Gold Dialysis & Kidney (HMO-POS C-SNP)

Gold Dialysis & Kidney (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by Gold Kidney Health Plan available for enrollment in 2025 to people living in Counties: CH, CO, GH, and NV. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Gold Dialysis & Kidney (HMO-POS 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 Gold Dialysis & Kidney (HMO-POS 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 Gold Dialysis & Kidney (HMO-POS C-SNP) plan offers an enhanced alternative drug benefit with no prescription drug deductible. During the initial coverage phase, standard pharmacy copays for a 30-day supply include a five-dollar copay for preferred generics, a forty-seven-dollar copay for standard generics, and a one-hundred-dollar copay for preferred brands. Non-preferred drugs require a thirty-three percent coinsurance, while specialty tier drugs are covered with no copay. Once your yearly out-of-pocket drug costs reach two thousand one hundred dollars, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Additionally, individuals who qualify for the low-income subsidy will pay nothing for their Part D coverage. This plan ensures clear cost limits and comprehensive support for your prescription needs.

Additional Benefits

The Gold Dialysis & Kidney (HMO-POS C-SNP) plan offers robust coverage for essential medical services, featuring a $200 copay for the first five days of inpatient hospital stays and no copay for days six through 90. Primary care and specialist visits are highly affordable, ranging from no copay up to a $15 copay with no coinsurance, while emergency room visits require a $120 copay that is waived upon hospital admission. Outpatient services and diagnostic radiological tests generally feature low-to-moderate copays up to $200 and no coinsurance, though some specialized treatments like chemotherapy and durable medical equipment require a 20% coinsurance with no copay. For supplemental care, the plan provides up to $2,500 in annual dental coverage with a $15 copay for Medicare-covered services and a 50% coinsurance for removable prosthodontics. Routine vision and hearing exams are available for a $15 copay, with additional allowances of up to $300 for eyeglasses and prescription hearing aid copays ranging up to $1,495. Additionally, the plan covers Medicare-approved preventive services at no cost, skilled nursing facility stays with no copay for the first 20 days, and up to 12 acupuncture treatments for a $20 copay.