Community Health Choice (HMO D-SNP) is a Medicare Advantage plan for people who are eligible for both Medicare and Medicaid.
It combines your Medicare Part A and Part B benefits, your Medicare Part D prescription drug coverage, and your Medicaid benefits, and you will receive these extra benefits all for a $0 premium.*
| Benefit | Original Medicare | Community Health Choice (HMO D-SNP) |
|---|---|---|
|
Hospital Stays |
Yes |
$0 copay |
|
Doctor and Outpatient Care |
Yes |
$0 copay |
|
Prescription Drugs |
--- |
$0 copay for QMB and QMB+ levels for Medicare-covered services |
|
Dental Coverage |
--- |
$0 copay for covered services,
$3,500 annual allowance for covered dental services |
|
Vision Coverage |
--- |
$0 copay for routine eye exams;
up to $350 annual allowance for lenses/frames and contacts
|
|
Hearing Coverage |
--- |
$0 copay for routine hearing exams;
up to $1,000 allowance for hearing aids every two years |
|
Over-the-Counter Benefit |
--- |
$220 quarterly allowance to purchase OTC drugs |
|
Transportation Benefit |
--- |
$0 copay; up to 4 one-way trips per month to or from plan approved health related locations |
|
Meals Benefit |
--- |
$0 copay; up to 2 meals a day for 7 days following your discharge from the hospital |
|
Flex Card |
--- |
$250 quarterly allowance that may be used for groceries, rent assistance, and/or utility bills |
|
In-Home Support Services |
--- |
Up to 48 hours annually of assistance with daily activities, including housekeeping, shopping, meal preparation, dressing and grooming, managing medications, etc. |
*This information is not a complete description of benefits. For more information on plan benefits, please call us at 1.833.276.8306 (TTY users should call 711) or view the Evidence of Coverage [link].
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