2022 Medicare Advantage Plan Details | |||||
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Medicare Plan Name: | Brand New Day Embrace Care Plan (HMO C-SNP) | ||||
Location: | San Mateo, California Click to see other locations | ||||
Plan ID: | H0838 - 039 - 0 Click to see other plans | ||||
Member Services: | |||||
— This plan information is for research purposes only. — Click here to see plans for the current plan year | |||||
Medicare Contact Information: | Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistance |
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Email a copy of the Brand New Day Embrace Care Plan (HMO C-SNP) benefit details | |||||
— Medicare Plan Features — | |||||
Monthly Premium: | $0.00 | ||||
Annual Deductible: | $0 | ||||
Annual Initial Coverage Limit (ICL): | $4,430 | ||||
Health Plan Type: | Local HMO | ||||
Special Needs Plan (SNP) Eligibility Requirement: | Cardiovascular Disorders, Chronic Heart Failure and Diabetes | ||||
Additional Gap Coverage? | Some Generics | ||||
Total Number of Formulary Drugs: | 3,185 drugs | Browse the Brand New Day Embrace Care Plan (HMO C-SNP) Formulary | |||
This plan has 6 drug tiers. See cost-sharing for all pharmacies and tiers. | |||||
This plan offers select insulin at a $0-$35 copay. Learn more. | |||||
Formulary Drug Details: | Tier 1 | Tier 2 | Tier 3 | Tier 4 | Tier 5 |
• Preferred Pharmacy Cost-Sharing during initial coverage phase: | $0.00 | $9.00 | $47.00 | $90.00 | 33% |
• Number of Drugs per Tier: | 285 | 1083 | 438 | 514 | 732 |
Plan Offers Mail Order? | Yes | ||||
Medicare Plan Pharmacy Numbers: | BIN: 015574 PCN: ASPROD1 See BIN/PCNs for all plans | ||||
Number of Members enrolled in this plan in San Mateo, California: | 597 members | ||||
Number of Members enrolled in this plan in (H0838 - 039): | 25,128 members | ||||
Plan’s Summary Star Rating: | 3.5 out of 5 Stars. | ||||
• Customer Service Rating: | 3 out of 5 Stars. | ||||
• Member Experience Rating: | Insufficient data to rate this plan. | ||||
• Drug Cost Accuracy Rating: | 4 out of 5 Stars. |
— Plan Health Benefits — |