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HealthSpring Preferred Full Savings (HMO)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for HealthSpring Preferred Full Savings (HMO). The information on this page is a summary only.

For a complete listing of all available benefits and cost information on HealthSpring Preferred Full Savings (HMO) in 2026, please refer to our full plan details page.

HealthSpring Preferred Full Savings (HMO) is a HMO plan offered by Health Care Service Corporation available for enrollment in 2025 to people living in Mobile. This plan received an overall rating of 4 out of 5 stars in 2026.

It's important to know that HealthSpring Preferred Full Savings (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about HealthSpring Preferred Full Savings (HMO).

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 HealthSpring Preferred Full Savings (HMO), 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 $185.00. 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 a $500.00 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 $5750.00 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 HealthSpring Preferred Full Savings (HMO)

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Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Drug Coverage IconDrug Coverage

The HealthSpring Preferred Full Savings (HMO) plan features an Enhanced Alternative drug benefit with a $500 annual prescription drug deductible. During the initial coverage phase, Tier 1 preferred generic drugs have an $8 copay at preferred pharmacies and mail order, or a $20 copay at standard pharmacies and mail order. Tier 2 standard generics require a $47 copay, while Tier 3 preferred brands have a 50% coinsurance and Tier 4 non-preferred drugs have a 27% coinsurance. After your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for covered Medicare Part D drugs. Additionally, beneficiaries who qualify for the low-income subsidy can receive a premium reduction, resulting in no premium costs for Part D.

Additional Benefits IconAdditional Benefits

The HealthSpring Preferred Full Savings (HMO) plan offers structured coverage for essential medical needs, focusing on predictable copays and no coinsurance for many core services. Inpatient hospital stays require a daily copay of $380 for the first five days followed by no copay for days six through 90, while doctor visits range from no copay for primary care up to a $40 copay for specialists. Emergency care is covered with a $130 copay, which is waived if you are admitted, and ground ambulance services require a $240 copay. For supplemental care, the plan features comprehensive dental benefits with no copays or coinsurance up to a $1,200 annual limit, alongside routine vision exams ranging from no copay to $40 and a $200 eyewear allowance. Routine hearing exams are available for a $25 copay, while durable medical equipment and dialysis services require a 20% coinsurance with no copay. Diagnostic lab and outpatient X-ray services are also available with no copay and no coinsurance.

Inpatient Hospital See details

HealthSpring Preferred Full Savings (HMO) partially covers inpatient hospital benefits with a $380 daily copay for days 1 through 5, no copay for days 6 through 90, and no coinsurance. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.

Outpatient Services See details

HealthSpring Preferred Full Savings (HMO) covers outpatient services with no coinsurance, though prior authorization is required for most benefits. Copayments range from no copay for ambulatory surgical center services and up to $400 for outpatient hospital services, to a $410 copay per stay for observation services, while outpatient blood services have no deductible.

Partial Hospitalization See details

Partial hospitalization benefits are covered by HealthSpring Preferred Full Savings (HMO) with a $140 copay and no coinsurance. Prior authorization is required to access these services.

Ambulance and Transportation Services See details

Ambulance and transportation services are partially covered by HealthSpring Preferred Full Savings (HMO), as transportation services to plan-approved or any health-related locations are not covered. Covered ground ambulance services require a $240 copay and no coinsurance, while air ambulance services require a 20% coinsurance and no copay, with prior authorization required for both.

Emergency Services See details

HealthSpring Preferred Full Savings (HMO) covers emergency services with a $130 copay and urgently needed services with a $50 copay, both featuring no coinsurance and waived copays if admitted to the hospital within 24 hours. Worldwide emergency, urgent, and transportation services are also covered up to a $50,000 maximum plan limit with a $130 copay and no coinsurance.

Primary Care See details

HealthSpring Preferred Full Savings (HMO) covers primary care, specialist visits, physical therapy, and occupational therapy with copays ranging from no copay to $40 and no coinsurance. Chiropractic services are partially covered with a $15 copay and no coinsurance, though routine care is not covered, while podiatry is completely uncovered. Additionally, some mental health and psychiatric services are covered, but individual and group sessions are not covered under the plan.

Preventive Services See details

HealthSpring Preferred Full Savings (HMO) offers partial coverage for preventive services, including annual physical exams, kidney disease education, and Medicare-covered zero-dollar services with no copay. However, several additional benefits are not covered, such as health education, weight management, alternative therapies, and personal emergency response systems.

Hearing Services See details

HealthSpring Preferred Full Savings (HMO) covers annual routine hearing exams for a $25 copay and no coinsurance, alongside OTC hearing aids for a $399 copay and no coinsurance. Prescription hearing aids are partially covered with copays between $399 and $1,800 and no coinsurance, though inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.

Vision Services See details

Vision services are covered by HealthSpring Preferred Full Savings (HMO), featuring routine eye exams once per year with a copay of $0 to $40 and no coinsurance. The plan also offers up to $200 annually for eyewear, including lenses, frames, and contacts, with no deductible or coinsurance.

Dental Services See details

HealthSpring Preferred Full Savings (HMO) covers Medicare-covered dental services with a $40 copay and no coinsurance, subject to prior authorization. Other preventive and comprehensive dental services are covered up to a $1,200 annual maximum with no copays or coinsurance.

Home Infusion bundled Services See details

Home infusion bundled services are covered by HealthSpring Preferred Full Savings (HMO), requiring prior authorization. Medicare Part B insulin drugs carry a $35 copay and coinsurance ranging from no coinsurance to 20%, while other covered chemotherapy, radiation, and Part B drugs require no copay and coinsurance ranging from no coinsurance to 20%.

Dialysis Services See details

Dialysis Services are covered under the HealthSpring Preferred Full Savings (HMO) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.

Medical Equipment See details

Medical Equipment benefits are partially covered by HealthSpring Preferred Full Savings (HMO), as diabetic supplies are not covered. Covered services, including durable medical equipment, prosthetic devices, and diabetic therapeutic shoes, require a 20% coinsurance and no copay, with prior authorization required.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by HealthSpring Preferred Full Savings (HMO) with no coinsurance, though prior authorization is required. Members will pay no copay for lab and outpatient X-ray services, an $80 copay for therapeutic radiological services, and a copay ranging from $0 to $100 for diagnostic procedures and radiological services.

Home Health Services See details

Home Health Services are covered under the HealthSpring Preferred Full Savings (HMO) plan, though prior authorization is required. Specific copay and coinsurance information for these services is not specified.

Cardiac Rehabilitation Services See details

HealthSpring Preferred Full Savings (HMO) technically covers Cardiac Rehabilitation Services with prior authorization, though only some services are covered while Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD services are not covered. Since these specific services are not covered in practice, there is no copay or coinsurance associated with them under this plan.

Skilled Nursing Facility (SNF) See details

HealthSpring Preferred Full Savings (HMO) partially covers Skilled Nursing Facility (SNF) services, requiring prior authorization and no coinsurance. Covered stays incur a $10 copay per day for days 1 through 20 and a $218 copay per day for days 21 through 100, but additional days beyond Medicare-covered services are not covered.

Other Services See details

HealthSpring Preferred Full Savings (HMO) partially covers Other Services, offering a meal benefit for chronic conditions and a $15 quarterly over-the-counter allowance with no copay or coinsurance. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered.

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