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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 2026, 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 2026 to people living in Select counties in ID. This plan received an overall rating of 3 out of 5 stars in 2026.
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 $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 $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 Molina Medicare Complete Care Select (HMO D-SNP)
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Drug Coverage
The Molina Medicare Complete Care Select (HMO D-SNP) plan features an annual prescription drug deductible of $615. Beneficiaries enjoy no copay for Tier 1 preferred generic drugs and Tier 6 select care drugs filled through standard pharmacies or standard mail order. This cost-sharing structure applies to one-month, two-month, and three-month supplies. For other medication tiers, costs are calculated as a percentage of the drug's price. Tier 2 generic and Tier 3 preferred brand drugs require a 20% coinsurance, while Tier 4 non-preferred drugs have a 30% coinsurance for all supply lengths. Tier 5 specialty drugs have a 25% coinsurance for a one-month supply through standard retail or mail order channels.
Additional Benefits
The Molina Medicare Complete Care Select (HMO D-SNP) offers comprehensive medical coverage with many services requiring no copay and no coinsurance, including primary care, routine dental, preventive services, and home health care. For inpatient acute hospital stays, members pay a daily copay of $295 for the first six days and no copay for days seven through ninety. Outpatient services vary, featuring a twenty percent coinsurance for outpatient hospital services and a fifty dollar copay for ambulatory surgical center visits. Specialist visits require a ten dollar copay, while routine vision and hearing exams are highly affordable, featuring no copay and a ten dollar copay respectively. Additionally, the plan covers emergency room visits with a one hundred dollar copay, which is waived if admitted, alongside unlimited one-way transportation to approved medical locations at no cost. Essential medical equipment, dialysis, and Medicare Part B drugs generally carry a twenty percent coinsurance with no copay, though prior authorizations are required for some of these benefits.
Inpatient Hospital See details
Molina Medicare Complete Care Select (HMO D-SNP) partially covers inpatient hospital services with no coinsurance, requiring prior authorization. Acute stays require a $295 copay per day for days 1 through 6 and no copay for days 7 through 90, while psychiatric stays carry Medicare-defined cost-sharing, but additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers outpatient services, featuring a 20% coinsurance for outpatient hospital services, a $295.00 copay per stay for observation services, and a $50.00 copay with no coinsurance for ambulatory surgical center services. Outpatient substance abuse sessions require a $10.00 copay with no coinsurance, and outpatient blood services are covered with no copay, a 20% coinsurance, and no deductible.
Partial Hospitalization See details
Molina Medicare Complete Care Select (HMO D-SNP) covers partial hospitalization services with a $70.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered, offering unlimited one-way rides to plan-approved health-related locations with no copay or coinsurance, though trips to any health-related location are not covered.
Emergency Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers emergency services with a $100 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $25 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered up to a $10,000 maximum with no copay or coinsurance.
Primary Care See details
Molina Medicare Complete Care Select (HMO D-SNP) covers primary care, podiatry, and opioid treatment with no copay and no coinsurance, while specialist visits require a $10 copay and no coinsurance. Chiropractic services are partially covered, offering up to 20 routine visits per year with no copay and no coinsurance, while other chiropractic services are not covered. Therapy services feature no copay with 0% to 20% coinsurance, and mental health sessions require a $45 copay and no coinsurance.
Preventive Services See details
Molina Medicare Complete Care Select (HMO D-SNP) preventive services are partially covered with no copay and no coinsurance for covered benefits like annual exams, fitness programs, and nutritional counseling. Sub-services that are not covered include in-home safety assessments, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, home-based palliative care, in-home support, caregiver support, enhanced disease management, telemonitoring, home modifications, and counseling.
Hearing Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers routine hearing exams and fitting evaluations for a $10.00 copay, no coinsurance, and no deductible. OTC hearing aids are covered with no copay and no coinsurance, while prescription hearing aids are partially covered with no copay and no coinsurance, excluding inner ear, outer ear, and over the ear prescription hearing aids which are not covered.
Vision Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers routine eye exams and eyewear, though other eye exam services are not covered. Routine exams have no copay, no coinsurance, and no deductible, while eyewear is covered up to $250 annually with no copay and no coinsurance, except for contact lenses which require a 20% coinsurance.
Dental Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers dental services with no copay and no coinsurance for preventive and comprehensive treatments like cleanings, exams, and extractions. However, the plan's dental benefit is only partially covered, as services such as implants, fixed prosthodontics, maxillofacial prosthetics, and orthodontics are not covered.
Home Infusion bundled Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. 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 carries a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance.
Medical Equipment See details
Molina Medicare Complete Care Select (HMO D-SNP) partially covers medical equipment with no copay, requiring a 20% coinsurance and prior authorization for durable medical equipment, prosthetics, and medical supplies. While diabetic equipment is covered with no copay and no coinsurance, diabetic supplies and therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are partially covered by Molina Medicare Complete Care Select (HMO D-SNP), requiring prior authorization for all covered services. Under this benefit, diagnostic procedures, lab services, and diagnostic radiological services have no copay and no coinsurance, while therapeutic radiological services have no copay and a 20% coinsurance; outpatient X-ray services are not covered.
Home Health Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Molina Medicare Complete Care Select (HMO D-SNP) does not cover Cardiac Rehabilitation Services, including intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy for symptomatic peripheral artery disease.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by Molina Medicare Complete Care Select (HMO D-SNP) with no coinsurance, requiring no copay for days 1 through 20 and a $190 daily copay for days 21 through 100. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Molina Medicare Complete Care Select (HMO D-SNP) partially covers other services, offering over-the-counter (OTC) items and limited-duration meals with no copay and no coinsurance. Acupuncture is not covered under this benefit, and the meal benefit requires prior authorization.
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