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Generations Chronic Care (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Generations 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 Generations Chronic Care (HMO C-SNP) in 2026, please refer to our full plan details page.
Generations Chronic Care (HMO C-SNP) is a HMO C-SNP plan offered by MHH Healthcare, L.P. available for enrollment in 2025 to people living in Partial Oklahoma. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Generations 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:
Generations 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 Generations 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 Generations 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 no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3450.00 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:
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Drug Coverage
The Generations Chronic Care (HMO C-SNP) plan features a $0 drug deductible, meaning your prescription drug coverage begins immediately. For Tier 1 preferred generic drugs, there is no copay for a 1-month or 3-month supply at preferred pharmacies or through preferred mail order. Tier 2 generic medications cost a $5 copay for a 1-month supply at preferred locations, but you will pay no copay if you opt for a 3-month supply. For brand-name and specialty medications, Tier 3 preferred brands require a $41 copay for a 1-month supply at preferred pharmacies compared to $47 at standard pharmacies. Tier 4 non-preferred drugs carry a 40% coinsurance at preferred pharmacies and a 50% coinsurance at standard pharmacies. Finally, Tier 5 specialty drugs require a 33% coinsurance for a 1-month supply at both preferred and standard pharmacies.
Additional Benefits
The Generations Chronic Care (HMO C-SNP) plan offers robust medical coverage with no copay for primary care visits, telehealth services, and annual preventive screenings. For inpatient hospital stays, members pay a daily copayment of $195 for the first seven days and no copay for days 8 through 90, with no coinsurance. Outpatient hospital services carry copays ranging from $20 to $225, while emergency room and urgent care visits require copayments of $90 and $15, respectively, with no coinsurance. Specialist visits and mental health services require a $20 copay, whereas home health services and routine hearing and vision exams are covered with no copay. The plan also includes valuable supplemental benefits, such as up to $2,000 for dental care with 0% to 20% coinsurance, a $200 annual eyewear allowance, and up to $1,000 for prescription hearing aids. Additionally, members can utilize up to 36 free one-way transportation trips per year and receive a chronic illness meal benefit with no copay or coinsurance.
Inpatient Hospital See details
Generations Chronic Care (HMO C-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $195 copayment per day for days 1 through 7 and no copayment for days 8 through 90. This benefit is partially covered as it excludes upgrades, non-Medicare-covered stays, and additional psychiatric days, and it requires prior authorization and referrals.
Outpatient Services See details
Generations Chronic Care (HMO C-SNP) covers outpatient services with no coinsurance, including outpatient hospital services with a $20 to $225 copay and ambulatory surgical center services with a $175 copay. Outpatient substance abuse sessions require a $20 copay with no coinsurance, and outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Generations Chronic Care (HMO C-SNP) covers partial hospitalization services with a $40.00 copay and no coinsurance. Prior authorization and a referral are required to receive these covered services.
Ambulance and Transportation Services See details
Generations Chronic Care (HMO C-SNP) covers ground ambulance services with a $240 copay and air ambulance services with a 20% coinsurance, with both charges waived if you are admitted to the hospital. Transportation services are partially covered with no copay and no coinsurance for up to 36 one-way trips per year to plan-approved locations, while transportation to any health-related location is not covered.
Emergency Services See details
Generations Chronic Care (HMO C-SNP) covers emergency services with a $90 copay (waived if admitted within 24 hours) and urgently needed services with a $15 copay, both with no coinsurance. Worldwide emergency and urgent care are partially covered up to a $50,000 maximum benefit with a $90 copay and no coinsurance, but worldwide emergency transportation is not covered.
Primary Care See details
Primary Care benefits under Generations Chronic Care (HMO C-SNP) feature no copay and no coinsurance for primary care visits, telehealth, and opioid treatment, while specialists, mental health, and physical therapy require a $20 copay and no coinsurance. Chiropractic services are partially covered, with routine and other chiropractic services excluded from coverage.
Preventive Services See details
Preventive services are covered by Generations Chronic Care (HMO C-SNP) with no copay and no coinsurance for annual physicals, kidney disease education, and various screenings. Additional preventive benefits are partially covered, with sub-services such as health education, in-home safety assessments, medical nutrition therapy, weight management, alternative therapies, and counseling not covered by the plan.
Hearing Services See details
Generations Chronic Care (HMO C-SNP) covers routine hearing exams and fitting evaluations annually with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to a $1,000 yearly limit, but OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
Generations Chronic Care (HMO C-SNP) covers vision services with no copay and no coinsurance, including one routine eye exam and up to a $200 annual allowance for contacts and eyeglasses. Note that other eye exam services and eyewear upgrades are not covered under this benefit.
Dental Services See details
Dental Services are partially covered by Generations Chronic Care (HMO C-SNP), offering up to a $2,000 annual maximum with no copay and 0% to 20% coinsurance for preventive and comprehensive care, and a $20 copay with no coinsurance for Medicare-covered dental. Implant services, orthodontics, and other preventive dental services are not covered.
Home Infusion bundled Services See details
Generations Chronic Care (HMO C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs carry a 0% to 20% coinsurance, while Medicare Part B insulin drugs require a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by Generations Chronic Care (HMO C-SNP) with no copay and a coinsurance ranging from no coinsurance up to 20%. Prior authorization and a referral are required to access this benefit.
Medical Equipment See details
Generations Chronic Care (HMO C-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and 20% coinsurance, subject to prior authorization. Diabetic equipment is partially covered with no copay and no coinsurance, though diabetic supplies and diabetic therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
Generations Chronic Care (HMO C-SNP) partially covers diagnostic and radiological services with no coinsurance, requiring prior authorization and referrals for these services. Covered diagnostic procedures have a copay of $0 to $100, diagnostic radiological services have no copay, and therapeutic radiological services require a copay starting at $50, while lab services and outpatient X-ray services are not covered.
Home Health Services See details
Generations Chronic Care (HMO C-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization and a referral are required to access these covered services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Generations Chronic Care (HMO C-SNP) plan, which excludes coverage for cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services.
Skilled Nursing Facility (SNF) See details
Skilled nursing facility (SNF) services are covered by Generations Chronic Care (HMO C-SNP) with no coinsurance, requiring no copay for days 1 through 20 and a $218 copay for days 21 through 100. Prior authorization and referrals are required, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Generations Chronic Care (HMO C-SNP) partially covers other services, featuring a meal benefit for chronic illness with no copay and no coinsurance, although prior authorization is required. Acupuncture and over-the-counter (OTC) items are not covered under this plan.
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* 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.
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