Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HealthSpring True Choice (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HealthSpring True Choice (PPO) in 2026, please refer to our full plan details page.
HealthSpring True Choice (PPO) is a PPO plan offered by Health Care Service Corporation available for enrollment in 2026 to people living in Alabama. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that HealthSpring True Choice (PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Below are a few key facts and commonly-asked questions about HealthSpring True Choice (PPO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For HealthSpring True Choice (PPO), 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 has a $325.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
This plan has a $250.00 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 combined Maximum Out-Of-Pocket cost of $11000.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $11000.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The HealthSpring True Choice (PPO) plan features an Enhanced Alternative drug benefit with a $250 prescription drug deductible. During the initial coverage phase, Tier 1 preferred generic drugs cost a $5 copay at preferred pharmacies or a $20 copay at standard pharmacies, while Tier 2 standard generic drugs carry a $47 copay. Tier 3 preferred brand drugs and Tier 4 non-preferred drugs require a 50% and 30% coinsurance, respectively, until your total drug costs reach $2,100. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Additionally, beneficiaries who qualify for the low-income subsidy will pay no premium for their Part D coverage under this plan.
The HealthSpring True Choice (PPO) plan offers affordable medical coverage with predictable out-of-pocket costs, featuring no copay for primary care visits up to a $40 copay, and no copay for Medicare-covered preventive services. For hospital stays, members pay a $345 daily copay for the first four days of inpatient care, while outpatient hospital services range from no copay up to a $375 copay. Emergency care is accessible with a $115 copay, and skilled nursing facility stays require no copay for the first 20 days. This plan also includes essential extra benefits like dental care, which offers preventive and diagnostic services with no copay up to a $500 annual limit, and vision care providing a $150 annual eyewear allowance with no copay or deductible. Hearing services are partially covered, including routine exams for a $20 copay and hearing aid options starting at a $399 copay. Additionally, members pay a 20% coinsurance with no copay for durable medical equipment and dialysis services, alongside receiving a $25 quarterly allowance for over-the-counter items.
HealthSpring True Choice (PPO) partially covers inpatient acute and psychiatric hospital stays with a $345 daily copay for days 1 through 4, no copay for days 5 through 90, and no coinsurance. Sub-services such as additional days, upgrades, and non-Medicare-covered stays are not covered.
HealthSpring True Choice (PPO) covers outpatient services with no coinsurance, offering ambulatory surgical center services with no copay and outpatient hospital services with copays ranging from $0 to $375. Outpatient substance abuse services require a $40 copay per session, and outpatient blood services are covered with no deductible.
Partial hospitalization benefits are covered by HealthSpring True Choice (PPO) with a $105.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and transportation services are partially covered by HealthSpring True Choice (PPO), as transportation services to health-related locations are not covered. Covered ground ambulance services require a $295 copay with no coinsurance, while air ambulance services require a 20% coinsurance with no copay.
HealthSpring True Choice (PPO) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both with no coinsurance. Worldwide emergency, urgent, and transportation services are also covered up to a $50,000 maximum limit with a $115 copay and no coinsurance.
Primary Care benefits are partially covered by HealthSpring True Choice (PPO), as routine chiropractic care and podiatry services are not covered. Covered services feature copays ranging from no copay up to $40, with no coinsurance.
HealthSpring True Choice (PPO) covers Medicare-covered zero-dollar preventive services with no copay or coinsurance, alongside annual physical exams and kidney disease education. Additional preventive services are only partially covered; physical and memory fitness benefits are included, but sub-services such as health education, weight management, and in-home safety assessments are not covered.
HealthSpring True Choice (PPO) partially covers hearing services, offering one routine hearing exam and fitting evaluation per year for a $20 copay and no coinsurance. The plan also covers up to two OTC hearing aids for a $399 copay and prescription hearing aids for a $399 to $1,800 copay with no coinsurance, though inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
HealthSpring True Choice (PPO) covers annual routine eye exams with a copay ranging from no copay to $40 and no coinsurance. Eyewear is also covered with a combined annual allowance of $150 for contacts, frames, lenses, and upgrades with no copay, coinsurance, or deductible.
HealthSpring True Choice (PPO) covers Medicare dental services with a $40 copay and no coinsurance, though prior authorization is required. Other preventive, diagnostic, and comprehensive dental services are covered with no copay and no coinsurance up to a combined $500 annual maximum.
HealthSpring True Choice (PPO) covers home infusion bundled services with prior authorization required. Chemotherapy, radiation, and other Part B drugs require no copay and coinsurance ranging from no coinsurance up to 20%, while Medicare Part B insulin drugs require a $35 copay and coinsurance ranging from no coinsurance up to 20%.
Dialysis Services are covered by HealthSpring True Choice (PPO) with 20% coinsurance and no copay. Prior authorization is required for these services.
HealthSpring True Choice (PPO) covers durable medical equipment, prosthetic devices, medical supplies, and diabetic therapeutic shoes with a 20% coinsurance and no copay, though prior authorization is required. Diabetic equipment is only partially covered, as diabetic supplies are not covered by the plan.
HealthSpring True Choice (PPO) covers diagnostic and radiological services with no coinsurance, though prior authorization is required. Lab services have no copay, while diagnostic tests range from no copay to $150, diagnostic radiology ranges from no copay to $225, therapeutic radiology has a $60 copay, and outpatient X-rays require a $50 copay.
Home Health Services are covered under the HealthSpring True Choice (PPO) plan, though prior authorization is required before receiving these services.
Cardiac Rehabilitation Services are not covered under the HealthSpring True Choice (PPO) plan, including intensive cardiac, pulmonary, and supervised exercise therapy (SET) services.
Skilled Nursing Facility (SNF) benefits are partially covered by HealthSpring True Choice (PPO), which does not cover additional days beyond the Medicare-covered limit. There is no copay or coinsurance for days 1 through 20, and a $218 daily copay with no coinsurance for days 21 through 100, with prior authorization required.
Other Services are partially covered by HealthSpring True Choice (PPO), featuring a limited-duration meal benefit for chronic illnesses and a $25 quarterly allowance for over-the-counter items. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered under this plan.
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Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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