2020 Molina Dual Options (Medicare-Medicaid Plan) H8046-1-0 in IL from Molina Healthcare | HealthPocket

Molina Dual Options (Medicare-Medicaid Plan)

$0/mo

Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderMolina Healthcare
Plan IDH8046-1-0
Plan Year2020
CMS RatingNot Rated
Plan TypeMedicare-Medicaid Plan
Annual Deductible$0.00
Out-of-Pocket Maximum

What To Know About This Plan
  • This plan has health and drug coverage

Why We Like This Plan
  • has both Health and Drug Coverage
  • has no additional premium costs outside of your Medicare Part B premium
  • was the 3rd best selling plan in Cook in 2020

Overview

Premium
Total monthly premium$0.00
Health plan premium$0.00
Drug plan premium$0.00
Standard Part B premium$0.00
Part B premium reductionNo
Deductible
Health plan deductible$0
Drug plan deductible$0.00
Estimated yearly costs
Estimated total yearly costs for care$0.00
Out-of-pocket max
Out-of-pocket maxNot Applicable

Benefits & costs

Doctor services
Primary doctor visit$0 copay
Specialist visit$0 copay
Tests, labs, & imaging
Diagnostic tests & procedures$0 copay
Lab services$0 copay
Diagnostic radiology services (like MRI)$0 copay
Outpatient x-rays$0 copay
Emergency care$0 copay
Urgent care$0 copay
Hospital services
Inpatient hospital coverage$0 copay
Outpatient hospital coverage$0 copay
Skilled nursing facility
Skilled nursing facility$0 copay
Preventive services
Preventive services$0 copay
Ambulance
Ground ambulance$0 copay
Therapy services
Occupational therapy visit$0 copay
Physical therapy & speech & language therapy visit$0 copay
Mental health services
Outpatient group therapy with a psychiatrist$0 copay
Outpatient individual therapy with a psychiatrist$0 copay
Outpatient group therapy visit$0 copay
Outpatient individual therapy visit$0 copay
Opioid treatment services
Opioid treatment servicesCovered
Other services
Durable medical equipment (like wheelchairs & oxygen)$0 copay
Prosthetics (like braces, artificial limbs)$0 copay
Diabetes supplies$0 copay
Home health services - Medicare-Medicaid Plans
Additional hours of careLimited coverage
Personal Care ServicesNot covered

Extra benefits & costs

Hearing
Hearing exam$0 copay
Fitting/evaluation$0 copay
Hearing aids - All types$0 copay
Preventive dental
Oral exam$0 copay
Cleaning$0 copay
Fluoride treatment$0 copay
Dental x-rays$0 copay
Comprehensive dental
Non-routine servicesNot covered
Diagnostic services$0 copay
Restorative services$0 copay
Endodontics$0 copay
Periodontics$0 copay
Extractions$0 copay
Prosthodontics, other oral/maxillofacial surgery, other services$0 copay
Vision
Routine eye exam$0 copay
Contact lenses$0 copay
Eyeglasses (frames & lenses)$0 copay
Eyeglass frames (only)Not covered
Eyeglass lenses (only)$0 copay
UpgradesNot covered
More benefits
Transportation services for non-emergency care: Any health-related locationsNot covered
Transportation services for non-emergency care: Plan-approved locationsLimited coverage
Over the counter drug benefitsLimited coverage
Meals for short durationLimited coverage
Annual physical examsNot covered
TelehealthNot covered
Additional benefits & services - Medicare-Medicaid Plans
Non-Medicare covered Prosthetics/Medical SuppliesLimited coverage
Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) ServicesNot covered
Tobacco Cessation Counseling for Pregnant womenLimited coverage
Freestanding Birth Center ServicesNot covered
Respiratory Care ServicesNot covered
Family Planning ServicesLimited coverage
Nursing Home ServicesLimited coverage
Home and Community Based ServicesLimited coverage
Personal Care ServicesNot covered
Self-Directed Personal Assistance ServicesNot covered
Private Duty Nursing ServicesNot covered
Case Management (Long Term Care)Not covered
Institution for Mental Disease Services for Individuals 65 or OlderLimited coverage
Services in an Intermediate Care Facility for Individuals with Intellectual DisabilitiesNot covered
Case ManagementNot covered

Drug coverage & costs

Part B drugs
Chemotherapy drugs$0 copay
Other Part B drugs$0 copay

Coverage Area for Molina Dual Options (Medicare-Medicaid )

StateIllinois
CountyCook

All cost-sharing assumes in-network healthcare providers.
Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit


30 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred GenericNot offereds0% coinsuranceNot offered0% coinsurance
Tier 2: Non-Preferred GenericNot offereds0% coinsuranceNot offered0% coinsurance
Tier 3: Preferred Brand NameNot offereds0% coinsuranceNot offered0% coinsurance
Tier 4: Non-Preferred Brand Name
Tier 5: Specialty Tier
Tier 6: Select Care Drugs

60 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred GenericNot offereds0% coinsuranceNot offered0% coinsurance
Tier 2: Non-Preferred GenericNot offereds0% coinsuranceNot offered0% coinsurance
Tier 3: Preferred Brand Name
Tier 4: Non-Preferred Brand Name
Tier 5: Specialty Tier
Tier 6: Select Care Drugs
90 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred GenericNot offereds0% coinsuranceNot offered0% coinsurance
Tier 2: Non-Preferred GenericNot offereds0% coinsuranceNot offered0% coinsurance
Tier 3: Preferred Brand Name
Tier 4: Non-Preferred Brand Name
Tier 5: Specialty Tier
Tier 6: Select Care Drugs

Physicians that accept Molina Dual Options (Medicare-Medicaid ) for Illinois

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Medicare Plans Found

 

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HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).