Molina Dual Options (Medicare-Medicaid )

Medicare Advantage Plan for Texas

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PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderMolina Healthcare
Plan IDH8197-1-0
CMS RatingNot Rated1
Plan TypeMedicare-Medicaid Plan
Annual Deductible$0.00

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

Plan Details

Costs and Other Important Information

Plan Year:
2018
Optional Supplemental Benefits
No
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
Not Applicable
Other health plan deductibles?
No
Health Plan Deductible
$0
Monthly Drug Plan Premium
$0.00
Monthly Health Plan Premium
$0.00

Benefits

Service
Cost
Inpatient hospital coverage
$0 copay
Outpatient hospital coverage
$0 copay
Doctor visits
Primary:
$0 copay
Specialist:
$0 copay
Preventive care
$0 copay
Emergency care/Urgent care
Emergency:
$0 copay
Urgent care:
$0 copay
Diagnostic procedures/lab services/imaging
Diagnostic tests and procedures:
$0 copay
Lab services:
$0 copay
Diagnostic radiology services (e.g., MRI):
$0 copay
Outpatient x-rays:
$0 copay
Mental health services
$0 copay
Outpatient group therapy visit with a psychiatrist:
$0 copay
Outpatient individual therapy visit with a psychiatrist:
$0 copay
Outpatient group therapy visit:
$0 copay
Outpatient individual therapy visit:
$0 copay
Skilled Nursing Facility
$0 copay
Rehabilitation services
Occupational therapy visit:
$0 copay
Physical therapy and speech and language therapy visit:
$0 copay
Ambulance
$0 copay
Transportation
Not covered
Foot care (podiatry services)
Foot exams and treatment:
$0 copay
Routine foot care:
$0 copay
Medical equipment/supplies
Durable medical equipment (e.g., wheelchairs, oxygen):
$0 copay
Prosthetics (e.g., braces, artificial limbs):
$0 copay
Diabetes supplies:
$0 copay
Wellness programs (e.g., fitness, nursing hotline)
Covered
Medicare Part B drugs
Chemotherapy:
$0 copay
Other Part B drugs:
$0 copay

Coverage Area for Molina Dual Options (Medicare-Medicaid )

StateTexas
CountyEl Paso

Cost Sharing Information

All cost-sharing assumes in-network healthcare providers.

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offereds0% coinsuranceNot offered
Tier 2: Non-Preferred GenericNot offered0% coinsuranceNot offered
Tier 3: Preferred Brand NameNot offered0% coinsuranceNot offered
Tier 4: Non-Preferred Brand Name
Tier 5: Specialty Tier
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offered0% coinsuranceNot offered
Tier 2: Non-Preferred GenericNot offered0% coinsuranceNot offered
Tier 3: Preferred Brand Name
Tier 4: Non-Preferred Brand Name
Tier 5: Specialty Tier

Physician Finder

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

/
MARQUEZ-SMITH, TERESA
11331 JAMES WATT DR
EL PASO, TX 79936
GONZALEZ, JOSE
11861 PHYSICIANS DR
EL PASO, TX 79936
SMITH, DEAN
11880 VISTA DEL SOL DR
EL PASO, TX 79936
SIDES, ERIC
1400 GEORGE DIETER DR
EL PASO, TX 79936
NUTIS, MARIO
2400 TRAWOOD DR
EL PASO, TX 79936
LINDO, ROLANDO
1521 JOE BATTLE BOULEVARD
EL PASO, TX 79936
SQUARE, JAIME
11890 VISTA DEL SOL DR
EL PASO, TX 79936
MROCHEK, MICHAEL
1400 GEORGE DIETER DR
EL PASO, TX 79936
LODHI, HUMA
11351 JAMES WATT DR
EL PASO, TX 79936
GILARDONI, PAUL
1416 GEORGE DIETER DR
EL PASO, TX 79936
Details
TERESA MARQUEZ-SMITH, MD
Phone Number
(915) 838-1400
Office Locations
11331 JAMES WATT DR
EL PASO, TX 79936
11331 JAMES WATT DR EL PASO TX, 79936

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