CommuniCare Advantage CSNP (HMO C-SNP)

CommuniCare Advantage CSNP (HMO C-SNP) is a HMO C-SNP plan offered by SNP Holdings, LLC available for enrollment in 2025 to people living in Maryland and Ohio. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that CommuniCare Advantage CSNP (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about CommuniCare Advantage CSNP (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.

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:

Drug Coverage

The CommuniCare Advantage CSNP (HMO C-SNP) prescription drug plan has an annual drug deductible of $615. For Tier 1 preferred generic drugs, you will pay a $6 copay for a 1-month supply at a standard retail pharmacy, or a $5 copay through standard mail order. Tier 2 generic medications cost a $17 copay for a 1-month supply at standard pharmacies and a $15 copay for standard mail order. Tier 3 preferred brand drugs require a $45 copay at standard pharmacies or a $40 copay through standard mail order for a 1-month supply. Tier 4 non-preferred drugs have a $92 standard pharmacy copay, while Tier 5 specialty drugs require a 25% coinsurance for a 1-month supply. You can also save on your out-of-pocket costs by utilizing standard mail order or purchasing 2-month or 3-month supplies.

Additional Benefits

The CommuniCare Advantage CSNP (HMO C-SNP) plan offers comprehensive medical coverage with no copay or coinsurance for primary care, telehealth, and home health services. Specialist visits, emergency care, and inpatient hospital stays require set copayments but no coinsurance, while outpatient treatments, dialysis, and durable medical equipment typically feature a 10% to 20% coinsurance with no copay. Skilled nursing facility stays are also covered with no copay for the first 20 days, followed by a daily copayment. For supplemental care, members benefit from dental coverage up to a $2,000 annual limit and hearing services up to a $2,500 annual limit, both with no copays, coinsurance, or deductibles. Vision care is also covered with no copay, coinsurance, or deductible up to a $250 yearly limit for routine exams and eyewear. Additionally, the plan covers up to 36 annual one-way transportation trips to plan-approved locations with no copay or coinsurance.