Molina Medicare Complete Care Plus (HMO D-SNP)

Molina Medicare Complete Care Plus (HMO D-SNP) is a HMO D-SNP plan offered by Molina Healthcare, Inc. available for enrollment in 2026 to people living in Counties: LA, Riv, SBD, SD, Sac. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Molina Medicare Complete Care Plus (HMO D-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 Molina Medicare Complete Care Plus (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.

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

Molina Medicare Complete Care Plus (HMO D-SNP) offers an Enhanced Alternative drug benefit with a yearly prescription drug deductible of $615.00. If you qualify for the Low-Income Subsidy (LIS), your Part D premium is reduced to $0.00. During the initial coverage phase, standard pharmacy and standard mail order costs include a $4.00 copay for Tier 1 preferred generics, 20% coinsurance for Tier 2 standard generics, 30% coinsurance for Tier 3 preferred brands, 25% coinsurance for Tier 4 non-preferred drugs, and no copay for Tier 5 specialty drugs. These initial copays and coinsurance rates apply until your total drug costs reach $2,100.00. After your yearly out-of-pocket drug costs reach this $2,100.00 threshold, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Be sure to review the plan's formulary to confirm the coverage details for your specific prescription medications.

Additional Benefits

The Molina Medicare Complete Care Plus (HMO D-SNP) offers comprehensive medical coverage with no copays for most outpatient, primary care, emergency, and diagnostic services, which generally require a 20% to 30% coinsurance. Inpatient hospital stays and skilled nursing facility care are covered using standard Medicare-defined cost-sharing, while emergency services feature a 30% coinsurance that is waived upon hospital admission. Additionally, the plan covers essential medical equipment, dialysis, and home health services, though prior authorization is required for many of these benefits. For supplemental care, members benefit from dental coverage up to a $3,600 annual limit and vision care with no deductible and up to $250 annually for eyewear, both generally requiring a 20% coinsurance and no copay. Hearing services include no-copay routine exams and coverage for over-the-counter hearing aids. The plan also features valuable extra benefits such as unlimited acupuncture, meal benefits, and an allowance for over-the-counter items.