A non-government entity
Verda Noble Chronic Care (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Verda Noble Chronic Care (HMO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Verda Noble Chronic Care (HMO C-SNP) in 2026, please refer to our full plan details page.
Verda Noble Chronic Care (HMO C-SNP) is a HMO C-SNP plan offered by Verda Healthcare, Inc. available for enrollment in 2026 to people living in Maricopa county. The overall rating for this plan is not yet available for 2026.
It's important to know that Verda Noble Chronic Care (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Verda Noble Chronic Care (HMO C-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 Verda Noble Chronic Care (HMO C-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 Verda Noble Chronic Care (HMO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. 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 $300.00 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 $1799.00 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 Verda Noble Chronic Care (HMO C-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 Verda Noble Chronic Care (HMO C-SNP) plan features an Enhanced Alternative drug benefit with a $300 prescription drug deductible. Once this deductible is met, you will pay no copay for Tier 1 preferred generic drugs and Tier 5 specialty tier drugs at standard pharmacies during the initial coverage phase. For other drug tiers, you will pay a $35 copay for Tier 2 standard generics, 28% coinsurance for Tier 3 preferred brands, and 29% coinsurance for Tier 4 non-preferred drugs. After your yearly out-of-pocket drug costs reach $2100, you enter the catastrophic coverage phase and pay nothing for covered Medicare Part D drugs. Additionally, if you qualify for the low-income subsidy, your Part D costs are reduced to zero. This structured coverage provides clear cost-sharing tiers to help you manage your prescription expenses throughout the year.
Additional Benefits
The Verda Noble Chronic Care (HMO C-SNP) offers comprehensive medical coverage featuring no deductibles for select services and generally low out-of-pocket costs with no coinsurance for many benefits. Inpatient hospital stays and outpatient hospital services require no coinsurance, with copays starting at $125 per day for acute care and $50 for outpatient visits. Emergency room visits carry a $90 copay, which is waived if you are admitted, while urgently needed care requires no copay. Supplemental benefits include dental care with no coinsurance and vision coverage with a routine exam and a $250 annual eyewear allowance. The plan also covers up to 36 one-way transportation trips to approved locations with no copay, alongside a $55 monthly over-the-counter allowance. While many services feature no coinsurance, certain medical needs like dialysis, prosthetic devices, and durable medical equipment require up to a 20% coinsurance.
Inpatient Hospital See details
Verda Noble Chronic Care (HMO C-SNP) partially covers inpatient hospital benefits with no coinsurance, although additional days, upgrades, and non-Medicare-covered stays are not covered. For covered stays, acute care requires a $125 daily copay for days 4 to 7 (with no copay for other days), and psychiatric care requires a $150 daily copay for days 1 to 5 (with no copay for days 6 and beyond).
Outpatient Services See details
Outpatient services are covered by Verda Noble Chronic Care (HMO C-SNP) with no coinsurance, featuring a $50 to $90 copay for outpatient hospital services and a $90 daily copay for observation services. Outpatient substance abuse sessions require a $20 to $40 copay, while ambulatory surgical center and outpatient blood services are also covered with no deductible.
Partial Hospitalization See details
Verda Noble Chronic Care (HMO C-SNP) covers partial hospitalization services with a $25 copay and no coinsurance. Prior authorization and a doctor referral are required to access this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Verda Noble Chronic Care (HMO C-SNP), featuring a $109 copay and no coinsurance for ground ambulance, and a 20% coinsurance with no copay for air ambulance. Transportation benefits are partially covered, providing up to 36 one-way trips per year to plan-approved locations with no copay or coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
Verda Noble Chronic Care (HMO C-SNP) covers emergency services with a $90 copay and no coinsurance, which is waived if hospital admission occurs within 48 hours, while urgently needed services require no copay and no coinsurance. Worldwide emergency services are partially covered up to a maximum limit of $50,000, featuring a $90 copay and no coinsurance for emergency care, but worldwide emergency transportation is not covered.
Primary Care See details
Verda Noble Chronic Care (HMO C-SNP) offers partially covered Primary Care benefits, as podiatry services are not covered. Covered services require no coinsurance, with copays of $20 to $40 for mental health and psychiatric sessions, and a $25 copay for opioid treatment program services.
Preventive Services See details
Verda Noble Chronic Care (HMO C-SNP) covers Medicare-approved preventive services with no copay and no coinsurance, as well as select benefits like kidney disease education and therapeutic massage. However, this benefit is only partially covered, as an annual physical exam and wellness programs like health education and weight management are not covered.
Hearing Services See details
Hearing services are partially covered by Verda Noble Chronic Care (HMO C-SNP), offering one routine hearing exam and one fitting evaluation annually with no deductible. Prescription hearing aids (all types) are covered up to two per year with a copay ranging from $99.00 to $599.00 and no coinsurance, while OTC hearing aids and inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision Services are covered by Verda Noble Chronic Care (HMO C-SNP) with no deductible, including one routine eye exam every year and a $250 annual maximum allowance for eyewear. Covered eyewear options include contact lenses, eyeglasses, frames, lenses, and upgrades.
Dental Services See details
Dental services are partially covered by Verda Noble Chronic Care (HMO C-SNP), with orthodontics being the only sub-service not covered under the plan. Covered preventive and comprehensive dental procedures require no coinsurance, with copays ranging from no copay up to $1,615 depending on the specific service.
Home Infusion bundled Services See details
Verda Noble Chronic Care (HMO C-SNP) covers Home Infusion bundled Services with prior authorization. Medicare Part B insulin drugs require a $35.00 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered by Verda Noble Chronic Care (HMO C-SNP) with no copay and a 20% coinsurance. Prior authorization and a doctor referral are required to access this benefit.
Medical Equipment See details
Verda Noble Chronic Care (HMO C-SNP) covers medical equipment with no copays, though prior authorization is required. Durable medical equipment, diabetic supplies, and therapeutic shoes or inserts range from no coinsurance to 20% coinsurance, while prosthetic devices and medical supplies require a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are partially covered under Verda Noble Chronic Care (HMO C-SNP), excluding diagnostic procedures, lab services, and outpatient X-ray services. Covered diagnostic services feature no copay or coinsurance, and diagnostic radiological services require no copay to a $25 copay with no coinsurance. Therapeutic radiological services require a copay and a 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the Verda Noble Chronic Care (HMO C-SNP) plan, requiring both prior authorization and a doctor referral for services to be approved.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Verda Noble Chronic Care (HMO C-SNP) plan, including intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered by Verda Noble Chronic Care (HMO C-SNP) with prior authorization and a referral, though additional days beyond the Medicare-covered limit are not covered. There is no coinsurance for these services, which feature no copay for days 1 to 7, a $20 daily copay for days 8 to 20, and a $218 daily copay for days 21 to 100.
Other Services See details
Other Services are partially covered by Verda Noble Chronic Care (HMO C-SNP), excluding Dual Eligible SNPs with Highly Integrated Services. Covered benefits include up to 24 acupuncture treatments annually, a $55 monthly over-the-counter allowance, and chronic illness meal benefits, with no copay or coinsurance details specified.
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