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

Gold Dialysis & Kidney Complete (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by Gold Kidney Health Plan available for enrollment in 2026 to people living in Maricopa Pinal Pima Gila Navajo. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Gold Dialysis & Kidney Complete (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 Complete (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 Complete (HMO-POS C-SNP) Medicare plan features a defined standard drug benefit with a prescription drug deductible of $615.00. After meeting this deductible, you will pay cost-sharing amounts during the initial coverage phase until your total drug costs reach $2,100.00. If you qualify for the low-income subsidy, your Part D premium is reduced to $17.00. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will have no copay for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefits. This coverage structure ensures you are protected from high medication costs once you hit the yearly out-of-pocket threshold.

Additional Benefits

The Gold Dialysis & Kidney Complete (HMO-POS C-SNP) plan offers comprehensive coverage for kidney care and general medical needs, with most outpatient services, doctor visits, diagnostic tests, and dialysis services requiring no copay and a 20% coinsurance. Inpatient hospital stays and skilled nursing facility care are partially covered with Medicare-defined copays and coinsurance, while emergency services also feature no copay and a 20% coinsurance. Preventive care, including annual physicals and kidney disease education, is fully covered with no copay or coinsurance. This plan also includes supplemental benefits, featuring dental care with no copay and a 20% coinsurance up to a $4,000 annual maximum. Routine hearing and vision exams also require no copay and a 20% coinsurance, with eyewear covered up to annual limits and up to 22 one-way transportation trips provided for approved health-related visits. Please note that cardiac rehabilitation and over-the-counter items are not covered by this plan.