Premier Care (HMO I-SNP)

Premier Care (HMO I-SNP) is a HMO I-SNP plan offered by Curana Health Holdings, LLC available for enrollment in 2025 to people living in California partial. The overall rating for this plan is not yet available for 2026.

It's important to know that Premier Care (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 Premier Care (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 Premier Care (HMO I-SNP) Medicare plan offers an Enhanced Alternative drug benefit with no prescription drug deductible. During the initial coverage phase, you will pay a $10 copay for preferred generics, a $45 copay for standard generics, and a $95 copay for preferred brand drugs at standard pharmacies or through standard mail. This initial phase continues until your total drug costs reach $2,100. For non-preferred drugs, you will pay a 33% coinsurance, and individuals qualifying for the full Low-Income Subsidy will have no Part D premium. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs.

Additional Benefits

The Premier Care (HMO I-SNP) plan offers comprehensive medical coverage with many services requiring no copay, including acute inpatient hospital stays, home health services, and skilled nursing facility care for up to 100 days. For outpatient services, emergency care, and ground ambulance transportation, you will generally pay fixed copays ranging from $40 to $225 with no coinsurance. Other essential treatments, such as dialysis, partial hospitalization, and diagnostic radiological services, are covered with a 20% coinsurance and no copay. Specialty services under this plan also feature a mix of copays and coinsurance, such as a 20% coinsurance with no copay for vision exams, eyewear up to $225 annually, and Medicare-covered dental care. Additionally, members can access covered over-the-counter items and OTC hearing aids with no copay, alongside up to 24 one-way non-emergency health transportation trips per year. Many of these benefits, including durable medical equipment and home infusion services, require prior authorization before receiving care.