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Kansas Health Advantage Choice (HMO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Kansas Health Advantage Choice (HMO I-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Kansas Health Advantage Choice (HMO I-SNP) in 2026, please refer to our full plan details page.
Kansas Health Advantage Choice (HMO I-SNP) is a HMO I-SNP plan offered by Kansas Superior Select available for enrollment in 2025 to people living in Central and East Kansas. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Kansas Health Advantage Choice (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:
Kansas Health Advantage Choice (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 Kansas Health Advantage Choice (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 Kansas Health Advantage Choice (HMO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $55.20. 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:
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Drug Coverage
The Kansas Health Advantage Choice (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 tier details, including individual copayments and coinsurance amounts, are currently unavailable for this plan. To determine how your specific prescriptions are covered and to calculate your total out-of-pocket costs, you should consult the plan's comprehensive formulary list.
Additional Benefits
The Kansas Health Advantage Choice (HMO I-SNP) provides a variety of medical benefits with many services requiring no copay, though coinsurance may apply. Primary care, telehealth services, home health care, and skilled nursing facility stays for the first 100 days feature no copay and no coinsurance. For outpatient hospital visits, ambulance transport, and emergency services, members can expect no copay and a 20% coinsurance. Vision and hearing benefits include routine exams with no copay and a 20% coinsurance, alongside annual allowances for hearing aids and eyewear. The plan also provides a monthly over-the-counter allowance of up to $105 with no copay and no coinsurance. While routine dental is not covered, Medicare-covered dental care and durable medical equipment are available with no copay and a 20% coinsurance.
Inpatient Hospital See details
Kansas Health Advantage Choice (HMO I-SNP) partially covers inpatient acute and psychiatric hospital services with no coinsurance and Medicare-defined copayments, though prior authorization is required. Additional days, non-Medicare-covered stays, and acute care upgrades are not covered.
Outpatient Services See details
Kansas Health Advantage Choice (HMO I-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, substance abuse, and blood services, with no copay and a 20% coinsurance. Prior authorization is required for several of these services, and the deductible is waived for your first three pints of blood.
Partial Hospitalization See details
Kansas Health Advantage Choice (HMO I-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Ambulance services are covered by Kansas Health Advantage Choice (HMO I-SNP) with a 20% coinsurance and no copay for both ground and air transport, which require prior authorization. Transportation services to plan-approved and health-related locations are not covered.
Emergency Services See details
Emergency services and urgently needed services are covered by Kansas Health Advantage Choice (HMO I-SNP) with a 20% coinsurance and no copay, which counts toward the plan-level deductible and is waived if you are admitted to the hospital within one day. Worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation are not covered.
Primary Care See details
Kansas Health Advantage Choice (HMO I-SNP) covers primary care, telehealth, and opioid treatment services with no copay and no coinsurance. Specialist visits, podiatry, mental health, and physical, occupational, and speech therapies are covered with no copay and 0% to 20% coinsurance, while routine and other chiropractic services are not covered.
Preventive Services See details
Kansas Health Advantage Choice (HMO I-SNP) covers preventive services, including kidney disease education, glaucoma screenings, and diabetes self-management, with no copay and no coinsurance. However, these benefits are only partially covered, as annual physical exams, fitness benefits, health education, and in-home safety assessments are not covered.
Hearing Services See details
Kansas Health Advantage Choice (HMO I-SNP) covers routine hearing exams with a 20% coinsurance and no copay, and fitting evaluations with no copay or coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to $500 per ear annually, but inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Vision services are partially covered by Kansas Health Advantage Choice (HMO I-SNP) with no deductibles, though other eye exam services are not covered. Routine eye exams are covered once annually with no copay and a 20% coinsurance, while eyewear is covered up to $225 per year with no copay, requiring a 20% coinsurance for contact lenses and no coinsurance for eyeglasses and frames.
Dental Services See details
Kansas Health Advantage Choice (HMO I-SNP) partially covers dental services, offering Medicare-covered dental care with no copay and 20% coinsurance. Routine and preventive services—including oral exams, cleanings, x-rays, fluoride, restorative services, endodontics, periodontics, and prosthodontics—are not covered.
Home Infusion bundled Services See details
Kansas Health Advantage Choice (HMO I-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy and other drugs require no copay and a 0% to 20% coinsurance, while Medicare Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services See details
Dialysis services are covered by Kansas Health Advantage Choice (HMO I-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Kansas Health Advantage Choice (HMO I-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic equipment, supplies, and therapeutic shoes or inserts are also covered with no copay and no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Kansas Health Advantage Choice (HMO I-SNP), with prior authorization required for all services. Diagnostic procedures and tests require a copay and 20% minimum coinsurance, while lab services have no copay but do require coinsurance. Radiological services, including diagnostic, therapeutic, and outpatient X-rays, have no copay and require a 20% minimum coinsurance.
Home Health Services See details
Kansas Health Advantage Choice (HMO I-SNP) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Kansas Health Advantage Choice (HMO I-SNP) covers cardiac rehabilitation services with no copay and a 20% coinsurance, subject to prior authorization. While some services are covered, specific programs such as cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) rehabilitation are not covered in practice.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Kansas Health Advantage Choice (HMO I-SNP) for days 1 through 100 with no copay and no coinsurance, although prior authorization is required. This benefit does not require a prior three-day inpatient hospital stay, but additional days beyond the 100-day limit are not covered.
Other Services See details
Other services are partially covered by Kansas Health Advantage Choice (HMO I-SNP), which offers an over-the-counter (OTC) benefit of up to $105 per month with no copay and no coinsurance. Acupuncture, meal benefits, and other additional services under this category are not covered.
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