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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 2026, 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 2026.
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 $3.20. 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 $615.00 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 $9250.00 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) Medicare plan features an annual prescription drug deductible of $615. This deductible is the amount you must pay out-of-pocket for your covered medications before the plan begins to cover its share of the costs. Specific drug tier details, including individual copayments and coinsurance rates, are not available for this plan. Without this tier information, the exact costs for generic or brand-name drugs cannot be determined.
Additional Benefits
The Generations Dual Support (HMO D-SNP) plan offers comprehensive medical coverage, including primary care and telehealth visits with no copay or coinsurance. For inpatient hospital stays and skilled nursing facility care, members pay daily copayments for initial days followed by no copay, with no coinsurance required. Outpatient services, specialist visits, and emergency care are also covered, typically requiring either a 20% coinsurance or a flat copayment. This plan features valuable extra benefits, such as a $2,000 annual allowance for dental care and a $1,000 allowance for prescription hearing aids, both with no copay or coinsurance. Members also benefit from routine vision exams, a $100 annual eyewear allowance, and up to 36 approved one-way transportation trips per year with no copay or coinsurance. Additionally, the plan provides a $250 monthly reimbursement for over-the-counter items and a chronic illness meal benefit with no copay or coinsurance.
Inpatient Hospital See details
Generations Dual Support (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, though prior authorization and referrals are required. Acute stays require a $380 daily copay for days 1-7 (no copay for days 8-90) with up to 100 additional days covered, while psychiatric stays require a $275 daily copay for days 1-7 (no copay for days 8-90). Non-Medicare-covered stays and upgrades are not covered.
Outpatient Services See details
Generations Dual Support (HMO D-SNP) covers outpatient services with no copay, though a 20% coinsurance applies to outpatient hospital, ambulatory surgical center, and substance abuse services. Outpatient blood services are covered with no copay, no coinsurance, and no deductible.
Partial Hospitalization See details
Generations Dual Support (HMO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization and a referral are required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered under the Generations Dual Support (HMO D-SNP) plan. Ground and air ambulance services require a 20% coinsurance and no copay, while plan-approved transportation is covered with no copay or coinsurance for up to 36 one-way trips per year, though transportation to any health-related location is not covered.
Emergency Services See details
Generations Dual Support (HMO D-SNP) covers emergency services with a $110 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours, and urgently needed services with a $40 copay and no coinsurance. Worldwide emergency and urgent services are partially covered up to a $50,000 limit with a $110 copay and no coinsurance, but worldwide emergency transportation is not covered.
Primary Care See details
Generations Dual Support (HMO D-SNP) provides primary care physician and telehealth services with no copay and no coinsurance. Other covered benefits, such as specialist visits, physical therapy, and mental health services, require no copay and a 20% coinsurance, while chiropractic services are not covered and routine foot care is limited to six visits per year.
Preventive Services See details
Generations Dual Support (HMO D-SNP) covers preventive services, including annual physicals and kidney disease education, with no copay and no coinsurance. However, additional preventive services are only partially covered; the plan does not cover health education, in-home safety assessments, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, weight management programs, alternative therapies, therapeutic massage, adult day health services, nutritional benefits, home-based palliative care, caregiver support, additional smoking cessation counseling, enhanced disease management, telemonitoring, home and bathroom safety modifications, and counseling services.
Hearing Services See details
Hearing services under Generations Dual Support (HMO D-SNP) feature no copay and a 20% coinsurance for annual routine exams and fitting evaluations, as well as a $1,000 annual allowance for prescription hearing aids with no copay or coinsurance. OTC hearing aids, along with inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered under the Generations Dual Support (HMO D-SNP) plan, featuring no copay and a 20% coinsurance with no deductible for one routine eye exam per year. Covered eyewear has no copay, no coinsurance, and no deductible up to a $100 annual limit, though other eye exams and upgrades are not covered.
Dental Services See details
Generations Dual Support (HMO D-SNP) covers Medicare-covered dental services with no copay and a 20% coinsurance, alongside other diagnostic, preventive, and comprehensive dental services with no copay and no coinsurance up to a $2,000 annual maximum. The dental benefit is partially covered, as other preventive dental services, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Generations Dual Support (HMO D-SNP) covers Home Infusion bundled Services with no copay, requiring prior authorization and step therapy. Under this benefit, Medicare Part B chemotherapy and other drugs carry no copay and a 0% to 20% coinsurance, while Part B insulin requires a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered under Generations Dual Support (HMO D-SNP) with no copay and a 20% coinsurance, though prior authorization and a referral are required.
Medical Equipment See details
Medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, is covered by Generations Dual Support (HMO D-SNP) with no copay and 20% coinsurance. Prior authorization is required for these covered items.
Diagnostic and Radiological Services See details
Generations Dual Support (HMO D-SNP) covers diagnostic and radiological services with no copay, subject to a 20% coinsurance, prior authorization, and referral requirements. This coverage applies to outpatient diagnostic procedures, lab services, therapeutic radiological services, and outpatient X-rays.
Home Health Services See details
Generations Dual Support (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization and a referral are required.
Cardiac Rehabilitation Services See details
Generations Dual Support (HMO D-SNP) covers some cardiac rehabilitation services with no copay, though prior authorization and referrals are required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Generations Dual Support (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization and referrals are required, and additional days beyond the standard 100-day Medicare limit are not covered.
Other Services See details
Other services under Generations Dual Support (HMO D-SNP) are partially covered, offering over-the-counter (OTC) items and a chronic illness meal benefit with no copay and no coinsurance, while acupuncture is not covered. Eligible members receive up to $250 monthly in OTC reimbursement, and the meal benefit requires prior authorization.
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