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The Health Plan SecureCare Integrity Plan 3 (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for The Health Plan SecureCare Integrity Plan 3 (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on The Health Plan SecureCare Integrity Plan 3 (HMO) in 2026, please refer to our full plan details page.
The Health Plan SecureCare Integrity Plan 3 (HMO) is a HMO plan offered by The Health Plan of West Virginia, Inc. available for enrollment in 2025 to people living in East Central Ohio. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that The Health Plan SecureCare Integrity Plan 3 (HMO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about The Health Plan SecureCare Integrity Plan 3 (HMO).
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 The Health Plan SecureCare Integrity Plan 3 (HMO), 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. Additionally, this plan comes with a Part B Premium reduction of $50.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $6500.00 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 The Health Plan SecureCare Integrity Plan 3 (HMO)
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Drug Coverage
Prescription drugs are not covered by The Health Plan SecureCare Integrity Plan 3 (HMO).
Additional Benefits
The Health Plan SecureCare Integrity Plan 3 (HMO) offers affordable medical coverage with no coinsurance for many key services, including primary care visits for a $5 copay and specialist visits for a $45 copay. Inpatient hospital stays require a $325 daily copay for days 1 through 6, followed by no copay for days 7 through 90. Emergency care is covered with a $115 copay, while outpatient hospital services range from no copay up to a $300 copay. This plan also includes valuable supplemental benefits such as vision care with no copay and a $200 annual eyewear allowance, alongside select preventive dental care with no copay. Hearing services feature no deductible and a $20 copay for routine exams, and members receive a $50 allowance every three months for over-the-counter items. For specialized care, skilled nursing facility stays have no copay for the first 20 days, and medical equipment is covered with no copay and a 20% coinsurance.
Inpatient Hospital See details
The Health Plan SecureCare Integrity Plan 3 (HMO) partially covers inpatient hospital services with no coinsurance, requiring a $325 daily copay for days 1 through 6 and no copay for days 7 through 90. Prior authorization is required, and non-Medicare-covered stays, upgrades, and psychiatric additional days are not covered.
Outpatient Services See details
The Health Plan SecureCare Integrity Plan 3 (HMO) covers outpatient services with no coinsurance, featuring copays of $0 to $300 for outpatient hospital services and $300 for ambulatory surgical and observation services. Outpatient substance abuse sessions carry a $45 copay with no coinsurance, while outpatient blood services are covered with no copay or coinsurance.
Partial Hospitalization See details
The Health Plan SecureCare Integrity Plan 3 (HMO) covers partial hospitalization services with no copay and no coinsurance, although prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under The Health Plan SecureCare Integrity Plan 3 (HMO), featuring a $275 copay for ground ambulance and a $500 copay for air ambulance with no coinsurance. While some transportation services are covered, transportation to plan-approved or any other health-related locations is not covered.
Emergency Services See details
The Health Plan SecureCare Integrity Plan 3 (HMO) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both featuring no coinsurance. Worldwide emergency services are partially covered up to a $25,000 maximum with no coinsurance, requiring a $115 copay for emergency care and a $275 to $500 copay for emergency transportation, while worldwide urgent care is not covered.
Primary Care See details
The Health Plan SecureCare Integrity Plan 3 (HMO) covers primary care physician services for a $5 copay and no coinsurance, and specialist visits for a $45 copay and no coinsurance. Additional telehealth benefits are available with no copay and no coinsurance, while other covered services like therapy, mental health sessions, and podiatry require copays ranging from $40 to $45 and no coinsurance. Chiropractic services are only partially covered, as routine chiropractic care is not covered.
Preventive Services See details
The Health Plan SecureCare Integrity Plan 3 (HMO) provides partially covered preventive services with no copay and no coinsurance for annual physical exams, health education, and diabetes self-management training. However, several supplemental benefits such as in-home safety assessments, personal emergency response systems, and weight management programs are not covered.
Hearing Services See details
The Health Plan SecureCare Integrity Plan 3 (HMO) covers hearing services with no deductible, featuring a $20 copay and no coinsurance for routine exams, and prescription hearing aids for a $399 to $899 copay and no coinsurance. This benefit is partially covered, as over-the-counter hearing aids and inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
The Health Plan SecureCare Integrity Plan 3 (HMO) partially covers vision services with no copay, no coinsurance, and no deductible, offering one routine eye exam and a $200 annual eyewear allowance each year. Covered eyewear options include contact lenses, eyeglass lenses, and frames, while other eye exam services and upgrades are not covered.
Dental Services See details
Dental services under The Health Plan SecureCare Integrity Plan 3 (HMO) are partially covered, featuring Medicare-covered dental with a $45 copay and no coinsurance, and select preventive care with no copay and no coinsurance. Comprehensive treatments are covered up to a $1,500 yearly limit with no copay and up to 50% coinsurance. Fluoride, implants, orthodontics, other diagnostic, other preventive, adjunctive general, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
The Health Plan SecureCare Integrity Plan 3 (HMO) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs have a $35 copay and no coinsurance, while Part B chemotherapy and other drugs carry a coinsurance ranging from 0% to 20%.
Dialysis Services See details
The Health Plan SecureCare Integrity Plan 3 (HMO) covers dialysis services with no copay and a 20% coinsurance.
Medical Equipment See details
Medical equipment is covered under The Health Plan SecureCare Integrity Plan 3 (HMO) with no copay and a 20% coinsurance, though coinsurance for diabetic supplies ranges from no coinsurance to 20%. Prior authorization is required for durable medical equipment, prosthetics, and diabetic services, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are partially covered by The Health Plan SecureCare Integrity Plan 3 (HMO), as lab services are not covered and prior authorization is required. Covered diagnostic procedures require a $50 copay and no coinsurance, while radiological services require no copay for diagnostic radiology, a 20% coinsurance for therapeutic radiology, and a $50 copay with coinsurance for outpatient X-rays.
Home Health Services See details
Home Health Services are covered by The Health Plan SecureCare Integrity Plan 3 (HMO) with no copay and no coinsurance.
Cardiac Rehabilitation Services See details
The Health Plan SecureCare Integrity Plan 3 (HMO) features no copay and no coinsurance for Cardiac Rehabilitation Services where some services are covered. However, specific sub-services, including cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services, are not covered.
Skilled Nursing Facility (SNF) See details
The Health Plan SecureCare Integrity Plan 3 (HMO) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and while a prior 3-day inpatient hospital stay is not necessary, additional days beyond the standard 100 days are not covered.
Other Services See details
The Health Plan SecureCare Integrity Plan 3 (HMO) partially covers other services, providing a meal benefit for chronic illnesses and up to $50 every three months for over-the-counter items with no copay and no coinsurance. Acupuncture is not covered under this plan's other services benefit.
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