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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 Virginia. This plan received an overall rating of 2.5 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 $11.70. 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 $590.00 deductible for prescription drugs. After the deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000.00, at which point you enter the next coverage phase. This plan's premium may be reduced if you qualify for the low-income subsidy. The plan provides defined standard drug coverage.
Additional Benefits
The Molina Medicare Complete Care Select (HMO D-SNP) plan offers a range of benefits with varying cost-sharing. Inpatient hospital stays have a copay, while outpatient services, including doctor visits and mental health, have copays. Many services have coinsurance, and some services such as preventive services, have no copay. This plan also covers ambulance, emergency, and hearing services, along with vision and dental. Home health, medical equipment, and dialysis services are included, and additional benefits include acupuncture and an over-the-counter allowance.
Inpatient Hospital See details
Inpatient Hospital benefits are covered by the Molina Medicare Complete Care Select (HMO D-SNP) plan, with a copay of $325 for days 1-6 and no copay for days 7-90 for Inpatient Hospital-Acute. Additional days, non-Medicare-covered stays, and upgrades for Inpatient Hospital-Acute are not covered, and for Inpatient Hospital Psychiatric, additional days and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a 20% coinsurance, Observation Services with a $325 copay, Ambulatory Surgical Center (ASC) Services with a $50 copay, and Outpatient Substance Abuse Services with a $30 copay for both individual and group sessions. Outpatient Blood Services are covered with a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered, but requires prior authorization. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services, with a 20% coinsurance. Transportation Services to any health-related location are covered, while transportation to a plan-approved health-related location is 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
The Molina Medicare Complete Care Select (HMO D-SNP) plan covers primary care physician services, chiropractic services with a $15 copay, occupational therapy services with a $35 copay, physician specialist services with a $30 copay, and physical therapy and speech-language pathology services with a $40 copay. Mental health and psychiatric services both have a $45 copay for individual and group sessions, podiatry services, other health care professional services, and opioid treatment program services are also covered. Additional telehealth benefits are available for primary care physician services.
Preventive Services See details
Preventive Services, covered by Molina Medicare Complete Care Select (HMO D-SNP), include Medicare-covered services with no copay, annual physical exams, additional preventive services (with prior authorization), Health Education, Personal Emergency Response System (PERS), Nutritional/Dietary Benefit (12 visits), Additional Sessions of Smoking and Tobacco Cessation Counseling (8 visits), Fitness Benefit, Remote Access Technologies, Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit; In-Home Safety Assessment, Medical Nutrition Therapy (MNT), 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 of Enrollees, Enhanced Disease Management, Home and Bathroom Safety Devices and Modifications, and Counseling Services are not covered.
Hearing Services See details
Hearing services are covered, including hearing exams, fitting/evaluation for hearing aids, prescription hearing aids, and OTC hearing aids. Hearing exams have a coinsurance of at most 20%, and routine hearing exams and fitting/evaluation for hearing aids are covered once per year, while prescription hearing aids (all types) are covered twice every two years.
Vision Services See details
Vision services are covered, including routine eye exams with no copay, and one visit per year. Eyewear is covered, including contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades with a combined maximum benefit of $200 every year.
Dental Services See details
Dental services include oral exams, dental x-rays, cleaning, fluoride treatment, orthodontic services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics, and oral and maxillofacial surgery. Orthodontic services have a maximum plan benefit 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, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Molina Medicare Complete Care Select (HMO D-SNP) plan. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits are covered, including Durable Medical Equipment (DME) with 20% coinsurance and no copay, and Prosthetics/Medical Supplies with 20% coinsurance and no copay. Diabetic Equipment is covered, but Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the Molina Medicare Complete Care Select (HMO D-SNP) plan, with a coinsurance of up to 20% for Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, and Therapeutic Radiological Services. Outpatient X-Ray Services are not covered, and there is no copay for any of these services.
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.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Molina Medicare Complete Care Select (HMO D-SNP), but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered. Prior authorization is required, and the copay information is available in the plan details.
Other Services See details
The Molina Medicare Complete Care Select (HMO D-SNP) plan covers acupuncture with a $15 copay per visit, and also covers over-the-counter items and a meal benefit, though the meal benefit requires prior authorization. Several additional services, including Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, are not covered.
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