Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Generations Chronic Care Savings (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 Savings (HMO C-SNP) in 2026, please refer to our full plan details page.
Generations Chronic Care Savings (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 Savings (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 Savings (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.
Below are a few key facts and commonly-asked questions about Generations Chronic Care Savings (HMO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Generations Chronic Care Savings (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. Additionally, this plan comes with a Part B Premium reduction of $55.00. 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.
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 $3900.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The Generations Chronic Care Savings (HMO C-SNP) plan features a $0 drug deductible, meaning your prescription drug coverage begins immediately. For Tier 1 preferred generics, you will pay no copay for 1-month or 3-month supplies at preferred pharmacies and preferred mail-order services. Tier 2 generic drugs cost a low $5 copay for a 1-month supply at preferred pharmacies, while a 3-month supply has no copay. For Tier 3 preferred brand drugs, you will pay a $41 copay for a 1-month supply at preferred pharmacies, compared to a $47 copay at standard pharmacies. Tier 4 non-preferred drugs require a 40% coinsurance at preferred pharmacies and 50% coinsurance at standard pharmacies. Tier 5 specialty drugs require 33% coinsurance at both preferred and standard pharmacies for a 1-month supply.
The Generations Chronic Care Savings (HMO C-SNP) plan offers comprehensive coverage featuring no copays and no coinsurance for primary care, telehealth visits, home health services, and routine preventive care. For specialized medical needs, members will pay a $35 copay with no coinsurance for specialists, physical therapy, and mental health services. Diagnostic services and outpatient hospital care are covered with no coinsurance, though they may require copays ranging from no copay up to $275 depending on the specific service. Inpatient hospital stays require a $275 daily copay for the first seven days and no copay for days 8 through 90, with no coinsurance. This plan also includes valuable supplemental benefits, such as routine dental care with no copay and up to 20% coinsurance up to a $2,000 annual maximum, alongside routine vision and hearing exams with no copays, deductibles, or coinsurance. Additionally, members can access up to 36 annual one-way transportation trips and a chronic illness meal benefit, both with no copays.
Inpatient hospital services are partially covered by Generations Chronic Care Savings (HMO C-SNP) with no coinsurance, requiring a $275 daily copay for days 1 to 7 and no copay for days 8 to 90 per stay. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered under this benefit.
Generations Chronic Care Savings (HMO C-SNP) covers outpatient services with no coinsurance, featuring copays of $20 to $275 for outpatient hospital services, $275 per stay for observation services, and $225 for ambulatory surgical center visits. Outpatient substance abuse sessions require a $35 copay with no coinsurance, while outpatient blood services are covered with no copay and no coinsurance.
Partial hospitalization is covered by Generations Chronic Care Savings (HMO C-SNP) with a $55.00 copay and no coinsurance. Prior authorization and a referral are required to access this benefit.
Ambulance services are covered by Generations Chronic Care Savings (HMO C-SNP) with prior authorization, featuring a $240 copay and coinsurance for ground transport and a 20% coinsurance and copay for air transport, both waived if admitted. Transportation services are partially covered with no copay and no coinsurance for up to 36 annual one-way trips to plan-approved locations, though trips to any health-related location are not covered.
Generations Chronic Care Savings (HMO C-SNP) covers emergency services with a $90 copay and urgently needed services with a $15 copay, both featuring no coinsurance and no deductible. Worldwide emergency and urgent services are partially covered up to a $50,000 lifetime limit with a $90 copay and no coinsurance, though worldwide emergency transportation is not covered.
Generations Chronic Care Savings (HMO C-SNP) covers primary care, telehealth, and opioid treatment with no copay and no coinsurance. Specialists, physical therapy, mental health, and podiatry services require a $35 copay and no coinsurance, but chiropractic services are not covered as routine and other chiropractic services are excluded.
Preventive services are partially covered by Generations Chronic Care Savings (HMO C-SNP) with no copay and no coinsurance for covered options like annual physical exams, kidney disease education, fitness benefits, and in-home support. While some supplemental benefits are included, others such as health education, weight management, and in-home safety assessments are not covered.
Generations Chronic Care Savings (HMO C-SNP) provides hearing services with no copay, no coinsurance, and no deductible, covering one routine hearing exam and one fitting evaluation annually. Prescription hearing aids are partially covered with no copay or coinsurance up to a $1,000 annual maximum, but OTC hearing aids and inner ear, outer ear, and over the ear prescription models are not covered.
Vision services are partially covered by Generations Chronic Care Savings (HMO C-SNP) with no copay, no coinsurance, and no deductible, providing one routine eye exam per year and a $200 annual allowance for contacts and eyeglasses. Other eye exam services and eyewear upgrades are not covered.
Dental Services are partially covered under the Generations Chronic Care Savings (HMO C-SNP) plan up to a $2,000 annual maximum, though other preventive dental services, implant services, and orthodontics are not covered. Medicare-covered dental requires a $35 copay and no coinsurance, while other covered preventive and comprehensive services feature no copay and 0% to 20% coinsurance.
Generations Chronic Care Savings (HMO C-SNP) covers home infusion bundled services with no copay, subject to prior authorization. Associated Medicare Part B drugs, including chemotherapy and insulin, require no coinsurance to 20% coinsurance, with insulin also carrying a $35 copay.
Dialysis services are covered by Generations Chronic Care Savings (HMO C-SNP) with no copay and a coinsurance ranging from 0% to 20%. Prior authorization and a referral are required to receive these services.
Generations Chronic Care Savings (HMO C-SNP) partially covers medical equipment, providing durable medical equipment, prosthetic devices, and medical supplies with no copay and a 20% coinsurance, subject to prior authorization. Diabetic equipment, including diabetic supplies and therapeutic shoes or inserts, is not covered under this plan.
Diagnostic and radiological services are partially covered by Generations Chronic Care Savings (HMO C-SNP) with no coinsurance, though prior authorization and referrals are required. Covered diagnostic procedures and tests carry a copay ranging from no copay to $100, diagnostic radiological services have no copay, and therapeutic radiological services have a minimum $50 copay, while lab services and outpatient X-ray services are not covered.
Home Health Services are covered by Generations Chronic Care Savings (HMO C-SNP) with no copay and no coinsurance, though prior authorization and a referral are required.
Cardiac Rehabilitation Services are partially covered under the Generations Chronic Care Savings (HMO C-SNP) plan with no coinsurance, requiring prior authorization and a referral. Covered services require a $15 copay, while standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) services are covered by Generations Chronic Care Savings (HMO C-SNP) with no coinsurance, requiring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization and referrals are required for this benefit, and additional days beyond the standard 100-day Medicare limit are not covered.
Generations Chronic Care Savings (HMO C-SNP) partially covers other services, offering 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 benefit.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* 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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved