Senior Care Plus Extensive Duals Plan (HMO D-SNP)
Available to residents of Carson City County, NV for 2026. Contract H2960, plan 024, segment 0.
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- Plan health benefits
- Benefits in plain text
- Rx cost-sharing for all pharmacies and tiers
- Other plans in Carson City County
- Plan website
- Browse the Senior Care Plus Extensive Duals Plan (HMO D-SNP) formulary
Renewed for 2026. CMS carries this plan forward from 2025.
Plan details
| Monthly premium (Part C + D) | $9.50 |
|---|---|
| — medical (Part C) part | $0.00 |
| — drug (Part D) part | $9.50? |
| Drug premium in CMS's quarterly plan file | $0.00The CMS Landscape file above lists $9.50 for the drug part; the two CMS files differ for this plan. |
| Monthly premium with full Extra Help (LIS) | $0.00? |
| Part B premium reduction (giveback) | None |
| Health plan deductible (in-network) | None |
| In-network out-of-pocket maximum | $8,300.00? |
| Drug deductible | $615.00 |
| Drug out-of-pocket threshold | $2,100.00 |
| Plan type | HMO D-SNP? |
| Special needs plan | Dual-eligible SNP |
| Contract / plan | H2960-024-0 |
| Offered by | Senior Care Plus |
| Parent organization | Renown Health |
| Formulary drugs | 3,478 |
| Pharmacy search | www.SeniorCarePlus.com |
| Member services | (888)775-7003TTY 711 |
CMS star ratings
- Overall
- 5 out of 5 stars for Overall
- Health plan (Part C)
- 5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H2960 shares this rating.
Plan health benefits
| Service | In-network |
|---|---|
| Doctor visits | |
| Primary care doctor | 17% coinsurance |
| Specialist | 17% coinsurance |
| Other health care professional | 17% coinsurance(authorization and referral required) |
| Additional telehealth services | Not covered |
| Preventive care | |
| Medicare-covered preventive services | $0 copay |
| Annual physical exam | $0 copay |
| Kidney disease education | $0 copay(referral required) |
| Glaucoma screening | 20% coinsurance |
| Diabetes self-management training | 17% coinsurance |
| Diagnostic tests, labs and imaging | |
| Diagnostic tests and procedures | 17% coinsurance(referral required) |
| Lab services | 17% coinsurance(referral required) |
| Diagnostic radiology (e.g. MRI, CT) | 17% coinsurance(referral required) |
| Therapeutic radiology | 17% coinsurance(referral required) |
| Outpatient x-rays | 17% coinsurance(referral required) |
| Emergency and urgent care | |
| Emergency room | 17% coinsurance |
| Urgent care | 17% coinsurance |
| Worldwide emergency coverage | 17% coinsurance · $10,000 plan limit |
| Worldwide urgent care | Not covered |
| Worldwide emergency transportation | Not covered |
| Hospital care | |
| Inpatient hospital stay | 8% coinsurance for days 1–6; 0% coinsurance for days 7–90; 0% coinsurance(authorization and referral required) |
| Outpatient hospital services | 17% coinsurance(referral required) |
| Outpatient observation | 17% coinsurance |
| Ambulatory surgical center | 17% coinsurance(authorization and referral required) |
| Outpatient blood services | 17% coinsurance |
| Skilled nursing and home health | |
| Skilled nursing facility | 0% coinsurance for days 1–20; 16% coinsurance for days 21–100(authorization and referral required) |
| Home health care | 0% coinsurance(referral required) |
| Kidney dialysis | 17% coinsurance(referral required) |
| Rehabilitation | |
| Occupational therapy | 17% coinsurance(authorization required) |
| Physical therapy and speech-language therapy | 17% coinsurance(authorization and referral required) |
| Cardiac rehabilitation | 17% coinsurance(referral required) |
| Pulmonary rehabilitation | 17% coinsurance(referral required) |
| Mental health and substance use | |
| Inpatient psychiatric hospital stay | 10% coinsurance for days 1–6; 0% coinsurance for days 7–90; 0% coinsurance(authorization and referral required) |
| Outpatient mental health, individual session | 17% coinsurance(referral required) |
| Outpatient mental health, group session | 17% coinsurance(referral required) |
| Psychiatrist, individual session | 17% coinsurance(referral required) |
| Psychiatrist, group session | 17% coinsurance(referral required) |
| Partial hospitalization | 17% coinsurance(referral required) |
| Intensive outpatient program | 17% coinsurance(authorization required) |
| Outpatient substance use, individual session | 17% coinsurance(referral required) |
| Outpatient substance use, group session | 17% coinsurance(referral required) |
| Opioid treatment program | 17% coinsurance(referral required) |
| Ambulance and transportation | |
| Ground ambulance | 17% coinsurance(authorization required) |
| Air ambulance | 17% coinsurance(authorization required) |
| Transportation to plan-approved locations | $0 copay(authorization required, limits apply) |
| Medical equipment and supplies | |
| Durable medical equipment (e.g. wheelchairs, oxygen) | 17% coinsurance(authorization required) |
| Prosthetics (e.g. braces, artificial limbs) | 17% coinsurance(authorization required) |
| Medical supplies | 17% coinsurance(authorization required) |
| Diabetes supplies | 17% coinsurance |
| Diabetic therapeutic shoes or inserts | 17% coinsurance |
| Chiropractic, acupuncture and foot care | |
| Chiropractic (Medicare-covered) | 17% coinsurance(referral required) |
| Routine chiropractic care | Not covered |
| Acupuncture | Not covered |
| Foot exams and treatment (Medicare-covered) | 17% coinsurance |
| Routine foot care | Not covered |
| Dental? | |
| Medicare-covered dental services | 17% coinsurance |
| Oral exams | $0 copay(limits apply) |
| Cleanings | $0 copay(limits apply) |
| Fluoride treatment | Not covered |
| Dental x-rays | $0 copay(limits apply) |
| Other diagnostic dental services | Not covered |
| Other preventive dental services | Not covered |
| Comprehensive dental plan limit | $2,500 plan limit every year |
| Restorative services (fillings, crowns) | 0% coinsurance(limits apply) |
| Endodontics (root canals) | 0% coinsurance(limits apply) |
| Periodontics (gum disease) | 0% coinsurance(limits apply) |
| Dentures and other removable prosthodontics | 0% coinsurance(limits apply) |
| Maxillofacial prosthetics | Not covered |
| Implants | Not covered |
| Bridges and other fixed prosthodontics | Not covered |
| Oral and maxillofacial surgery | 0% coinsurance(limits apply) |
| Orthodontics | Not covered |
| Adjunctive general services | Not covered |
| Vision? | |
| Eye exam (Medicare-covered) | 17% coinsurance(limits apply) |
| Routine eye exam | $0 copay(limits apply) |
| Eyewear after cataract surgery (Medicare-covered) | 17% coinsurance(limits apply) |
| Eyewear plan limit | $400 plan limit every year |
| Contact lenses | $0 copay(limits apply) |
| Eyeglasses (frames and lenses) | $0 copay(limits apply) |
| Eyeglass lenses | $0 copay(limits apply) |
| Eyeglass frames | $0 copay(limits apply) |
| Eyewear upgrades | $0 copay(limits apply) |
| Hearing? | |
| Hearing exam (Medicare-covered) | 17% coinsurance |
| Routine hearing exam | $0 copay(limits apply) |
| Hearing aid fitting and evaluation | $0 copay(limits apply) |
| Hearing aids (all types) | $495–$1,970 copay(limits apply) |
| Hearing aids, inner ear | Not covered |
| Hearing aids, outer ear | Not covered |
| Hearing aids, over the ear | Not covered |
| Medicare Part B drugs | |
| Part B insulin | $35 copay(authorization required, step therapy may apply) |
| Chemotherapy and radiation drugs | 0%–17% coinsurance(authorization required, step therapy may apply) |
| Other Part B drugs | 0%–17% coinsurance(authorization required, step therapy may apply) |
| Other extra benefits? | |
| Over-the-counter (OTC) allowance | $205 allowance every three months |
| Meals after a hospital stay or for a chronic condition | $0 copay(authorization required) |
