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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 2025, 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 2025.
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 has an enhanced alternative drug benefit with no deductible. In the initial coverage phase, you'll pay a copay for your prescriptions, which varies depending on the drug tier and pharmacy type. For example, preferred generic drugs have a $5 copay at preferred pharmacies. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for your Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit.
Additional Benefits
The Generations Chronic Care (HMO C-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $195 copay for the first seven days, with no copay for the remaining days. Outpatient services have copays from $20 to $225, and there are copays for other services, such as $20 for primary care visits and $90 for emergency services. This plan also covers preventive, hearing, vision, and dental services. Hearing exams and hearing aid fittings have no copay, and prescription hearing aids are covered up to $1,000 per year. Eye exams have a $20 copay, and eyewear is covered up to $200 annually. Dental services include a $20 copay for Medicare dental, and other dental services have a $2,000 annual maximum benefit.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. For days 1-7, there is a $195 copay, and days 8-90 have no copay.
Outpatient Services See details
Outpatient Services, including outpatient hospital services and observation services, require prior authorization and a doctor referral and have copays ranging from $20 to $225. Ambulatory Surgical Center (ASC) Services have a $175 copay, and Outpatient Substance Abuse Services have a $20 copay for both individual and group sessions. Outpatient Blood Services are also covered.
Partial Hospitalization See details
Partial Hospitalization is covered by Generations Chronic Care (HMO C-SNP) with a $40 copay, and requires prior authorization and a doctor referral.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services, as well as transportation services to plan-approved health-related locations. Ground ambulance services have a $240 copay, while air ambulance services have 20% coinsurance, and transportation services to plan-approved health-related locations cover up to 36 one-way trips per year. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage are covered under the Generations Chronic Care (HMO C-SNP) plan. Emergency Services and Worldwide Emergency Coverage have a $90 copay, and Urgently Needed Services have a $20 copay, but all services have no coinsurance; Worldwide Emergency Transportation is not covered.
Primary Care See details
Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services are covered. Chiropractic services have a $20 copay, and Occupational Therapy Services, Physician Specialist Services, Physical Therapy and Speech-Language Pathology Services, Individual Sessions for Mental Health Specialty Services, Group Sessions for Mental Health Specialty Services, Individual Sessions for Psychiatric Services, Group Sessions for Psychiatric Services, and Medicare-covered podiatry services and routine foot care have a $20 copay.
Preventive Services See details
The Generations Chronic Care (HMO C-SNP) plan covers preventive services, including annual physical exams, and other preventive services like glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a welcome visit. Additionally, the plan covers personal emergency response systems, in-home support services, remote access technologies, and fitness benefits, while health education, in-home safety assessments, medical nutrition therapy, and other services are not covered.
Hearing Services See details
Hearing services include hearing exams with no copay, and coverage for fitting/evaluation for hearing aids with no copay. Prescription hearing aids are covered up to $1,000 per year, but prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are not covered.
Vision Services See details
Vision services include coverage for eye exams with a $20 copay, and eyewear, with a combined maximum benefit of $200 every year. Contact lenses, eyeglasses (lenses and frames), and eyeglass lenses and frames are covered, while upgrades are not covered.
Dental Services See details
The Generations Chronic Care (HMO C-SNP) plan covers Medicare Dental Services with a $20 copay, and other dental services with a $2,000 annual maximum benefit. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), and fluoride treatment are covered. Restorative services, endodontics, maxillofacial prosthetics, prosthodontics (removable and fixed), and oral and maxillofacial surgery are covered with 0% to 20% coinsurance. Implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. Medicare Part B Insulin Drugs have a $35 copay with a coinsurance between 0% and 20%, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Generations Chronic Care (HMO C-SNP) plan, but require prior authorization and a doctor's referral. There is no minimum coinsurance, but the maximum coinsurance is 20%.
Medical Equipment See details
Medical Equipment, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment are covered. For DME, there is a 20% coinsurance and no copay, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices have a 0-20% coinsurance and no copay, while Medical Supplies have a 0-20% coinsurance and no copay. Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services includes coverage for Diagnostic Procedures/Tests with a maximum copay of $100, and Diagnostic Radiological Services with a maximum copay of $225. Therapeutic Radiological Services have a minimum copay of $50. Lab Services and Outpatient X-Ray Services are not covered.
Home Health Services See details
Home Health Services are covered by the Generations Chronic Care (HMO C-SNP) plan with no copay or coinsurance, but require authorization and a referral. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. Prior authorization and a doctor referral are required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Generations Chronic Care (HMO C-SNP), requiring prior authorization and a doctor's referral. For days 1-20, there is no copay, while days 21-100 have a $184 copay, and additional days beyond Medicare coverage and non-Medicare-covered stays are not covered.
Other Services See details
The Generations Chronic Care (HMO C-SNP) plan's "Other Services" benefit covers meal benefits with a doctor referral, but it does not cover acupuncture, over-the-counter items, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, or Self-Directed Personal Assistance Services.
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