is recommended to contact the provider directly.
The Longevity Health Plan (HMO I-SNP) offers comprehensive coverage for essential medical needs, featuring no copay for inpatient hospital stays, primary care visits, and skilled nursing facility care. Most outpatient services, ambulance transportation, and specialist visits are covered with no copay and up to a 20% coinsurance. Emergency room visits require a $115 copay, which is waived if you are admitted to the hospital within three days. For supplemental care, this plan provides preventive services, routine eye exams, and eyewear up to a $325 limit every two years with no copay. Hearing exams and hearing aids are also covered with no copay, with up to $1,650 for hearing aids every two years. Additionally, members benefit from an over-the-counter allowance of $135 every three months with no copay, though routine dental services are not covered.
Longevity Health Plan (HMO I-SNP) covers inpatient acute and psychiatric hospital stays with no copay, though Medicare-defined cost shares apply and prior authorization is required. Specific services such as additional days, upgrades, and non-Medicare-covered stays are not covered.
Longevity Health Plan (HMO I-SNP) covers outpatient services—including outpatient hospital, observation, ambulatory surgical center, outpatient substance abuse, and blood services—with no copay and a 20% coinsurance. Prior authorization is required for outpatient hospital, ambulatory surgical center, and outpatient substance abuse services.
Longevity Health Plan (HMO I-SNP) covers partial hospitalization services with no copay and a 20% coinsurance, though prior authorization is required.
Ambulance and transportation services are partially covered by Longevity Health Plan (HMO I-SNP), which offers ground and air ambulance services with a 20% coinsurance and no copay under prior authorization. Transportation services to plan-approved or any other health-related locations are not covered.
Longevity Health Plan (HMO I-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within three days. Urgently needed services are covered with a 20% coinsurance (up to $40 per visit) and no copay, while worldwide emergency, urgent, and transportation services are not covered.
Longevity Health Plan (HMO I-SNP) covers primary care, occupational therapy, physical therapy, speech-language pathology, and opioid treatment with no copay and no coinsurance. Specialist, mental health, psychiatric, podiatry, and telehealth services are also covered with no copay and coinsurance ranging up to 20%, while chiropractic services are not covered.
Preventive services are partially covered by Longevity Health Plan (HMO I-SNP) with no copay and no coinsurance for Medicare-covered preventive services, kidney disease education, and select screenings. However, the annual physical exam is not covered, and while some additional preventive services are covered, sub-services including fitness benefits, health education, and in-home support are not covered in practice.
Hearing services are covered by Longevity Health Plan (HMO I-SNP) with no copays for exams and hearing aids, though routine exams require a 20% coinsurance and hearing aids require no coinsurance. Prescription hearing aids are partially covered up to $1,650 every two years, with inner ear, outer ear, and over the ear hearing aids not covered by the plan.
Longevity Health Plan (HMO I-SNP) covers vision services, including one routine eye exam annually with no copay and a 20% coinsurance, though other eye exam services are not covered. Eyewear, including contacts and eyeglasses, is covered with no copay and no coinsurance up to a $325 combined maximum benefit every two years.
Longevity Health Plan (HMO I-SNP) partially covers dental services, providing Medicare-covered dental care with no copay and a 20% coinsurance, though prior authorization is required. Other dental services, including oral exams, x-rays, cleanings, fluoride, restorative work, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics, are not covered.
Home infusion bundled services are covered by Longevity Health Plan (HMO I-SNP) with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require no coinsurance to 20% coinsurance, while Part B insulin carries a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services are covered by Longevity Health Plan (HMO I-SNP) with no copay and a 20% coinsurance.
Longevity Health Plan (HMO I-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copay and a 20% coinsurance. Prior authorization is required for these covered medical equipment benefits.
Diagnostic and radiological services are partially covered by Longevity Health Plan (HMO I-SNP) with prior authorization required, featuring a 20% coinsurance and no copay for covered services. While diagnostic procedures, radiological services, and outpatient X-rays are covered, lab services are not covered.
Longevity Health Plan (HMO I-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services under the Longevity Health Plan (HMO I-SNP) feature no copay, but the benefit is not covered in practice as standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) care is covered by Longevity Health Plan (HMO I-SNP) with no copay and no coinsurance, though prior authorization is required. This benefit follows Original Medicare guidelines, requiring a three-day inpatient hospital stay prior to admission and excluding coverage for additional days beyond the standard Medicare limit.
Longevity Health Plan (HMO I-SNP) partially covers other services, providing an over-the-counter (OTC) benefit with no copay and no coinsurance up to $135 every three months. Acupuncture, meal benefits, nicotine replacement therapy, and naloxone 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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