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Verda Noble Chronic Care (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Verda Noble Chronic Care (HMO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Verda Noble Chronic Care (HMO C-SNP) in 2026, please refer to our full plan details page.
Verda Noble Chronic Care (HMO C-SNP) is a HMO C-SNP plan offered by Verda Healthcare, Inc. available for enrollment in 2025 to people living in Houston Area. The overall rating for this plan is not yet available for 2026.
It's important to know that Verda Noble Chronic Care (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Verda Noble Chronic Care (HMO C-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 Verda Noble Chronic Care (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.
For Verda Noble Chronic Care (HMO C-SNP), 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.
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 $300.00 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 $999.00 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 Verda Noble Chronic Care (HMO C-SNP) prescription drug plan features an annual drug deductible of $300. Beneficiaries enjoy no copay for Tier 1 preferred generics, Tier 2 generics, and Tier 6 select care drugs when filled at standard pharmacies or through three-month standard mail order. For Tier 3 preferred brand drugs, standard pharmacy copays are $30 for a one-month supply, $60 for two months, and $90 for three months, with a $60 copay for three-month standard mail orders. Tier 4 non-preferred drugs and Tier 5 specialty drugs require a 28% and 29% coinsurance, respectively, for one-month standard fills.
Additional Benefits
The Verda Noble Chronic Care (HMO C-SNP) plan offers comprehensive coverage with no copays or coinsurance for many essential services, including inpatient acute hospital stays, primary care, specialist visits, and home health care. Patients will encounter predictable copayments for other key services, such as a ninety-dollar copay for emergency room visits and copays ranging from fifty to ninety dollars for outpatient hospital services. While most covered benefits eliminate coinsurance entirely, certain specialized treatments like dialysis and select Medicare Part B drugs require a twenty percent coinsurance. This chronic care plan also features valuable everyday benefits, offering routine dental, vision, and hearing exams with no copays or coinsurance. Members receive a three-hundred-dollar annual allowance for eyewear, a monthly eighty-five-dollar allowance for over-the-counter items, and up to twenty-four routine chiropractic and acupuncture visits per year at no cost. Prescription hearing aids and comprehensive dental care are also covered with variable copays and no coinsurance, making essential wellness support highly affordable.
Inpatient Hospital See details
Verda Noble Chronic Care (HMO C-SNP) covers inpatient acute hospital stays with no copay and no coinsurance, and inpatient psychiatric stays with no coinsurance and a $100 daily copay for days 1 to 5 (no copay for days 6 to 90). This benefit is partially covered, as additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Verda Noble Chronic Care (HMO C-SNP) covers outpatient services with no coinsurance, offering ambulatory surgical center and blood services with no copays. Outpatient hospital services require a $50 to $90 copay, daily observation services have a $90 copay, and outpatient substance abuse sessions carry a $20 to $40 copay.
Partial Hospitalization See details
Verda Noble Chronic Care (HMO C-SNP) covers partial hospitalization services with a $25.00 copay and no coinsurance. Prior authorization and a referral are required to access this benefit.
Ambulance and Transportation Services See details
Verda Noble Chronic Care (HMO C-SNP) covers ground ambulance services with a $99 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, both requiring prior authorization. Transportation services are partially covered, offering up to 36 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
Verda Noble Chronic Care (HMO C-SNP) covers emergency services with a $90 copay and no coinsurance, which is waived if admitted to the hospital within 48 hours, and urgently needed services with no copay and no coinsurance. Worldwide emergency services are partially covered up to a $50,000 limit with a $90 copay and no coinsurance for emergency care, though worldwide emergency transportation is not covered.
Primary Care See details
Verda Noble Chronic Care (HMO C-SNP) covers primary care, specialist, therapy, and telehealth services with no copay and no coinsurance, though podiatry services are not covered. Chiropractic services are partially covered, offering up to 24 routine visits per year with no copay and no coinsurance, while other chiropractic services are not covered. Mental health and psychiatric services have no coinsurance with a $40 individual or $20 group session copay, and opioid treatment has a $25 copay and no coinsurance.
Preventive Services See details
Verda Noble Chronic Care (HMO C-SNP) preventive services are partially covered with no copay and no coinsurance for covered benefits like kidney disease education, therapeutic massage, and in-home support. However, several services are not covered under this plan, including annual physical exams, health education, in-home safety assessments, medical nutrition therapy, weight management programs, and home safety modifications.
Hearing Services See details
Verda Noble Chronic Care (HMO C-SNP) covers annual routine hearing exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and a copay ranging from $99 to $599, though inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Verda Noble Chronic Care (HMO C-SNP) provides partially covered vision services with no copays, no coinsurance, and no deductibles, though other eye exam services are not covered. The plan covers one routine eye exam per year and offers up to a $300 annual maximum benefit for eyewear, including contacts, eyeglasses, frames, lenses, and upgrades.
Dental Services See details
Dental services are partially covered by Verda Noble Chronic Care (HMO C-SNP), though orthodontics is not covered. Covered preventive dental services feature no copay and no coinsurance, while covered comprehensive services require copays ranging from $0.00 to $1,615.00 and no coinsurance.
Home Infusion bundled Services See details
Verda Noble Chronic Care (HMO C-SNP) covers home infusion bundled services with no copay and no coinsurance, although prior authorization and step therapy may be required. Under this benefit, Medicare Part B insulin drugs require a $35 copay and no coinsurance, while Medicare Part B chemotherapy, radiation, and other Part B drugs have no copay and a coinsurance ranging from 0% to 20%.
Dialysis Services See details
Verda Noble Chronic Care (HMO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these services.
Medical Equipment See details
Verda Noble Chronic Care (HMO C-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, and diabetic supplies, with no copays and prior authorization required. DME and diabetic equipment feature coinsurance ranging from no coinsurance to 20%, while prosthetic devices and medical supplies carry a flat 20% coinsurance.
Diagnostic and Radiological Services See details
Verda Noble Chronic Care (HMO C-SNP) offers partially covered diagnostic and radiological services, which require prior authorization and referrals. Covered diagnostic and diagnostic radiological services feature no copay and no coinsurance, while therapeutic radiological services require a copayment and 20% coinsurance. Diagnostic procedures, lab services, and outpatient X-ray services are not covered.
Home Health Services See details
Home health services are covered by Verda Noble Chronic Care (HMO C-SNP) with no copay and no coinsurance. Prior authorization and a referral are required to receive this benefit.
Cardiac Rehabilitation Services See details
Verda Noble Chronic Care (HMO C-SNP) covers some cardiac rehabilitation services with no coinsurance, but prior authorization and referrals are required. Standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) are not covered, carrying copayments between $20 and $25.
Skilled Nursing Facility (SNF) See details
Verda Noble Chronic Care (HMO C-SNP) covers skilled nursing facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, with prior authorization and referrals required, though additional days beyond the first 100 are not covered.
Other Services See details
Verda Noble Chronic Care (HMO C-SNP) covers acupuncture, meals for chronic illness, and over-the-counter items with no copay and no coinsurance, featuring a monthly $85 catalog allowance and up to 24 acupuncture treatments yearly. Other services, specifically Other 1, Other 2, Other 3, and Dual Eligible SNP services, are not covered under this benefit.
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* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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