| Fitness benefit | $0 copay(authorization and referral required) |
| Health education | Not covered |
| Nutritional / dietary benefit | Not covered |
| Extra smoking and tobacco cessation counseling | Not covered |
| Enhanced disease management | Not covered |
| Telemonitoring | Not covered |
| Remote access technologies (web/phone, nurse line) | $0 copay(authorization and referral required) |
| Home and bathroom safety devices | Not covered |
| Counseling services | $0 copay(authorization and referral required) |
| In-home safety assessment | Not covered |
| Personal emergency response system (PERS) | $0 copay(authorization and referral required) |
| Medical nutrition therapy | Not covered |
| Post-discharge in-home medication reconciliation | Not covered |
| Re-admission prevention | Not covered |
| Wigs for hair loss from chemotherapy | Not covered |
| Weight management programs | Not covered |
| Alternative therapies | Not covered |
| Therapeutic massage | Not covered |
| Adult day health services | Not covered |
| Home-based palliative care | Not covered |
| In-home support services | Not covered |
| Support for caregivers | Not covered |
In-network cost-sharing as the plan filed it with CMS (CMS plan benefit package (PBP) files, CY2026). A range means the cost depends on the service or setting. Rows the filing does not state are left out rather than guessed. Contact the plan for the full Evidence of Coverage.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $0.00 |
| Tier 3 | $0.00 |
| Tier 4 | $0.00 |
| Tier 5 | $0.00 |
| Tier 6 | $0.00 |
Rx cost-sharing by coverage phase
| Tier | 30-day supply | 90-day supply | ||||
|---|---|---|---|---|---|---|
| Preferred | Standard | Mail Order | Preferred | Standard | Mail Order | |
| Initial coverage phase | ||||||
| Tier 1: Preferred Generic | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 2: Generic | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 3: Preferred Brand | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 4: Non-Preferred Drug | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 5: Specialty Tier | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 6: Select Care Drugs | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Catastrophic coverage phase | ||||||
| Tier 1: Preferred Generic | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 2: Generic | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 3: Preferred Brand | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 4: Non-Preferred Drug | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 5: Specialty Tier | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
| Tier 6: Select Care Drugs | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Also available in 1 other NV county
Benefits in plain text
Senior Care Plus Extensive Duals Plan (HMO D-SNP) (H2960-024-0) is a 2026 HMO D-SNP Medicare Advantage plan offered by Senior Care Plus, available to residents of Carson City County, NV.
The monthly premium is $9.50 (Part C and Part D together).
With full Extra Help (the Low-Income Subsidy), the total monthly premium is $0.00.
There is no in-network deductible for health services.
Its in-network out-of-pocket maximum is $8,300.00.
The drug deductible is $615.00.
It is a special needs plan (Dual-eligible SNP).
The plan's formulary lists 3,478 drugs.
At a preferred pharmacy in the initial coverage phase, a 30-day supply costs tier 1: $0.00; tier 2: $0.00; tier 3: $0.00; tier 4: $0.00; tier 5: $0.00; tier 6: $0.00.
CMS gives the plan's contract (H2960) an overall rating of 5 out of 5 stars.
Email a copy of the plan benefit details
Plan facts come from the CMS quarterly prescription drug plan public use files; the premium split, Extra Help premium, MOOP and plan type from the CMS Landscape file; the Part B giveback and health benefits from the CMS plan benefit package (PBP) files.