Wellpoint I CareMore Home Care 2 (HMO I-SNP)

Wellpoint I CareMore Home Care 2 (HMO I-SNP) is a HMO I-SNP plan offered by Elevance Health, Inc. available for enrollment in 2025 to people living in Pima and Maricopa Counties. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Wellpoint I CareMore Home Care 2 (HMO I-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Wellpoint I CareMore Home Care 2 (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.

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:

Drug Coverage

The Wellpoint I CareMore Home Care 2 (HMO I-SNP) plan offers an Enhanced Alternative drug benefit with a $340.00 annual prescription drug deductible. After meeting this deductible, you will enter the initial coverage phase where you pay no copay for Tier 1 preferred generic drugs and Tier 5 specialty tier drugs at standard pharmacies or via standard mail. For other tiers, you will pay a coinsurance of 25% for Tier 2 standard generics, 30% for Tier 3 preferred brands, and 29% for Tier 4 non-preferred drugs. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will pay nothing for covered Medicare Part D prescription drugs. Additionally, if you qualify for the low-income subsidy or Extra Help, your Part D costs can be reduced to zero. This structured coverage ensures predictable spending on your essential medications throughout the year.

Additional Benefits

The Wellpoint I CareMore Home Care 2 (HMO I-SNP) plan offers robust coverage with no copays or coinsurance for many essential services, including primary care, specialist visits, home health care, and skilled nursing facility stays for the first 100 days. Inpatient hospital stays require a $150 daily copay for the first five days, after which there is no copay. Emergency care is available with a $120 copay, which is waived upon admission, while outpatient services range from no copay up to a $125 copay. This plan also features valuable supplemental benefits, offering dental care up to a $1,500 annual limit and vision services up to $350 annually with no copay, coinsurance, or deductible. Hearing exams and hearing aids are covered with no copay, alongside a $90 quarterly allowance for over-the-counter items. For specialized treatments, members pay no copay and 0% to 20% coinsurance for durable medical equipment and a 20% coinsurance with no copay for dialysis services.