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Verda Noble Care (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Verda Noble Care (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Verda Noble Care (HMO) in 2026, please refer to our full plan details page.
Verda Noble Care (HMO) is a HMO plan offered by Verda Healthcare, Inc. available for enrollment in 2026 to people living in Dallas and Collin counties. The overall rating for this plan is not yet available for 2026.
It's important to know that Verda Noble Care (HMO) 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 Verda Noble Care (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 Verda Noble Care (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.
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 $2399.00 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 Care (HMO) Medicare prescription drug plan features an annual drug deductible of $300. You will enjoy no copay for Tier 1 (Preferred Generic), Tier 2 (Generic), and Tier 6 (Select Care Drugs) prescriptions filled at standard pharmacies or through standard mail order. This makes managing everyday maintenance medications highly affordable under this HMO plan. For Tier 3 (Preferred Brand) drugs, standard pharmacy copays are $40 for a one-month supply and $120 for a three-month supply, with a reduced $80 copay available for a three-month standard mail order. Higher-tier medications require coinsurance, with Tier 4 (Non-Preferred Drugs) at 30% coinsurance and Tier 5 (Specialty Tier) at 29% coinsurance for a one-month supply at standard pharmacies or standard mail order.
Additional Benefits
The Verda Noble Care (HMO) plan offers robust coverage with no copay and no coinsurance for primary care, specialist visits, physical therapy, and telehealth services. For hospital care, inpatient acute stays have no copay for days 1 to 3 and 8 to 90, though a $150 daily copay applies for days 4 to 7. Emergency room visits require a $119 copay, which is waived if you are admitted within 48 hours, while urgently needed services feature no copay. This plan also includes key supplemental benefits like routine dental, vision, and hearing exams with no copay and no coinsurance. Additionally, members receive up to a $200 annual allowance for eyewear, a $55 monthly allowance for over-the-counter items, and up to 24 one-way trips for plan-approved transportation at no copay. Prescription hearing aids are covered with copays ranging from $299 to $599, and durable medical equipment is available with no copay and coinsurance up to 20%.
Inpatient Hospital See details
Verda Noble Care (HMO) partially covers inpatient hospital services with no coinsurance, though prior authorization and referrals are required. Acute stays have no copay for days 1 to 3 and 8 to 90 with a $150 daily copay for days 4 to 7, while psychiatric stays require a $150 daily copay for days 1 to 5 and no copay for days 6 to 90; additional days, upgrades, and non-Medicare stays are not covered.
Outpatient Services See details
Verda Noble Care (HMO) covers outpatient services with no coinsurance, offering ambulatory surgical center and outpatient blood services at no copay. Outpatient hospital services require a $50 to $90 copay, observation services carry a $90 daily copay, and outpatient substance abuse services require a $20 copay for group sessions and a $40 copay for individual sessions.
Partial Hospitalization See details
Verda Noble Care (HMO) covers partial hospitalization services with a $25.00 copay and no coinsurance. Prior authorization and a referral are required for some of these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Verda Noble Care (HMO), with prior-authorized ground ambulance services requiring a $199 copay and no coinsurance, and air ambulance services requiring 20% coinsurance and no copay. Transportation services are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved locations, while transportation to any health-related location is not covered.
Emergency Services See details
Verda Noble Care (HMO) covers emergency services with a $119 copay and no coinsurance, which is waived if you are admitted to the hospital within 48 hours, and urgently needed services with no copay or coinsurance. Worldwide emergency and urgent services are partially covered up to a $50,000 maximum with no coinsurance, though worldwide emergency transportation is not covered.
Primary Care See details
Verda Noble Care (HMO) provides primary care, specialist, occupational and physical therapy, and telehealth services with no copay and no coinsurance. Mental health and psychiatric services feature no coinsurance with copays of $20 for group and $40 for individual sessions, opioid treatment has a $25 copay and no coinsurance, and chiropractic and podiatry services are not covered.
Preventive Services See details
Verda Noble Care (HMO) offers partially covered preventive services with no copay and no coinsurance for covered benefits like kidney education, in-home support, and fitness programs. However, the plan does not cover annual physical exams, health education, in-home safety assessments, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, caregiver support, additional smoking cessation, disease management, telemonitoring, remote access technologies, home safety modifications, or counseling.
Hearing Services See details
Hearing services are partially covered by Verda Noble Care (HMO), featuring no copay and no coinsurance for annual routine hearing exams and fitting evaluations. Up to two prescription hearing aids are covered per year with no coinsurance and a copay ranging from $299 to $599, though over-the-counter, inner ear, outer ear, and over-the-ear models are not covered.
Vision Services See details
Vision services are partially covered by Verda Noble Care (HMO), offering one routine eye exam per year with no copay and no coinsurance, though other eye exam services are not covered. Eyewear is also covered with no copay or coinsurance up to a $200 combined annual maximum for contacts, eyeglasses, lenses, frames, and upgrades.
Dental Services See details
Dental services are partially covered by Verda Noble Care (HMO), featuring no copay and no coinsurance for preventive care, though orthodontic services are not covered. Comprehensive dental benefits are covered with no coinsurance and copays ranging from $0 to $1,615 depending on the treatment.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Verda Noble Care (HMO) with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin has a $35 copay and no coinsurance, while chemotherapy and other Part B drugs require a 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under Verda Noble Care (HMO) with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these covered services.
Medical Equipment See details
Verda Noble Care (HMO) covers durable medical equipment, prosthetics, and diabetic supplies with no copay, though prior authorization is required. Depending on the specific item, coinsurance costs range from no coinsurance up to 20%.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are partially covered by Verda Noble Care (HMO), with prior authorization and referrals required. Diagnostic services and diagnostic radiological services are available with no copay and no coinsurance, though diagnostic procedures, tests, lab services, and outpatient X-rays are not covered. Covered therapeutic radiological services require a copay and 20% coinsurance.
Home Health Services See details
Home Health Services are covered by Verda Noble Care (HMO) with no copay and no coinsurance, although a referral and prior authorization are required.
Cardiac Rehabilitation Services See details
Verda Noble Care (HMO) covers Cardiac Rehabilitation Services with no coinsurance, but in practice only some services are covered as cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) rehabilitation services are not covered. Prior authorization and a referral are required for these services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Verda Noble Care (HMO) with no coinsurance, requiring prior authorization and referrals but no prior three-day hospital stay. There is no copay for days 1 through 7, followed by a daily copay of $20 for days 8 through 20, and $218 for days 21 through 100, with additional days beyond the Medicare-covered limit not covered.
Other Services See details
Verda Noble Care (HMO) partially covers other services, offering a $55 monthly allowance for over-the-counter items and a meal benefit for chronic illnesses with no copay and no coinsurance. Acupuncture is not covered under this plan, and the meal benefit requires a referral and prior authorization.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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