A non-government entity
Senior Care (HMO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Senior Care (HMO I-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Senior Care (HMO I-SNP) in 2026, please refer to our full plan details page.
Senior Care (HMO I-SNP) is a HMO I-SNP plan offered by Curana Health Holdings, LLC available for enrollment in 2025 to people living in Virginia (partial). This plan received an overall rating of 2.5 out of 5 stars in 2026.
It's important to know that Senior 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.
Important:
Senior Care (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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Senior 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.
For Senior Care (HMO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $24.60. 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.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for Senior Care (HMO I-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Senior Care (HMO I-SNP) Medicare Advantage plan features an annual prescription drug deductible of $615. This deductible represents the amount you must pay 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 for different medication levels, are not currently available for this plan. To understand your exact costs for specific prescriptions under this plan, it is recommended to review the plan's formulary or contact the provider directly.
Additional Benefits
The Senior Care (HMO I-SNP) plan provides robust medical coverage, often featuring no copay for essential services. Primary care visits, home health care, and skilled nursing facility stays are fully covered with no copay and no coinsurance. For other medical needs like outpatient services, dialysis, and durable medical equipment, you will pay no copay and a 20% coinsurance, while emergency room visits require a $90 copay. In addition to standard medical care, this plan offers helpful supplemental benefits including over-the-counter items and up to 36 one-way transportation trips per year with no copay or coinsurance. Dental, vision, and hearing services feature no copays for covered care, though routine eye exams, hearing exams, and Medicare-covered dental services require a 20% coinsurance. The plan also provides generous allowances for these services, including up to a $3,000 annual dental maximum, a $2,750 hearing aid limit every two years, and a $300 annual eyewear allowance.
Inpatient Hospital See details
Senior Care (HMO I-SNP) partially covers inpatient acute and psychiatric hospital services with no copay, though a deductible and Medicare-defined coinsurance apply, and prior authorization is required. Additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Senior Care (HMO I-SNP) covers outpatient services, including ambulatory surgical center, outpatient substance abuse, and blood services with a 20% coinsurance and no copay. Outpatient hospital services carry a 20% coinsurance and no copay, while observation services require a $100 copay per stay and no coinsurance; prior authorization is required for most of these services.
Partial Hospitalization See details
Senior Care (HMO I-SNP) covers partial hospitalization services with no copay and a 20% coinsurance, although prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Senior Care (HMO I-SNP), with medicare-covered ground and air ambulance services requiring a 20% coinsurance and no copay. The plan also covers transportation services with no copay and no coinsurance, offering up to 36 one-way trips per year to any health-related location.
Emergency Services See details
Senior Care (HMO I-SNP) covers emergency services with a $90 copay and no coinsurance, and urgently needed services with a 20% coinsurance (up to $40 per visit) and no copay, both of which count toward the plan-level deductible and are waived if you are admitted to the hospital within 3 days. Worldwide emergency, urgent, and transportation services are not covered.
Primary Care See details
Senior Care (HMO I-SNP) primary care benefits feature no copays for all services, with no coinsurance for primary care physician and opioid treatment services, and a 20% coinsurance for specialists, physical therapy, mental health, and podiatry. Although chiropractic services are listed as covered, routine and other chiropractic sub-services are not covered by the plan.
Preventive Services See details
Preventive services are partially covered by Senior Care (HMO I-SNP) with no copay and no coinsurance for covered care, including kidney disease education, glaucoma screenings, and diabetes self-management training. However, annual physical exams and additional benefits such as fitness programs, health education, and in-home safety assessments are not covered.
Hearing Services See details
Hearing services under Senior Care (HMO I-SNP) are covered, featuring routine hearing exams with no copay and a 20% coinsurance, and OTC hearing aids with no copay or coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to a $2,750 maximum limit every two years, though inner ear, outer ear, and over the ear models are not covered.
Vision Services See details
Senior Care (HMO I-SNP) vision services are partially covered, featuring no copays for covered services, but routine eye exams and contact lenses require a 20% coinsurance. While other eye exam services are not covered, the plan provides up to a $300 annual maximum for covered eyewear, including contacts, eyeglasses, lenses, frames, and upgrades.
Dental Services See details
Senior Care (HMO I-SNP) partially covers dental services, offering Medicare-covered dental care with no copay and a 20% coinsurance, and other dental services with no copay and no coinsurance up to a $3,000 annual maximum. Other preventive dental services, maxillofacial prosthetics, and orthodontics are not covered.
Home Infusion bundled Services See details
Senior Care (HMO I-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs have no copay and coinsurance ranging from no coinsurance to 20%, while Medicare Part B insulin requires a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Senior Care (HMO I-SNP) covers Dialysis Services with no copay and a 20% coinsurance.
Medical Equipment See details
Senior Care (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 durable medical equipment, prosthetics, and medical supplies.
Diagnostic and Radiological Services See details
Senior Care (HMO I-SNP) partially covers diagnostic and radiological services, as laboratory services are not covered. Covered diagnostic procedures, radiological services, and X-rays require prior authorization and feature no copay and a 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the Senior Care (HMO I-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Senior Care (HMO I-SNP) covers Cardiac Rehabilitation Services with no copay and prior authorization required, though only some services are covered. Sub-services including cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Senior Care (HMO I-SNP) with no copay and no coinsurance, though prior authorization is required and additional days beyond the Medicare-covered limit are not covered. Admission is permitted without requiring a prior three-day inpatient hospital stay.
Other Services See details
Senior Care (HMO I-SNP) partially covers other services, offering over-the-counter (OTC) items with no copay and no coinsurance. While nicotine replacement therapy is included, acupuncture, meal benefits, naloxone, and some CMS OTC list drugs are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved