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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 2025 to people living in Washington State. 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 $350.00 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 a $350 drug deductible. Beneficiaries enjoy no copay for Tier 1 preferred generic drugs and Tier 6 select care drugs obtained through standard pharmacies or standard mail order. For Tier 2 generic drugs, the plan offers a low $2 copay for a one-month supply and a $4 copay for a two- or three-month supply. For brand-name and specialty medications, costs are based on coinsurance rather than flat copays. You will pay a 20% coinsurance for Tier 3 preferred brand drugs and a 30% coinsurance for Tier 4 non-preferred drugs. Tier 5 specialty drugs require a 25% coinsurance for a one-month supply through standard retail or mail-order pharmacies.
Additional Benefits
Molina Medicare Complete Care Select (HMO D-SNP) offers comprehensive medical coverage with affordable cost-sharing, including no copay for primary care visits and a $30 copay for specialists. Inpatient hospital stays require a $325 daily copay for the first six days and no copay thereafter, while outpatient hospital services generally carry a 20% coinsurance. Emergency care is available with a $100 copay, which is waived if you are admitted, alongside unlimited transportation to approved health locations with no copay. This plan also features robust supplemental benefits, including preventive services, routine dental care, and annual routine eye exams with no copay. Routine hearing exams and fitting evaluations require a $30 copay, but hearing aids and up to $200 in annual eyewear are covered with no copay. Additionally, members can access home health services and over-the-counter items with no copay, though skilled nursing facility stays require a $200 daily copay for days 21 through 100.
Inpatient Hospital See details
Molina Medicare Complete Care Select (HMO D-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $325 daily copay for days 1 through 6 of acute stays and no copay for days 7 through 90. Psychiatric hospital stays are covered with no coinsurance under Medicare-defined cost shares, but additional inpatient days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers outpatient hospital services with a 20% coinsurance and observation services with a $325 copay per stay. Other outpatient benefits include ambulatory surgical center visits for a $50 copay, substance abuse sessions for a $30 copay with no coinsurance, and blood services with no copay and a 20% coinsurance.
Partial Hospitalization See details
Molina Medicare Complete Care Select (HMO D-SNP) covers partial hospitalization services with a copay of $105.00 or $110.00 and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Molina Medicare Complete Care Select (HMO D-SNP), with ground and air ambulance services requiring a 20% coinsurance and no copay. Transportation services are partially covered, offering unlimited one-way trips to plan-approved health-related locations with no copay and no coinsurance, while 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 and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a $30 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered up to a $10,000 maximum with no copay and no coinsurance.
Primary Care See details
Molina Medicare Complete Care Select (HMO D-SNP) covers primary care provider visits and opioid treatment with no copay and no coinsurance, while specialist visits require a $30 copay and no coinsurance. Therapy services have no copay and 0% to 20% coinsurance, mental health services carry a $45 copay and no coinsurance, and podiatry and chiropractic services are not covered.
Preventive Services See details
Molina Medicare Complete Care Select (HMO D-SNP) covers preventive services, including annual physical exams and kidney disease education, with no copay and no coinsurance. Additional preventive services are partially covered with no copay and no coinsurance (prior authorization required), but do not cover in-home safety assessments, medical nutrition therapy, personal emergency response systems, and in-home support.
Hearing Services See details
Hearing services offered by Molina Medicare Complete Care Select (HMO D-SNP) include routine exams and fitting evaluations for a $30 copay and no coinsurance. Hearing aids are partially covered with no copay and no coinsurance, though prescription inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Vision services are covered by Molina Medicare Complete Care Select (HMO D-SNP) with no deductibles, offering no copay and no coinsurance for one routine annual eye exam, 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 a 20% coinsurance for contact lenses.
Dental Services See details
Molina Medicare Complete Care Select (HMO D-SNP) offers partially covered dental services with no copay and no coinsurance for covered treatments such as exams, cleanings, x-rays, and restorative care. However, some services are not covered under this plan, including other diagnostic and preventive services, maxillofacial prosthetics, implants, 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. Covered Medicare Part B drugs, including chemotherapy and insulin, range from no coinsurance to 20% coinsurance, with insulin requiring a $35 copay and other Part B drugs requiring no copay.
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
Medical equipment is covered by Molina Medicare Complete Care Select (HMO D-SNP) with no copay, though a 20% coinsurance applies to durable medical equipment, prosthetics, and medical supplies. Diabetic equipment is partially covered with no copay and no coinsurance, but 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) with no copay and no coinsurance, though prior authorization is required. While diagnostic tests, lab services, and therapeutic radiological services are covered, 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) technically covers cardiac rehabilitation services with prior authorization, but in practice, some services are covered while cardiac rehab ($30 copay), intensive cardiac rehab (20% coinsurance), pulmonary rehab ($15 copay), and supervised exercise therapy ($20 copay) are not covered.
Skilled Nursing Facility (SNF) See details
Molina Medicare Complete Care Select (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day inpatient hospital stay required. There is no copay for days 1 through 20 and a $200 daily copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Molina Medicare Complete Care Select (HMO D-SNP) provides partial coverage for other services, featuring over-the-counter items and limited-duration meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit, and prior authorization is required for the meal benefit.
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