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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 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 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 $2299.00 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) plan features an annual drug deductible of $300. Members benefit from no copay on Tier 1 (Preferred Generic), Tier 2 (Generic), and Tier 6 (Select Care Drugs) prescriptions at standard pharmacies for all supply durations, as well as no copay for three-month standard mail order refills. This cost-effective structure makes managing chronic conditions highly affordable for everyday generic medications. For Tier 3 (Preferred Brand) drugs, standard pharmacy copays range from $35 for a one-month supply to $105 for a three-month supply, though a three-month standard mail order reduces the cost to a $70 copay. More specialized medications require coinsurance rather than flat copays, with Tier 4 (Non-Preferred Drug) costing 28% coinsurance and Tier 5 (Specialty Tier) costing 29% coinsurance for a one-month supply. These clear pricing tiers allow you to easily estimate your annual out-of-pocket prescription costs.
Additional Benefits
The Verda Noble Chronic Care (HMO C-SNP) plan offers robust coverage with no copays and no coinsurance for primary care, specialist visits, telehealth, and physical therapies. Members also enjoy no copays or coinsurance for routine hearing exams, vision care, and preventive dental services, alongside a 250 dollar annual eyewear allowance. Additionally, the plan covers up to 36 one-way routine transportation trips per year and provides up to 1,200 dollars annually for in-home support at no cost. For more intensive care, inpatient acute hospital stays feature no copay for days one through three, while emergency services require a 109 dollar copay with no coinsurance. While home health and home infusion services have no copays, other benefits like dialysis, medical equipment, and therapeutic radiology require coinsurance up to 20 percent. Comprehensive dental and prescription hearing aids are also covered, though they are subject to varying copays.
Inpatient Hospital See details
Verda Noble Chronic Care (HMO C-SNP) partially covers inpatient hospital services with no coinsurance, though prior authorization and referrals are required. For acute stays, there is no copay for days 1 to 3 and 8 to 90, and a $125 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; however, additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Verda Noble Chronic Care (HMO C-SNP) outpatient services are covered with no coinsurance, featuring a $50 to $90 copay for outpatient hospital services and a $90 daily copay for observation services. Ambulatory surgical center and blood services have no copay and no coinsurance, while outpatient substance abuse services require a $20 to $40 copay and no coinsurance.
Partial Hospitalization See details
Verda Noble Chronic Care (HMO C-SNP) covers partial hospitalization services with a $25.00 copay and no coinsurance. Depending on the service provider, prior authorization and a referral may be required to access these benefits.
Ambulance and Transportation Services See details
Verda Noble Chronic Care (HMO C-SNP) covers ground ambulance services with a $189 copay and air ambulance services with a 20% coinsurance, both requiring prior authorization. Transportation services to plan-approved locations are covered with no copay and no coinsurance for up to 36 one-way trips per year, while transportation to general health-related locations is not covered.
Emergency Services See details
Verda Noble Chronic Care (HMO C-SNP) covers emergency services with a $109 copay and no coinsurance, which is waived if you are admitted to the hospital within 48 hours, while urgently needed services require no copay or coinsurance. Worldwide emergency and urgent care are covered up to a $50,000 maximum with no coinsurance, although worldwide emergency transportation is not covered.
Primary Care See details
Verda Noble Chronic Care (HMO C-SNP) covers primary care, specialist visits, telehealth, and physical, occupational, and speech therapies with no copay and no coinsurance. Mental health and psychiatric services feature no coinsurance with a $20 copay for group sessions and a $40 copay for individual sessions, while opioid treatment has a $25 copay and no coinsurance. Chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are covered by Verda Noble Chronic Care (HMO C-SNP) with no copay and no coinsurance, including kidney disease education and glaucoma screenings, though some require referrals and prior authorization. These benefits are partially covered, offering memory fitness, personal emergency response systems, and up to $1,200 annually for in-home support, while annual physical exams, health education, and nutritional/dietary benefits are not covered.
Hearing Services See details
Verda Noble Chronic Care (HMO C-SNP) partially covers hearing services, offering routine hearing exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are covered with no coinsurance and a copay ranging from $99.00 to $599.00, though inner ear, outer ear, over the ear, and over-the-counter (OTC) hearing aids are not covered.
Vision Services See details
Vision services are covered by Verda Noble Chronic Care (HMO C-SNP) with no copay, no coinsurance, and no deductible for routine exams and eyewear, though other eye exam services are not covered. Covered benefits include one routine eye exam per year and a $250 annual maximum allowance for contacts, eyeglasses, and upgrades.
Dental Services See details
Dental services are partially covered under the Verda Noble Chronic Care (HMO C-SNP) plan, which excludes coverage for orthodontics. Preventive services are offered with no copay and no coinsurance, while covered comprehensive services require no coinsurance and copays ranging from $0 to $1,615.
Home Infusion bundled Services See details
Verda Noble Chronic Care (HMO C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Part B insulin drugs require a $35 copay and no coinsurance, while Part B chemotherapy, radiation, and other drugs have no copay and a coinsurance of 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 access these covered 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 copay and prior authorization required. Coinsurance ranges from 0% to 20% for DME and diabetic equipment, while medical supplies and prosthetic devices require a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are partially covered under Verda Noble Chronic Care (HMO C-SNP), as lab services, diagnostic procedures/tests, and outpatient X-ray services are not covered. Covered diagnostic and diagnostic radiological services require no copay and no coinsurance, while therapeutic radiological services require both a copay and a minimum 20% coinsurance, with prior authorization and referrals required.
Home Health Services See details
Home Health Services are covered under the Verda Noble Chronic Care (HMO C-SNP) with no copay and no coinsurance, though prior authorization and a referral are required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Verda Noble Chronic Care (HMO C-SNP) with no coinsurance, though only some services are covered as standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Verda Noble Chronic Care (HMO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, though prior authorization and referrals are required. There is no copay for days 1 through 7, a $20 daily copay for days 8 through 20, and a $218 daily copay for days 21 through 100, with no coverage provided for additional days beyond the Medicare-covered limit.
Other Services See details
Other services are partially covered by Verda Noble Chronic Care (HMO C-SNP), including chronic illness meal benefits and a $55 monthly over-the-counter allowance, both offered with no copay and no coinsurance. Acupuncture, dual eligible SNP highly integrated services, and other miscellaneous services are not covered.
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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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