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Molina Medicare Complete Care Select (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Molina Medicare Complete Care Select (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Molina Medicare Complete Care Select (HMO D-SNP) in 2025, please refer to our full plan details page.
Molina Medicare Complete Care Select (HMO D-SNP) is a HMO D-SNP plan offered by Molina Healthcare, Inc. available for enrollment in 2025 to people living in Select Counties in Idaho. This plan received an overall rating of 3 out of 5 stars in 2025.
It's important to know that Molina Medicare Complete Care Select (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:
Molina Medicare Complete Care Select (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 Molina Medicare Complete Care Select (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 Molina Medicare Complete Care Select (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $21.50. 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 $590.00 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 $9350.00 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 Molina Medicare Complete Care Select (HMO D-SNP) plan has a $590 deductible for prescription drugs. After the deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000. Once your yearly out-of-pocket drug costs reach $2000, you will pay nothing for Medicare Part D covered drugs. This plan's premium may be reduced if you qualify for the low-income subsidy, and you will pay $21.50 per month for Part D.
Additional Benefits
The Molina Medicare Complete Care Select (HMO D-SNP) plan offers a range of benefits, including coverage for inpatient and outpatient services with varying copays and coinsurance amounts. This plan includes coverage for emergency services, primary care, preventive services, and home health services, with no copays or coinsurance for the latter. Vision and dental services are included, with a combined maximum benefit for vision, and coverage for dental services like oral exams and cleanings. Additional benefits include hearing services, diagnostic services, medical equipment, and transportation. You'll find specific cost-sharing for services like hearing exams, outpatient services, and ambulance services. The plan also covers partial hospitalization, skilled nursing facility stays with different copays based on the length of stay, and offers a meal benefit and over-the-counter items.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric care, are covered. For acute care, there is a $295 copay for days 1-6, and no copay for days 7-90; for psychiatric care, the plan follows Original Medicare cost sharing.
Outpatient Services See details
Outpatient Services includes coverage for outpatient hospital services with 20% coinsurance, observation services with a $295 copay, ambulatory surgical center services with a $50 copay, outpatient substance abuse services with a $10 copay for both individual and group sessions, and outpatient blood services with 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered by the Molina Medicare Complete Care Select (HMO D-SNP) plan, with a $70 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance services are covered, with a 20% coinsurance for both ground and air ambulance services. Transportation services to any health-related location are covered, while transportation services to a plan-approved health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Molina Medicare Complete Care Select (HMO D-SNP) plan. Emergency Services have a $100 copay, and Urgently Needed Services have a $25 copay, with no coinsurance for either. Worldwide Emergency Services has a maximum plan benefit coverage of $10,000.
Primary Care See details
Primary Care benefits include coverage for Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services. Physician Specialist Services have a $10 copay, and Individual and Group Sessions for Mental Health and Psychiatric Services have a $45 copay. Occupational Therapy Services have a coinsurance between 0% and 20%, and Physical Therapy and Speech-Language Pathology Services have a coinsurance between 0% and 20%.
Preventive Services See details
Preventive Services are covered, including Medicare-covered services with no copay, and annual physical exams. Additional preventive services are covered, but require prior authorization, and some services are not covered, including in-home safety assessments, medical nutrition therapy, and several others.
Hearing Services See details
Hearing services include routine hearing exams with a $10 copay, fitting/evaluation for hearing aids, and OTC hearing aids. Prescription hearing aids are partially covered, but inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Vision services include routine eye exams, contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades. Eyewear has a 20% coinsurance, and contact lenses have a coinsurance. There is a combined maximum plan benefit coverage amount of $200.00 every year.
Dental Services See details
The Molina Medicare Complete Care Select (HMO D-SNP) plan covers various dental services including oral exams, dental x-rays, cleanings, fluoride treatments, restorative services, and more. Orthodontic services are covered up to a maximum of $500 per year, while maxillofacial prosthetics, implant services, prosthodontics (fixed), and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the Molina Medicare Complete Care Select (HMO D-SNP) plan. You will pay 20% coinsurance for these services.
Medical Equipment See details
The Molina Medicare Complete Care Select (HMO D-SNP) plan covers Durable Medical Equipment (DME), Prosthetics, and Medical Supplies with a 20% coinsurance, but does not have a copay. Durable Medical Equipment for use outside the home, Diabetic Supplies, and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the Molina Medicare Complete Care Select (HMO D-SNP) plan. For Diagnostic Procedures/Tests and Lab Services, you may pay up to 20% coinsurance, and for Diagnostic Radiological Services, you may pay up to 20% coinsurance. Therapeutic Radiological Services have a 20% coinsurance, and Outpatient X-Ray Services are not covered.
Home Health Services See details
Home Health Services are covered by the Molina Medicare Complete Care Select (HMO D-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but none of the sub-services are covered. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Molina Medicare Complete Care Select (HMO D-SNP) plan, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $200. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The Molina Medicare Complete Care Select (HMO D-SNP) plan covers Over-the-Counter (OTC) items and a meal benefit, but acupuncture, Dual Eligible SNPs with Highly Integrated Services, and several other services are not covered. The meal benefit requires prior authorization.
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