MedicarePartD.guide

A non-government resource built from CMS public data

Molina Medicare Complete Care Select (HMO D-SNP)

Available to residents of Garfield County, UT for 2026. Contract H5628, plan 012, segment 0.

Plan details

Monthly premium$0.00
Drug deductible$375.00Tier 1 and 6 exempt
Plan typeDual-eligible SNP
Contract / planH5628-012-0
Offered byMolina Healthcare of Utah & Idaho
Parent organizationMolina Healthcare, Inc.
Formulary drugs3,522

CMS star ratings

Overall
3 out of 5 stars for Overall
Health plan (Part C)
3 out of 5 stars for Health plan (Part C)
Drug plan (Part D)
3.5 out of 5 stars for Drug plan (Part D)

Drug tiers — preferred pharmacy, initial coverage

TierCost-sharing
Tier 1$0.00
Tier 2$4.00
Tier 320%
Tier 430%
Tier 527%
Tier 6$0.00

Also available in 22 other UT counties