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Generations Dual Support (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Generations Dual Support (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Generations Dual Support (HMO D-SNP) in 2025, please refer to our full plan details page.
Generations Dual Support (HMO D-SNP) is a HMO D-SNP plan offered by MHH Healthcare, L.P. available for enrollment in 2025 to people living in Oklahoma (Partial). This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that Generations Dual Support (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Generations Dual Support (HMO D-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 Dual Support (HMO D-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 Dual Support (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $49.80. 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 a $590.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9350.00 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 Dual Support (HMO D-SNP) plan has a $590.00 deductible for prescription drugs. If you qualify for the low-income subsidy, your monthly Part D premium is $49.80. During the initial coverage phase, you will pay the costs for your drugs, but the exact costs are not specified in this summary. Once your total drug costs reach $2000.00, you enter the catastrophic coverage phase, where you pay nothing for your Part D covered drugs.
Additional Benefits
The Generations Dual Support (HMO D-SNP) plan offers a variety of benefits with varying costs. Inpatient hospital stays have a copay for the first week, and then no copay for the remainder of the stay. Outpatient services, including primary care, have a coinsurance of at most 20%, while some services like emergency care have a copay. The plan also covers preventive, hearing, vision, and dental services, with specific coverage details and cost-sharing. Other benefits include home health, medical equipment, and transportation, each with its own cost structure. Additional benefits include coverage for over-the-counter items.
Inpatient Hospital See details
Inpatient Hospital benefits include Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services, with a copay of $380 for days 1-7 and no copay for days 8-90 for Inpatient Hospital-Acute, and a copay of $275 for days 1-7 and no copay for days 8-90 for Inpatient Hospital Psychiatric. Additional days and upgrades for Inpatient Hospital-Acute, as well as additional days and non-Medicare covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including all Outpatient Hospital Services, Observation Services, Ambulatory Surgical Center (ASC) Services, Outpatient Substance Abuse Services, and Outpatient Blood Services, are covered. Outpatient Hospital and Observation Services have a 20% coinsurance, while Individual and Group Sessions for Outpatient Substance Abuse have a minimum 20% and maximum 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered by the Generations Dual Support (HMO D-SNP) plan, but requires prior authorization and a doctor referral. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, with 20% coinsurance for both ground and air ambulance services. Transportation Services to any health-related location are covered for up to 36 one-way trips per year, but 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 Dual Support (HMO D-SNP) plan. Emergency Services and Worldwide Emergency Coverage have a $110 copay, while Urgently Needed Services has a $45 copay; all services have no coinsurance. Worldwide Emergency Transportation is not covered.
Primary Care See details
The Generations Dual Support (HMO D-SNP) plan covers primary care physician services, chiropractic services, occupational therapy services, physician specialist services, mental health specialty services, podiatry services, other health care professional services, psychiatric services, physical therapy, speech-language pathology services, additional telehealth benefits, and opioid treatment program services. Chiropractic services, physician specialist services, individual and group mental health and psychiatric sessions, and routine foot care have a 20% coinsurance. Routine chiropractic care is not covered. Occupational therapy services, podiatry services, other health care professional services, and opioid treatment program services have a 20% coinsurance. Physical therapy, speech-language pathology services, and individual and group psychiatric sessions have a 20% coinsurance.
Preventive Services See details
The Generations Dual Support (HMO D-SNP) plan covers preventive services, including annual physical exams, glaucoma screenings, and diabetes self-management training. Health education, in-home safety assessments, medical nutrition therapy, and several other services are not covered.
Hearing Services See details
Hearing Services include routine hearing exams with a coinsurance of at most 20% and fitting/evaluation for hearing aids with no deductible. Prescription hearing aids are covered, but inner ear, outer ear, and over the ear hearing aids are not covered, and OTC hearing aids are not covered.
Vision Services See details
Vision Services include coverage for eye exams with a 20% coinsurance, one routine eye exam per year, and eyewear with a combined maximum benefit of $100 per year. Contact lenses, eyeglasses (lenses and frames), and eyeglass lenses and frames are covered. Upgrades are not covered.
Dental Services See details
Dental Services includes coverage for Medicare Dental Services with 20% coinsurance, and other dental services with a $2,000 maximum per year. Oral exams, dental x-rays, prophylaxis (cleaning), and fluoride treatments are covered, but have a limited number of visits per year. Orthodontic Services are covered under Diagnostic and Preventive Dental. Implant Services and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, and require prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay and coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization and a doctor's referral. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include coverage for Durable Medical Equipment (DME), Prosthetic Devices, and Medical Supplies, with a 20% coinsurance for some services, and Diabetic Equipment including Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts, also with a 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including diagnostic procedures/tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services, are covered under the Generations Dual Support (HMO D-SNP) plan. These services have no copay, but require a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the Generations Dual Support (HMO D-SNP) plan with no copay or coinsurance. However, additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the Generations Dual Support (HMO D-SNP) plan, but none of the listed sub-services are covered. Prior authorization and a doctor referral are required for these services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Generations Dual Support (HMO D-SNP) and require prior authorization and a doctor's referral. There is no copay for days 1-20, and a $214 copay for days 21-100, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
The Generations Dual Support (HMO D-SNP) plan covers Over-the-Counter (OTC) Items with a maximum benefit of $260.00 every month, and Nicotine Replacement Therapy (NRT) is included. Meal Benefits are covered with a doctor referral. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and additional services such as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services are not covered.
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