A non-government entity
Premier Care (HMO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Premier Care (HMO I-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Premier Care (HMO I-SNP) in 2026, please refer to our full plan details page.
This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.
Premier Care (HMO I-SNP) is a HMO I-SNP plan offered by Align Senior Care Florida, Inc. available for the 2026 plan year to people living in Florida (partial). CMS star rating not available for 2026.
It's important to know that Premier Care (HMO I-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Premier Care (HMO I-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 Premier Care (HMO I-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 Premier Care (HMO I-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
Health deductible: information not available.
This plan has a $450.00 drug deductible that applies only to drugs in certain tiers. You pay this amount toward covered prescriptions in those tiers before the plan's cost sharing begins; drugs in the other tiers are not subject to the deductible. See the full plan details page for the tier table.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $2200.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $2200.00 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:
Sign up for Premier Care (HMO I-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
Drug Coverage
The Premier Care (HMO I-SNP) Medicare plan features a $450 annual drug deductible. Under this plan, Tier 1 preferred generic drugs have no copay for one-, two-, or three-month supplies through standard pharmacies and standard mail order. For Tier 2 generic medications, you will pay a copay of $10 for a one-month supply, $20 for a two-month supply, and $30 for a three-month supply. Tier 3 preferred brand drugs require a copay of $45 for a one-month supply, $90 for two months, and $135 for three months at standard pharmacies and mail order. Tier 4 non-preferred drugs have copays ranging from $95 for a one-month supply up to $285 for a three-month supply, while Tier 5 specialty drugs require a 27% coinsurance for a one-month supply.
Additional Benefits
The Premier Care (HMO I-SNP) plan offers robust coverage for core medical services, often featuring no copays or low cost-sharing. Primary care, home health, and cardiac rehabilitation services are covered with no copay and no coinsurance, while specialist visits require a low $10 copay. For inpatient hospital stays, members pay a $100 daily copay for the first six days and no copay for days 7 through 90, while skilled nursing stays require no copay for the first 20 days. This plan also includes generous supplemental benefits, such as dental care with no copay up to a $4,000 annual maximum and prescription hearing aids covered up to $1,560 annually with no copay. Routine vision exams and contact lenses require a 20% coinsurance with no copay, alongside an annual eyewear allowance of up to $130. Additionally, members can access over-the-counter items and up to 24 one-way transportation trips per year to health-related locations with no copay and no coinsurance.
Inpatient Hospital See details
Inpatient hospital care is partially covered by Premier Care (HMO I-SNP) with no coinsurance and prior authorization required. Medicare-covered acute and psychiatric stays require a $100 daily copay for days 1 through 6 and no copay for days 7 through 90, but acute upgrades and psychiatric additional days or non-Medicare-covered stays are not covered.
Outpatient Services See details
Premier Care (HMO I-SNP) covers outpatient hospital services with no coinsurance and copays ranging from $0 to $225, including a $100 copay per stay for observation services. Ambulatory surgical center and outpatient blood services are covered with no copay and a 20% coinsurance, while outpatient substance abuse sessions have a $30 copay and no coinsurance.
Partial Hospitalization See details
Premier Care (HMO I-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required for some of these covered services.
Ambulance and Transportation Services See details
Premier Care (HMO I-SNP) covers ground ambulance services with a $250 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay. The plan also covers up to 24 one-way transportation trips per year to any health-related location with no copay and no coinsurance.
Emergency Services See details
Premier Care (HMO I-SNP) covers emergency services with a $90 copay and urgently needed services with a $40 copay, both with no coinsurance and copays waived if admitted to the hospital within 3 days. Some worldwide emergency services are covered, but worldwide emergency coverage, urgent coverage, and emergency transportation are not covered.
Primary Care See details
Premier Care (HMO I-SNP) covers primary care, occupational, physical, and speech therapies, and opioid treatment with no copay and no coinsurance. Specialist visits require a $10 copay and no coinsurance, while chiropractic care is partially covered, offering up to 12 routine visits for a $30 copay and 20% coinsurance but excluding other chiropractic services. Mental health, psychiatry, podiatry, and telehealth services are also covered with copays ranging from $0 to $20 and coinsurance up to 20%.
Preventive Services See details
Preventive services are partially covered by Premier Care (HMO I-SNP) with no copay and no coinsurance for covered services like kidney disease education and in-home support. Uncovered services include an annual physical exam, health education, in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, caregiver support, additional smoking cessation, fitness benefits, enhanced disease management, telemonitoring, remote access, home safety modifications, and counseling.
Hearing Services See details
Hearing services covered by Premier Care (HMO I-SNP) include hearing exams with no copay, though routine hearing exams require a 20% coinsurance. Prescription hearing aids are partially covered up to $1,560 annually with no copay and no coinsurance, but inner ear, outer ear, and over the ear hearing aids are not covered. OTC hearing aids are also covered with no copay and no coinsurance.
Vision Services See details
Vision services are covered by Premier Care (HMO I-SNP) with no copays and no deductibles, featuring a 20% coinsurance for routine eye exams and contact lenses. The plan covers one routine exam per year and up to a $130 annual limit for eyewear, though other eye exam services are not covered.
Dental Services See details
Premier Care (HMO I-SNP) partially covers dental services, offering Medicare-covered dental with no copay and a 20% coinsurance, alongside other covered services with no copay and no coinsurance up to a $4,000 annual maximum. Other preventive dental services, maxillofacial prosthetics, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Premier Care (HMO I-SNP) with no copay, though prior authorization is required. Associated Medicare Part B drugs—including chemotherapy, insulin, and other infusions—require a coinsurance ranging from no coinsurance up to 20%, with insulin also carrying a $35 copay.
Dialysis Services See details
Dialysis Services are covered by Premier Care (HMO I-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Premier Care (HMO I-SNP) partially covers medical equipment with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are not covered under this plan, and prior authorization is required for durable medical equipment and prosthetics.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are partially covered under the Premier Care (HMO I-SNP) plan, requiring prior authorization and offering a 20% coinsurance with no copay for covered services. Covered options include diagnostic procedures and diagnostic or therapeutic radiological services, while lab services and outpatient X-ray services are not covered.
Home Health Services See details
Home health services are covered under Premier Care (HMO I-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Premier Care (HMO I-SNP) covers Cardiac Rehabilitation Services with no copay and no coinsurance, though prior authorization is required. While some services are covered, specific sub-services including Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and Supervised Exercise Therapy (SET) for PAD are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Premier Care (HMO I-SNP) covers skilled nursing facility (SNF) services with no coinsurance, featuring no copay for days 1 through 20 and a $100 copay for days 21 through 100. Prior authorization is required, a prior three-day inpatient hospital stay is not, and additional days beyond the Medicare-covered period are not covered.
Other Services See details
Other services are partially covered by Premier Care (HMO I-SNP), which provides acupuncture for a $30 copay and no coinsurance up to 12 times per year, and over-the-counter (OTC) items with no copay and no coinsurance. Meal benefits and other additional services are not covered under this plan.
Plan Providers
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
SMID: MULTIPLAN_HCIHNMEDADVRX27_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
© 2026 Dog Media Solutions LLC. All rights reserved