A non-government entity
Longevity Health Plan (HMO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Longevity Health Plan (HMO I-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Longevity Health Plan (HMO I-SNP) in 2026, please refer to our full plan details page.
Longevity Health Plan (HMO I-SNP) is a HMO I-SNP plan offered by Longevity Health Founders, LLC available for enrollment in 2026 to people living in NC (Partial). This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that Longevity Health Plan (HMO I-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Longevity Health Plan (HMO I-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 Longevity Health Plan (HMO I-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 Longevity Health Plan (HMO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $36.20. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.90. You must continue to pay paying your reduced 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 $615.00 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 $9250.00 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:
Sign up for Longevity Health Plan (HMO I-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Longevity Health Plan (HMO I-SNP) features an annual prescription drug deductible of $615. This deductible is the amount you must pay out-of-pocket for your covered medications before the plan begins to pay its share. Specific details regarding drug coverage tiers, copayments, and coinsurance amounts are currently unavailable for this Medicare plan. To fully understand your potential out-of-pocket costs for specific medications, you should contact the plan provider directly to review their formulary.
Additional Benefits
The Longevity Health Plan (HMO I-SNP) offers comprehensive medical coverage with no copay for inpatient hospital stays, primary care visits, home health services, and skilled nursing facility care, though Medicare-defined coinsurance or prior authorizations may apply. Outpatient services, diagnostic tests, ambulance rides, and durable medical equipment generally require a 20% coinsurance and no copay. Emergency room visits carry a $115 copay, which is waived if you are admitted to the hospital within three days. This plan also features robust supplemental benefits, including preventive and comprehensive dental care with no copay or coinsurance up to a $4,000 annual limit. Members benefit from no copays or coinsurance for hearing aids up to $3,200 every two years, eyewear up to $360 every two years, and an over-the-counter allowance of $200 every three months. Additionally, routine transportation is covered with no copay for up to 18 one-way trips per year to plan-approved locations.
Inpatient Hospital See details
Longevity Health Plan (HMO I-SNP) covers inpatient acute and psychiatric hospital stays with no copay, subject to Medicare-defined coinsurance and prior authorization. This benefit is partially covered, as additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by Longevity Health Plan (HMO I-SNP) with no copay and a 20% coinsurance for outpatient hospital, ambulatory surgical center, substance abuse, and blood services. Prior authorization is required for outpatient hospital, ambulatory surgical center, and substance abuse services, and there is no deductible for outpatient blood services.
Partial Hospitalization See details
Longevity Health Plan (HMO I-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Longevity Health Plan (HMO I-SNP), which requires a 20% coinsurance and no copay for ground and air ambulance services. Transportation services are partially covered with no copay and no coinsurance for up to 18 one-way trips per year to plan-approved health-related locations, though transportation to any health-related location is not covered.
Emergency Services See details
Longevity Health Plan (HMO I-SNP) covers emergency services with a $115.00 copay and no coinsurance, and urgently needed services with a 20% coinsurance (up to $40.00 per visit) and no copay, with both fees waived if you are admitted to the hospital within three days. Worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation are not covered.
Primary Care See details
Longevity Health Plan (HMO I-SNP) covers primary care, therapy, and opioid treatment services with no copay and no coinsurance. Specialist, telehealth, mental health, psychiatric, and routine podiatry services are available with no copay and up to 20% coinsurance, while chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by Longevity Health Plan (HMO I-SNP), offering Medicare-covered preventive care, kidney disease education, and select screenings with no copay and no coinsurance. However, annual physical exams and additional preventive services, such as fitness benefits and health education, are not covered under this plan.
Hearing Services See details
Longevity Health Plan (HMO I-SNP) covers hearing exams with no copay, though routine exams require a 20% coinsurance. Prescription and OTC hearing aids are covered with no copay and no coinsurance up to a $3,200 limit every two years, although inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Longevity Health Plan (HMO I-SNP) offers vision services where eye exams are partially covered, providing one routine exam per year with no copay and a 20% coinsurance, but excluding other eye exam services. Eyewear is covered with no copay or coinsurance, offering up to a $360 combined maximum benefit every two years for contacts, lenses, frames, and upgrades.
Dental Services See details
Longevity Health Plan (HMO I-SNP) covers Medicare dental services with no copay and a 20% coinsurance. Other preventive and comprehensive dental services, including exams, cleanings, and orthodontics, are covered with no copay and no coinsurance up to a maximum annual benefit of $4,000.
Home Infusion bundled Services See details
Longevity Health Plan (HMO I-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this plan, Medicare Part B chemotherapy, radiation, and other drugs have no copay and between no coinsurance and 20% coinsurance, while Part B insulin drugs require a $35 copay and between no coinsurance and 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by Longevity Health Plan (HMO I-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Longevity Health Plan (HMO I-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are partially covered by Longevity Health Plan (HMO I-SNP), requiring prior authorization and featuring no copays alongside a 20% coinsurance. Covered services include diagnostic procedures, therapeutic radiological services, and outpatient X-rays, while laboratory services are not covered.
Home Health Services See details
Longevity Health Plan (HMO I-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Longevity Health Plan (HMO I-SNP) covers some Cardiac Rehabilitation Services with no copay and prior authorization, but standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Longevity Health Plan (HMO I-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, requiring prior authorization and a three-day inpatient hospital stay before admission. Additional days beyond standard Medicare coverage are not covered.
Other Services See details
Longevity Health Plan (HMO I-SNP) partially covers other services, offering an over-the-counter (OTC) benefit of $200 every three months with no copay and no coinsurance, where unused balances carry forward. Acupuncture, meal benefits, nicotine replacement therapy, and naloxone are not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* 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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved