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

The Molina Medicare Complete Care Plus (HMO D-SNP) plan features an enhanced alternative drug benefit with a prescription drug deductible of $615.00, which is reduced to $0.00 for individuals qualifying for the low-income subsidy. During the initial coverage phase, standard pharmacy and standard mail orders require a $4.00 copay for Tier 1 preferred generics and no copay for Tier 5 specialty drugs. You will pay a coinsurance of 20% for Tier 2 standard generics, 30% for Tier 3 preferred brands, and 25% for Tier 4 non-preferred drugs. These initial coverage costs apply until your total drug costs reach $2,100.00. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Part D drugs.

Additional Benefits

The Molina Medicare Complete Care Plus (HMO D-SNP) plan offers robust medical coverage featuring no copays for primary care, outpatient hospital services, and diagnostic tests, which instead carry a 20% to 30% coinsurance. Inpatient hospital and skilled nursing facility stays are covered using Medicare-defined cost-sharing, while emergency room visits require a 30% coinsurance with no copay. Additionally, durable medical equipment and dialysis services are covered with no copay and a 20% coinsurance. For extra health benefits, this plan offers routine dental care with no copay and no coinsurance up to a $3,600 annual limit, as well as vision and hearing exams with no copay and a 20% coinsurance. Routine preventive services, including annual physicals and fitness benefits, are available with no copay and no coinsurance. While the plan also covers home health, over-the-counter items, and unlimited acupuncture, it does not provide coverage for routine transportation or cardiac rehabilitation.