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Trinity Health Plan of Michigan Glory No RX (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Trinity Health Plan of Michigan Glory No RX (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Trinity Health Plan of Michigan Glory No RX (HMO) in 2026, please refer to our full plan details page.
Trinity Health Plan of Michigan Glory No RX (HMO) is a HMO plan offered by Trinity Health Corporation available for enrollment in 2025 to people living in Select Counties in Michigan. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Trinity Health Plan of Michigan Glory No RX (HMO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Trinity Health Plan of Michigan Glory No RX (HMO).
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 Trinity Health Plan of Michigan Glory No RX (HMO), 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. Additionally, this plan comes with a Part B Premium reduction of $100.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $6500.00 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
Prescription drugs are not covered by Trinity Health Plan of Michigan Glory No RX (HMO).
Additional Benefits
The Trinity Health Plan of Michigan Glory No RX (HMO) offers comprehensive medical coverage with predictable cost-sharing and no coinsurance for most standard services. Members enjoy no copay for primary care visits, preventive services, and home health care, while specialist visits require a $30 copay. For hospital care, inpatient stays require a $295 daily copay for days one through seven and no copay for days eight through 90, while outpatient hospital services feature copays ranging from no copay to $295. This plan also includes essential supplemental coverage, featuring no copay for routine dental, vision, and hearing exams. Dental benefits cover preventive care with no copay up to a $1,000 annual limit, while vision benefits provide a $225 yearly eyewear allowance. Additionally, durable medical equipment and dialysis services are covered with no copay and a 20% coinsurance, and over-the-counter items are covered with no copay up to $75 every three months.
Inpatient Hospital See details
Trinity Health Plan of Michigan Glory No RX (HMO) covers inpatient hospital services with no coinsurance, requiring a $295 daily copay for days 1 through 7 and no copay for days 8 through 90. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Trinity Health Plan of Michigan Glory No RX (HMO) covers outpatient services with no coinsurance, featuring outpatient hospital copays from $0 to $295 and observation services at a $285 copay per stay. Ambulatory surgical center services require a $295 copay with no coinsurance, outpatient substance abuse sessions have a $40 copay with no coinsurance, and outpatient blood services are covered with no copay, coinsurance, or deductible.
Partial Hospitalization See details
Partial hospitalization services are covered by Trinity Health Plan of Michigan Glory No RX (HMO) with a $55.00 copay and no coinsurance.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Trinity Health Plan of Michigan Glory No RX (HMO) with no coinsurance, requiring a $275 copay for ground ambulance and a $325 copay for air ambulance. For transportation, some services are covered, but transportation to plan-approved health-related locations and any health-related locations are not covered.
Emergency Services See details
Trinity Health Plan of Michigan Glory No RX (HMO) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 48 hours. Urgently needed services are covered with a $45 copay and no coinsurance, while worldwide emergency and urgent services are covered with no coinsurance and copays ranging from $130 to $325.
Primary Care See details
Trinity Health Plan of Michigan Glory No RX (HMO) covers primary care visits and telehealth services with no copay and no coinsurance, while specialist, psychiatric, mental health, and opioid treatment services require a $30 copay and no coinsurance. Physical, occupational, and speech therapies have a $20 copay and no coinsurance, whereas podiatry is not covered and chiropractic services are not covered in practice because routine and other chiropractic services are excluded.
Preventive Services See details
Preventive services are covered by Trinity Health Plan of Michigan Glory No RX (HMO) with no copay and no coinsurance for annual physical exams, kidney disease education, fitness benefits, and remote access technologies. This benefit is partially covered, excluding services such as health education, in-home safety assessments, personal emergency response systems, and weight management programs.
Hearing Services See details
Trinity Health Plan of Michigan Glory No RX (HMO) covers hearing services with no coinsurance, offering annual routine exams and fitting evaluations with no copay, while Medicare-covered exams require a $30 copay. Prescription hearing aids are partially covered with copays from $599 to $899 for up to two devices per year, though inner ear, outer ear, over-the-ear, and OTC hearing aids are not covered.
Vision Services See details
Vision services are covered by Trinity Health Plan of Michigan Glory No RX (HMO) with no coinsurance, featuring no copay for one annual routine eye exam and a $225 yearly allowance with no copay for eyewear like contacts and eyeglasses. Other eye exam services and eyewear upgrades are not covered under this plan.
Dental Services See details
Dental services are partially covered by the Trinity Health Plan of Michigan Glory No RX (HMO), offering preventive care with no copay or coinsurance up to a $1,000 annual limit, while Medicare-covered dental services require a $30 copay and no coinsurance. Many comprehensive services are covered with no copay and 50% to 70% coinsurance, though implants, orthodontics, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Trinity Health Plan of Michigan Glory No RX (HMO) with no copay, while associated Medicare Part B chemotherapy and other drugs require no copay and 0% to 20% coinsurance. Covered Part B insulin is available with a $35 copay and no coinsurance.
Dialysis Services See details
Dialysis services are covered by the Trinity Health Plan of Michigan Glory No RX (HMO) with no copay and a 20% coinsurance.
Medical Equipment See details
Trinity Health Plan of Michigan Glory No RX (HMO) covers durable medical equipment (DME), prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Trinity Health Plan of Michigan Glory No RX (HMO) with no coinsurance. Members pay no copay for lab services, a $30 copay for diagnostic tests and outpatient X-rays, a minimum $60 copay for therapeutic radiological services, and a minimum $300 copay for diagnostic radiological services.
Home Health Services See details
Home Health Services are covered under the Trinity Health Plan of Michigan Glory No RX (HMO) with no copay and no coinsurance.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Trinity Health Plan of Michigan Glory No RX (HMO) with no coinsurance, though only some services are covered in practice. Standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered and carry a $10 copay.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Trinity Health Plan of Michigan Glory No RX (HMO) with no coinsurance and does not require a prior three-day hospital stay. There is no copay for days 1–20 and days 61–100, a $218 daily copay for days 21–60, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Trinity Health Plan of Michigan Glory No RX (HMO) covers acupuncture services with a $20 copay and no coinsurance, up to 12 treatments per year with prior authorization. Over-the-counter items and chronic illness meal benefits are also covered with no copay and no coinsurance, with over-the-counter benefits limited to $75 every three months.
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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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