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SecureBlue (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for SecureBlue (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on SecureBlue (HMO D-SNP) in 2026, please refer to our full plan details page.
SecureBlue (HMO D-SNP) is a HMO D-SNP plan offered by Aware Integrated, Inc. available for enrollment in 2025 to people living in 87 Counties within the State of Minnesota. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that SecureBlue (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
SecureBlue (HMO D-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 SecureBlue (HMO D-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 SecureBlue (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $18.70. 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 SecureBlue (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. Beneficiaries must pay this deductible amount out-of-pocket for covered medications before the plan begins to cover its share of prescription drug costs. Specific drug coverage tier details, including individual copayments and coinsurance rates for different medication levels, are currently unavailable for this plan. To find the exact costs for your specific prescriptions under the SecureBlue (HMO D-SNP) plan, it is recommended to review the comprehensive formulary or contact the plan provider.
Additional Benefits
SecureBlue (HMO D-SNP) offers comprehensive medical coverage with no copay and no coinsurance for inpatient hospital stays, home health services, and skilled nursing facility care. For most other medical services—including primary and specialist care, outpatient services, emergency care, and medical equipment—members will pay no copay but are responsible for a 20% coinsurance. This standard cost structure also applies to diagnostic tests, dialysis, and Medicare-covered dental services. The plan also features valuable extra benefits, such as unlimited round-trip transportation to approved health locations and a quarterly $75 allowance for over-the-counter items with no copay and no coinsurance. However, it is important to note that routine dental cleanings, eye exams, and standard hearing aids are not covered under this plan. Many specialized services, including outpatient procedures and durable medical equipment, will also require prior authorization before care is received.
Inpatient Hospital See details
SecureBlue (HMO D-SNP) inpatient hospital benefits are partially covered with no copay and no coinsurance, though prior authorization is required. Additional days, upgrades, and non-Medicare-covered stays for acute and psychiatric hospitalization are not covered.
Outpatient Services See details
SecureBlue (HMO D-SNP) covers outpatient services with no copay, though a 20% coinsurance applies to outpatient hospital, ambulatory surgical center, outpatient substance abuse, and outpatient blood services. Prior authorization is required for most of these services, and there is no deductible for outpatient blood services.
Partial Hospitalization See details
Partial hospitalization is covered by SecureBlue (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
SecureBlue (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered, offering unlimited round trips to plan-approved health-related locations with no copay and no coinsurance, but transportation to any health-related location is not covered.
Emergency Services See details
SecureBlue (HMO D-SNP) covers emergency services with a 20% coinsurance (up to $115 per visit) and no copay, which is waived if admitted to the hospital within 24 hours. 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.
Primary Care See details
SecureBlue (HMO D-SNP) covers primary care, specialist, mental health, and therapy services with no copay and 20% coinsurance, though chiropractic services are not covered. Additional telehealth services are also available with no copay and no coinsurance to 20% coinsurance.
Preventive Services See details
Preventive Services under SecureBlue (HMO D-SNP) are partially covered, offering no copay and no coinsurance for most services, though kidney disease education requires a 20% coinsurance and no copay. While additional benefits like health education, memory fitness, and home safety modifications are included, several sub-services such as annual physical exams, in-home safety assessments, and weight management programs are not covered.
Hearing Services See details
SecureBlue (HMO D-SNP) covers hearing exams with no copay, no coinsurance, and no deductible, though routine hearing exams and fitting evaluations are not covered. Some prescription hearing aid services are covered, but inner ear, outer ear, over-the-ear, and OTC hearing aids are not covered.
Vision Services See details
Vision services are covered by SecureBlue (HMO D-SNP), though eye exams are not covered. Eyewear is partially covered with no deductible, no copay, and 20% coinsurance, but contact lenses, eyeglasses, lenses, and frames are not covered.
Dental Services See details
SecureBlue (HMO D-SNP) covers Medicare-covered dental services with no copay and a 20% coinsurance. However, other dental services—including preventive care like cleanings and x-rays, and comprehensive services like restorative work and orthodontics—are not covered.
Home Infusion bundled Services See details
SecureBlue (HMO D-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Under this benefit, Medicare Part B drugs, including insulin, chemotherapy, and other drugs, carry coinsurance ranging from no coinsurance up to 20%, with insulin requiring a copay of $35.
Dialysis Services See details
SecureBlue (HMO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance.
Medical Equipment See details
Medical equipment is covered by SecureBlue (HMO D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, and diabetic supplies. Prior authorization is required for durable medical equipment and prosthetics, and certain items are limited to specified manufacturers or preferred vendors.
Diagnostic and Radiological Services See details
SecureBlue (HMO D-SNP) partially covers diagnostic and radiological services with no copays, though a 20% coinsurance applies to covered diagnostic procedures, radiological services, and outpatient X-rays. Prior authorization is required for radiological services, and lab services are not covered under this benefit.
Home Health Services See details
SecureBlue (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the SecureBlue (HMO D-SNP) plan, including standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) rehabilitation. Although there is no copay, these services require a 20% coinsurance and prior authorization.
Skilled Nursing Facility (SNF) See details
SecureBlue (HMO D-SNP) covers skilled nursing facility (SNF) services with no copay and no coinsurance, though prior authorization is required and admission is allowed without a prior three-day inpatient hospital stay. This benefit is partially covered, as additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
SecureBlue (HMO D-SNP) partially covers other services, offering over-the-counter (OTC) items and a chronic illness meal benefit with no copay and no coinsurance, while acupuncture is not covered. The OTC benefit provides up to $75 every three months, and the meal benefit requires prior authorization.
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