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 2025, 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 3.5 out of 5 stars in 2025.
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.
Below are a few key facts and commonly-asked questions about SecureBlue (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For SecureBlue (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $30.50. 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 $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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The SecureBlue (HMO D-SNP) plan has a $590 deductible for prescription drugs. If you qualify for the low-income subsidy (LIS), you will pay $30.50 per month for your Part D coverage. During the initial coverage phase, after you meet your deductible, you will pay the cost-sharing amounts for your specific drugs. Once your total drug costs reach $2000, you will enter the next coverage phase. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for Medicare Part D covered drugs.
The SecureBlue (HMO D-SNP) plan offers a range of benefits with varying cost-sharing. Many services have a 20% coinsurance, including outpatient services, partial hospitalization, ambulance services, emergency services, primary care, vision services, dental services, and more. Some services like home health and transportation services to health-related locations have no copay. The plan also includes coverage for preventive services, hearing services, and medical equipment with coinsurance. Additional benefits include coverage for home infusion, dialysis, and diagnostic services, but some services like routine hearing exams, eyewear, and certain dental and rehabilitation services are not covered. The plan also covers OTC items and offers a meal benefit.
Inpatient Hospital benefits, including acute and psychiatric care, are covered, but the copay information is available elsewhere. Additional days, non-Medicare-covered stays, and upgrades for both acute and psychiatric care are not covered.
Outpatient Services include coverage for outpatient hospital services, observation services, ambulatory surgical center services, and outpatient substance abuse services. Outpatient hospital services and observation services have a 20% coinsurance, while ambulatory surgical center services, individual substance abuse sessions, and group substance abuse sessions also have a 20% coinsurance. Outpatient blood services are not covered.
Partial Hospitalization benefits are covered with a 20% coinsurance, and prior authorization is required.
Ambulance and Transportation Services are covered by SecureBlue (HMO D-SNP), with no copay for ambulance services. Ground and air ambulance services have a 20% coinsurance, while transportation services to any health-related location are covered with no copay or coinsurance. Transportation services to any health-related location require prior authorization.
Emergency Services, including Urgently Needed Services, are covered by SecureBlue (HMO D-SNP) with a 20% coinsurance, and no copay. Worldwide Emergency Services are not covered.
Primary Care Physician Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services are covered, with coinsurance ranging from 20% to 0%. Chiropractic Services are partially covered, with Routine Chiropractic Care not covered.
The SecureBlue (HMO D-SNP) plan covers a variety of preventive services, including glaucoma screening, diabetes self-management training, and more. Kidney disease education services have a 20% coinsurance.
Hearing Services are partially covered by SecureBlue (HMO D-SNP), with hearing exams covered at a coinsurance of at most 20%, but routine hearing exams, fitting/evaluation for hearing aids, prescription hearing aids, and OTC hearing aids are not covered.
Vision services are covered, including eye exams and eyewear. Eye exams have a 20% coinsurance, while eyewear, including contact lenses, eyeglasses (lenses and frames), and eyeglass lenses and frames are not covered.
The SecureBlue (HMO D-SNP) plan covers dental services with 20% coinsurance for Medicare dental services. Other dental services include one oral exam per year, while dental x-rays, prophylaxis (cleaning), fluoride treatment, and many orthodontic services are not covered.
Home Infusion bundled Services are covered, and prior authorization is required. For Medicare Part B Insulin Drugs, there is a $35 copay and the coinsurance ranges from 0% to 20%.
Dialysis Services are covered by SecureBlue (HMO D-SNP) with a coinsurance of 20%.
Medical Equipment benefits are covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance, and requires authorization. Prosthetic Devices and Medical Supplies have a 20% coinsurance, while Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services, including all diagnostic services and radiological services, are covered under the SecureBlue (HMO D-SNP) plan. Diagnostic procedures/tests and diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services have a coinsurance of at most 20%, while lab services are not covered.
Home Health Services are covered by the SecureBlue (HMO D-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services are covered, but the plan does not cover Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. There is a coinsurance for some Cardiac and Pulmonary Rehabilitation Services.
Skilled Nursing Facility (SNF) benefits are covered under the SecureBlue (HMO D-SNP) plan and require prior authorization. The plan does not provide Skilled Nursing Facility Services as a supplemental benefit under Part C, and does not cover additional days beyond Medicare-covered for SNF or non-Medicare-covered stays for SNF.
The SecureBlue (HMO D-SNP) plan covers Over-the-Counter (OTC) Items with a maximum benefit of $150 every three months, as well as a Meal Benefit, but requires prior authorization. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and several other services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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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.
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