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Freedom Medi-Medi Partial (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Freedom Medi-Medi Partial (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Freedom Medi-Medi Partial (HMO D-SNP) in 2026, please refer to our full plan details page.
Freedom Medi-Medi Partial (HMO D-SNP) is a HMO D-SNP plan offered by Elevance Health, Inc. available for enrollment in 2025 to people living in Select Counties in Florida. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Freedom Medi-Medi Partial (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Freedom Medi-Medi Partial (HMO D-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 Freedom Medi-Medi Partial (HMO D-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 Freedom Medi-Medi Partial (HMO D-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 $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 $500.00 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 Freedom Medi-Medi Partial (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, there is no copay for Tier 1 preferred generic drugs and Tier 5 supplemental drugs when filled at standard pharmacies or through standard mail order. For other medication tiers, members pay a 25% coinsurance for Tier 2 preferred brand drugs and Tier 3 non-preferred drugs for one-month, two-month, and three-month supplies. Tier 4 specialty drugs also carry a 25% coinsurance for a one-month supply at standard pharmacies and through standard mail order.
Additional Benefits
The Freedom Medi-Medi Partial (HMO D-SNP) plan offers highly comprehensive coverage with no copays and no coinsurance for most essential medical services. Members can access inpatient and outpatient hospital care, primary care visits, specialist consultations, and preventive services at no cost. Additionally, key supplemental benefits like dental care, routine vision exams with a $400 eyewear allowance, and hearing aids up to $1,000 per ear are covered with no copays or coinsurance. The plan also includes valuable extras such as unlimited transportation to approved locations and a $130 monthly allowance for over-the-counter items with no out-of-pocket costs. While most services are fully covered, members will face a 20% coinsurance for dialysis and therapeutic radiology, as well as a $500 copay for worldwide emergency care. Prior authorizations and referrals are required for many of these benefits to ensure coverage.
Inpatient Hospital See details
Inpatient hospital care is covered by Freedom Medi-Medi Partial (HMO D-SNP) with no copay and no coinsurance for Medicare-covered acute and psychiatric stays, although prior authorization and referrals are required. This benefit is partially covered because additional days, non-Medicare-covered stays, and upgrades are not covered.
Outpatient Services See details
Freedom Medi-Medi Partial (HMO D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, substance abuse, and blood services, with no copay and no coinsurance. Prior authorization and referrals are required for most of these covered outpatient benefits.
Partial Hospitalization See details
Partial hospitalization is covered by Freedom Medi-Medi Partial (HMO D-SNP) with no copay and no coinsurance. Prior authorization and a referral are required to access these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by Freedom Medi-Medi Partial (HMO D-SNP) with no copays or coinsurance, though prior authorization is required. The plan covers ground and air ambulance services and unlimited one-way trips to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by Freedom Medi-Medi Partial (HMO D-SNP) with no copay and no coinsurance for local emergency and urgent care. Worldwide emergency, urgent care, and emergency transportation are also covered up to a $100,000 maximum limit with no coinsurance and a $500 copay per service.
Primary Care See details
Primary Care benefits under Freedom Medi-Medi Partial (HMO D-SNP) are covered with no copay and no coinsurance for primary care provider visits, specialists, mental health, and therapy services. However, chiropractic and podiatry services are not covered under this plan.
Preventive Services See details
Preventive services are partially covered by Freedom Medi-Medi Partial (HMO D-SNP) with no copay and no coinsurance for covered benefits like kidney disease education, glaucoma screenings, and select home safety devices. However, several sub-services are not covered under this plan, including annual physical exams, health education, in-home safety assessments, and medical nutrition therapy.
Hearing Services See details
Hearing services are partially covered by Freedom Medi-Medi Partial (HMO D-SNP) with no copay and no coinsurance for annual routine exams, fitting evaluations, and prescription hearing aids up to $1,000 per ear. However, OTC hearing aids, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
Vision Services are partially covered by Freedom Medi-Medi Partial (HMO D-SNP), offering one routine eye exam and one pair of contact lenses or eyeglasses per year with no copay, no coinsurance, and no deductible up to a $400 annual limit. Other eye exam services, standalone eyeglass lenses, and standalone eyeglass frames are not covered, and eyewear upgrades require a $30 copay.
Dental Services See details
Dental services are partially covered by Freedom Medi-Medi Partial (HMO D-SNP) with no copay and no coinsurance for covered treatments, including oral exams, cleanings, x-rays, fluoride, restorative care, periodontics, removable prosthodontics, and oral surgery. However, other diagnostic, other preventive, adjunctive general, endodontics, maxillofacial prosthetics, implants, fixed prosthodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
Freedom Medi-Medi Partial (HMO D-SNP) covers Home Infusion bundled Services with no copay and no coinsurance, though prior authorization is required. This coverage includes Medicare Part B chemotherapy, insulin, and other Part B drugs, all of which are provided with no copays or coinsurance.
Dialysis Services See details
Freedom Medi-Medi Partial (HMO D-SNP) covers dialysis services with no copay and a 20% coinsurance.
Medical Equipment See details
Freedom Medi-Medi Partial (HMO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copays and no coinsurance. Prior authorization is required for these services, and there are no preferred vendor or manufacturer restrictions.
Diagnostic and Radiological Services See details
Freedom Medi-Medi Partial (HMO D-SNP) covers diagnostic and radiological services with prior authorization and referrals required. Diagnostic procedures and lab services have no copay and no coinsurance, while outpatient X-rays have no copay but require coinsurance, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Freedom Medi-Medi Partial (HMO D-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization and a referral are required to access these covered services.
Cardiac Rehabilitation Services See details
Freedom Medi-Medi Partial (HMO D-SNP) covers some services for cardiac rehabilitation with no copay and no coinsurance, though prior authorization and referrals are required. However, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by Freedom Medi-Medi Partial (HMO D-SNP) with no copay and no coinsurance for days 1 through 100, as additional days beyond the Medicare-covered limit are not covered. Prior authorization and referrals are required for these services, which do not require a prior three-day inpatient hospital stay.
Other Services See details
Freedom Medi-Medi Partial (HMO D-SNP) partially covers other services, offering chronic illness meal benefits and over-the-counter (OTC) items with a $130 monthly allowance at no copay and no coinsurance. Acupuncture is not covered under this plan, and the meal benefit requires prior authorization and a referral.
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