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Plan Comparison table key:
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The indicates that benefits are covered.
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The indicates benefits are not covered.
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2025 Plan Comparison
Benefits and Services
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Medicare Total Advantage Plan (MAP) (HMO D-SNP) | Medicare Health Advantage Plan (HMO D-SNP) | Medicare Health Advantage FLEX Plan (HMO D-SNP) | Medicare Select Advantage Plan (HMO) |
|---|---|---|---|---|
| FLEX Benefits | ||||
| Over-the-Counter (OTC) Card, Grocery, Home Utilities, Gas-at-the-Pump, and Rent/ Mortgage Assistance | ||||
| Dental Services | ||||
| Vision Services | ||||
| Hearing Services | ||||
| Doctor Visit | ||||
| Specialist Visit | ||||
| Preventive Care | ||||
| Prescription Drugs - Part D | ||||
| Non-Emergency Medical & Non-medical Transportation | ||||
| Urgent Care | ||||
| Emergency Care | ||||
| Personal Care | ||||
| Consumer Directed Personal Assistance Services (CDPAP) | ||||
| Social Day Care | ||||
| Adult Day Health Care | ||||
| Home Delivered Meals | ||||
| Medical Supplies and Equipment | ||||
| Rehabilitation Therapies (Physical Therapy, Occupational Therapy and Speech Pathology) | ||||
| Home and Bathroom Safety Devices | ||||
| Acupuncture (above Medicare coverage) | ||||
| Mental Health and Substance Use Disorder services | ||||
| Worldwide Emergency / Urgent Care Coverage | ||||
| Fitness Membership |
* Cost sharing and deductibles may vary based on the level of Medicaid & Extra Help that the beneficiary receives. Food & produce (grocery items), utilities, gas-at-the-pump, rent/mortgage assistance, and transportation for non-medical needs are a part of Special Supplemental Benefits for the Chronically Ill (SSBCI). In order to be eligible to receive SSBCI benefits, enrollees must be determined to be chronically ill, have a chronic condition (i.e. diabetes, chronic heart failure, cardiovascular disorder, chronic and disabling mental health conditions, stroke and/or other eligible conditions not listed), and meet coverage criteria. Food & produce (grocery items), utilities, gas-at-the-pump, rent/mortgage assistance, and transportation for non-medical needs are a part of Value Based Insurance Design (VBID). Eligibility for the Additional Benefits under the VBID Model is not assured and will be determined by the MAO after enrollment, based on relevant criteria (e.g., clinical diagnoses, eligibility criteria, participation in a disease state management program). Some dental service limits and prior authorization requirements apply.
