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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:
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Drug Coverage
The Molina Medicare Complete Care Select (HMO D-SNP) plan features an annual prescription drug deductible of $615. For cost-effective medications, this plan offers no copay on Tier 1 preferred generic drugs and Tier 6 select care drugs filled at standard pharmacies or through standard mail order. For other tier prescriptions, costs are shared through coinsurance rather than flat copayments. Members pay a 20% coinsurance for Tier 2 generic and Tier 3 preferred brand drugs, a 30% coinsurance for Tier 4 non-preferred drugs, and a 25% coinsurance for Tier 5 specialty drugs.
Additional Benefits
The Molina Medicare Complete Care Select (HMO D-SNP) offers robust coverage with low out-of-pocket costs for essential medical services. For inpatient hospital stays, members pay a daily copay of $295 for the first six days and no copay for days seven through ninety. Primary care visits, preventive services, and routine dental and vision exams are available with no copay, while specialist visits require a small $10 copay. Emergency care is covered with a $100 copay that is waived upon admission, and urgent care incurs a $25 copay. Additionally, the plan features no copay for home health services, diabetic equipment, and over-the-counter items. Most covered diagnostic services and routine hearing aids also feature no copay, though durable medical equipment and dialysis services require a twenty percent coinsurance.
Inpatient Hospital See details
Molina Medicare Complete Care Select (HMO D-SNP) partially covers inpatient hospital services with no coinsurance and required prior authorization, though additional days, upgrades, and non-Medicare-covered stays are not covered. Acute stays require a $295 daily copay for days 1 through 6 and no copay for days 7 through 90, while psychiatric stays are subject to Medicare-defined cost-sharing.
Outpatient Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers outpatient hospital services with a 20% coinsurance and no copay, and outpatient observation services with a $295 copay per stay and no coinsurance. Ambulatory surgical center services require a $50 copay and no coinsurance, outpatient substance abuse sessions cost a $10 copay and no coinsurance, and outpatient blood services have no copay and a 20% coinsurance.
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 covered 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. Transportation services are partially covered with no copay and no coinsurance for plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers emergency services with a $100 copay, which is waived if admitted to the hospital within 24 hours, and urgently needed services with a $25 copay, both with no coinsurance. Worldwide emergency, urgent, and transportation services are also covered with no copay or coinsurance up to a maximum plan benefit of $10,000.
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 care is partially covered with no copay or coinsurance for up to 20 routine visits per year, whereas mental health services require a $45 copay and therapy services feature a $0 copay with 0% to 20% coinsurance.
Preventive Services See details
Preventive services are partially covered by Molina Medicare Complete Care Select (HMO D-SNP) with no copay and no coinsurance for covered benefits like annual physical exams, kidney disease education, and select fitness and nutritional services. Uncovered services under this benefit include in-home safety assessments, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, weight management programs, alternative therapies, therapeutic massage, adult day health services, home-based palliative care, in-home support services, support for caregivers, additional smoking and tobacco cessation counseling, enhanced disease management, telemonitoring services, home and bathroom safety devices and modifications, and counseling services.
Hearing Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers annual routine hearing exams and fittings for a $10.00 copay and no coinsurance, with no deductible. Prescription hearing aids are partially covered with no copay and no coinsurance, though inner ear, outer ear, and over the ear models are not covered, while OTC hearing aids are covered with no copay and no coinsurance.
Vision Services See details
Molina Medicare Complete Care Select (HMO D-SNP) partially covers vision services, offering one routine eye exam per year with no copay or coinsurance, though other eye exam services are not covered. Eyewear is covered with no copay up to a $200 annual limit, featuring no coinsurance for eyeglasses and frames, and a 20% coinsurance for contact lenses.
Dental Services See details
Dental services are partially covered by Molina Medicare Complete Care Select (HMO D-SNP) with no copay and no coinsurance for covered preventive and comprehensive care. However, this plan does not cover other diagnostic dental services, other preventive dental services, maxillofacial prosthetics, implant services, fixed prosthodontics, and orthodontics.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Molina Medicare Complete Care Select (HMO D-SNP) with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and 0% to 20% coinsurance, while Part B insulin is covered with a $35 copay and 0% to 20% coinsurance.
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) covers durable medical equipment, prosthetics, and medical supplies with no copay and 20% coinsurance, subject to prior authorization. Diabetic equipment is covered with no copay and no coinsurance, though only some services are covered as diabetic supplies and therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
Molina Medicare Complete Care Select (HMO D-SNP) partially covers diagnostic and radiological services with prior authorization required, though outpatient X-ray services are not covered. Covered 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.
Home Health Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers cardiac rehabilitation services with prior authorization, though only some services are covered while standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered in practice. Patients can expect copayments ranging from $15 to $30 or a 20% coinsurance depending on the specific rehabilitation service.
Skilled Nursing Facility (SNF) See details
Molina Medicare Complete Care Select (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $200 copay for days 21 through 100. Prior authorization is required for this benefit, 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 meal benefits with no copay and no coinsurance. Prior authorization is required for the meal benefit, and acupuncture is not covered.
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