A non-government entity
Elevate Medicare Select (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Elevate Medicare Select (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Elevate Medicare Select (HMO) in 2026, please refer to our full plan details page.
Elevate Medicare Select (HMO) is a HMO plan offered by Denver Health and Hospital Authority available for enrollment in 2025 to people living in Adams, Arapahoe, Denver and Jefferson Counties. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Elevate Medicare Select (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 Elevate Medicare Select (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 Elevate Medicare Select (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 no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $6750.00 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 Elevate Medicare Select (HMO)
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 Elevate Medicare Select (HMO) plan features a $0 drug deductible, allowing your prescription drug coverage to begin immediately without any upfront out-of-pocket deductible costs. You will enjoy no copay for Tier 1 preferred generics and Tier 6 select care drugs when using preferred pharmacies or preferred mail-order services. Tier 2 generic drugs are also highly budget-friendly, costing just a $9 copay for a one-month supply at preferred pharmacies or no copay for a three-month preferred mail order. For brand-name medications, Tier 3 preferred brands start at a $45 copay and Tier 4 non-preferred brands start at a $95 copay at preferred pharmacies. Specialty medications in Tier 5 require a 33% coinsurance for a one-month supply regardless of whether you use a preferred or standard pharmacy. Choosing standard pharmacies or standard mail-order options will generally result in higher copays across all drug tiers.
Additional Benefits
The Elevate Medicare Select (HMO) plan offers affordable medical coverage with no copay for primary care doctor visits and a low $10 copay for specialists. For inpatient hospital stays, members pay a $350 copay for days one through five and no copay for days six through 90, with no coinsurance required. Outpatient hospital services feature copays ranging from no copay to $275, while emergency room visits carry a $130 copay that is waived upon admission. To support overall wellness, the plan provides routine hearing and vision exams with no copay, alongside up to $220 annually for eyewear and $1,500 every three years for prescription hearing aids. Preventive and restorative dental care is covered with no copay and a 40% coinsurance after a deductible, up to a $2,000 yearly limit. Additionally, members benefit from up to 24 free one-way transportation trips per year to approved locations and a $40 over-the-counter reimbursement every three months.
Inpatient Hospital See details
Elevate Medicare Select (HMO) partially covers inpatient hospital services because additional days, non-Medicare-covered stays, and upgrades are not covered. Covered acute and psychiatric stays require no coinsurance, with copayments of $350 for days 1-5 and no copay for days 6 through 90.
Outpatient Services See details
Elevate Medicare Select (HMO) covers outpatient hospital services with copays from $0 to $275 and no coinsurance, including observation services at a $275 daily copay with no coinsurance. Ambulatory surgical center services are covered with no copay and no coinsurance, while outpatient substance abuse sessions require a $20 copay and no coinsurance. Outpatient blood services are covered with no copay and a 20% coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered under the Elevate Medicare Select (HMO) plan with a $55.00 copay and no coinsurance.
Ambulance and Transportation Services See details
Elevate Medicare Select (HMO) covers ground and air ambulance services with a $250 copay and no coinsurance, which is waived if you are admitted to the hospital. Transportation services are partially covered with no copay or coinsurance for up to 24 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Emergency Services See details
Elevate Medicare Select (HMO) covers emergency services with a $130 copay and no coinsurance, and urgently needed services with a $40 copay and no coinsurance, with both copays waived if you are admitted to the hospital within 3 days. For worldwide emergency services, some services are covered, but worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation are not covered.
Primary Care See details
Elevate Medicare Select (HMO) covers primary care physician services with no copay and no coinsurance, and specialist visits with a $10 copay and no coinsurance. Additional services like physical, occupational, and mental health therapies are covered with copays ranging from $20 to $35 and no coinsurance, though podiatry and routine chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by Elevate Medicare Select (HMO) with no copay and no coinsurance for covered services, including kidney disease education, remote access technologies, and glaucoma screenings. However, the plan does not cover an annual physical exam or other additional benefits such as fitness programs, health education, and in-home safety assessments.
Hearing Services See details
Elevate Medicare Select (HMO) hearing services are partially covered, offering routine hearing exams and fitting evaluations with no copay and no coinsurance. Prescription hearing aids are covered up to $1,500 every three years with no copay or coinsurance, though 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 covered by Elevate Medicare Select (HMO) with no copay, no coinsurance, and no deductible, providing one routine eye exam per year and up to $220 annually for contact lenses and eyeglasses. This benefit is partially covered, as other eye exam services, individual eyeglass lenses, individual eyeglass frames, and upgrades are not covered.
Dental Services See details
Elevate Medicare Select (HMO) partially covers dental services, offering Medicare-covered dental care with a $35 copay and no coinsurance, and preventive, restorative, and periodontic services with no copay and 40% coinsurance after a deductible, up to a $2,000 annual limit. Sub-services such as adjunctive general services, endodontics, prosthodontics, maxillofacial prosthetics, implants, oral and maxillofacial surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
Elevate Medicare Select (HMO) covers home infusion bundled services with no copay, subject to prior authorization. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs require a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Elevate Medicare Select (HMO) covers dialysis services with no copay and a 20% coinsurance.
Medical Equipment See details
Elevate Medicare Select (HMO) covers durable medical equipment and prosthetics or medical supplies with no copay and 20% coinsurance. For diabetic equipment, some services are covered with no copay and no coinsurance, but diabetic supplies and diabetic therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
Elevate Medicare Select (HMO) partially covers diagnostic services with no copay and no coinsurance, excluding diagnostic procedures, tests, and lab services which are not covered. Covered radiological services, including X-rays, diagnostic, and therapeutic radiology, require a $35 copay and no coinsurance.
Home Health Services See details
Elevate Medicare Select (HMO) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by Elevate Medicare Select (HMO) with no copay and no coinsurance; however, while some services are covered, 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
Elevate Medicare Select (HMO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but allowing admission without a prior three-day hospital stay. There is no copay for days 1 to 20 and days 45 to 100, a $188 daily copay for days 21 to 44, and additional days beyond the standard 100-day limit are not covered.
Other Services See details
Other services are partially covered by Elevate Medicare Select (HMO), which offers an over-the-counter (OTC) benefit with no copay and no coinsurance up to $40 every three months via reimbursement. Acupuncture, meal benefits, and other additional services are not covered.
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