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Generations Chronic Care Savings (HMO C-SNP)

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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about Generations Chronic Care Savings (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 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.

Common Services:

Doctor Visits:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for Generations Chronic Care Savings (HMO C-SNP)

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Drug Coverage IconDrug Coverage

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.

Additional Benefits IconAdditional Benefits

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 See details

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.

Outpatient Services See details

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 See details

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 and Transportation Services See details

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.

Emergency Services See details

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.

Primary Care See details

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 See details

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.

Hearing Services See details

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 See details

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 See details

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.

Home Infusion bundled Services See details

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 See details

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.

Medical Equipment See details

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 See details

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 See details

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 See details

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) See details

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.

Other Services See details

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.

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