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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 2025, 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 2025.
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.
Key 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 $90.00. 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:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Generations Chronic Care Savings (HMO C-SNP) plan has a $0 deductible for prescription drugs. In the initial coverage phase, you'll pay a copay for your prescriptions. For example, you'll pay a $5 copay for preferred generic drugs at a preferred pharmacy. 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 Savings (HMO C-SNP) plan offers a wide range of benefits. This plan covers inpatient hospital stays with a copay, outpatient services with copays, and emergency services with a $90 copay. The plan also includes coverage for primary care, hearing, vision, and dental services. Hearing services include routine exams at no copay and hearing aid coverage. Vision services include eye exams with a copay and eyewear benefits. Dental services include coverage for Medicare dental services and other dental services up to an annual maximum.
Inpatient Hospital See details
The Generations Chronic Care Savings (HMO C-SNP) plan covers inpatient hospital stays, including acute and psychiatric services, with a $275 copay for days 1-7 and no copay for days 8-90. The plan offers 100 additional days for inpatient hospital acute care, but non-Medicare covered stays and upgrades are not covered.
Outpatient Services See details
Outpatient Services are covered by the Generations Chronic Care Savings (HMO C-SNP) plan, including all Outpatient Hospital Services with a copay between $20 and $275, Observation Services with a $275 copay, Ambulatory Surgical Center (ASC) Services with a $225 copay, Individual and Group Sessions for Outpatient Substance Abuse with a $35 copay, and Outpatient Blood Services.
Partial Hospitalization See details
Partial Hospitalization is covered, requiring prior authorization and a doctor referral. You will have a $55 copay for this service.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by Generations Chronic Care Savings (HMO C-SNP), with prior authorization required for all ambulance services. Ground ambulance services have a $240 copay, while air ambulance services have a 20% coinsurance. Transportation Services to a plan-approved health-related location are covered for 36 one-way trips per year, and transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Coverage all have a $90 copay, while Urgently Needed Services has a $20 copay, and Worldwide Urgent Coverage has a $90 copay. Worldwide Emergency Transportation is not covered.
Primary Care See details
The Generations Chronic Care Savings (HMO C-SNP) plan covers Primary Care Physician Services, Chiropractic Services with a $20 copay, Occupational Therapy Services with a $35 copay, Physician Specialist Services with a $35 copay, Mental Health Specialty Services with a $35 copay for individual and group sessions, Podiatry Services with a $35 copay, Other Health Care Professional services with a copay between $0 and $35, Psychiatric Services with a $35 copay for individual and group sessions, Physical Therapy and Speech-Language Pathology Services with a $35 copay, Additional Telehealth Benefits, and Opioid Treatment Program Services. Routine Chiropractic Care is not covered.
Preventive Services See details
The Generations Chronic Care Savings (HMO C-SNP) plan covers preventive services, including annual physical exams, with no copay. Additional services like Personal Emergency Response System (PERS), In-Home Support Services, Remote Access Technologies, Fitness Benefits, Glaucoma Screenings, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit are covered. However, Health Education, In-Home Safety Assessment, Medical Nutrition Therapy, Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Home and Bathroom Safety Devices and Modifications, and Counseling Services are not covered.
Hearing Services See details
Hearing services include routine hearing exams with no copay, and coverage for fitting and evaluation for hearing aids. Prescription hearing aids (all types) are covered, with a plan-specified amount of $1,000 per year. However, prescription hearing aids for 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 $35 copay. Eyewear benefits include coverage for contact lenses, eyeglasses (lenses and frames), eyeglass lenses, and eyeglass frames, with a combined maximum benefit of $200 every year. Upgrades are not covered.
Dental Services See details
Dental services include coverage for Medicare dental services with a $35 copay, and other dental services with a $2,000 annual maximum. Oral exams, dental x-rays, prophylaxis (cleaning), and fluoride treatment are covered with a limit of 2 visits per year, while other diagnostic dental services are unlimited. Restorative services have a 0%-20% coinsurance, endodontics, maxillofacial prosthetics, prosthodontics (removable and fixed), and oral and maxillofacial surgery have a 20% coinsurance. Implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Generations Chronic Care Savings (HMO C-SNP) plan, but require prior authorization and a doctor's referral. You may have to pay between 0% and 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with a 20% coinsurance and no copay, Prosthetics/Medical Supplies with a 0-20% coinsurance and no copay, and Diabetic Equipment. Durable Medical Equipment for use outside the home and Diabetic Supplies/Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the Generations Chronic Care Savings (HMO C-SNP) plan. Diagnostic Procedures/Tests have a minimum copay of $0 and a maximum copay of $100, while Lab Services are not covered. Diagnostic Radiological Services have a maximum copay of $275, and Therapeutic Radiological Services have a $50 copay. 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 or coinsurance. 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, and SET for PAD Services. Prior authorization and a doctor referral are required.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered with prior authorization and a doctor referral. For days 1-20, there is no copay, and for days 21-100, the copay is $184. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services for the Generations Chronic Care Savings (HMO C-SNP) plan includes a meal benefit that requires a doctor referral, but 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, and Self-Directed Personal Assistance Services are not covered.
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