Healthy Arkansas Dual Advantage (PPO D-SNP)
Available to residents of Lonoke County, AR for 2027. Contract H4086, plan 002, segment 0.
2027 drug-by-drug coverage is not published by CMS yet. The drug lookup covers 2026, whose formulary is live.
New for 2027. This plan has no 2026 predecessor in the CMS crosswalk.
Plan details
| Monthly premium (Part C + D) | $6.30 |
|---|---|
| — medical (Part C) part | $0.00 |
| — drug (Part D) part | $6.30 |
| In-network out-of-pocket maximum | $9,250.00 |
| Drug deductible | $700.00Tier 1 and 2 exempt |
| Drug out-of-pocket threshold | $2,400.00 |
| Plan type | PPO D-SNP |
| Special needs plan | Dual-eligible SNP |
| D-SNP integration status | Coordination Only (CO) |
| Zero-dollar cost sharing D-SNP | No |
| Contract / plan | H4086-002-0 |
| Offered by | Healthy Arkansas, Inc. |
| Parent organization | Singh Holdings LLC |
| Formulary tiers | 5 |
| Member services | (833)201-6413TTY (800)582-2233 |
CMS star ratings
- Overall
- —
- Health plan (Part C)
- —
- Drug plan (Part D)
- —
Published per contract — every plan under contract H4086 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 · Preferred Generic | $0.00 |
| Tier 2 · Generic | $0.00 |
| Tier 3 · Preferred Brand | 25% |
| Tier 4 · Non-Preferred Drug | 25% |
| Tier 5 · Specialty Tier | 25% |
Also available in 34 other AR counties
Plan facts come from the CMS plan Landscape file and the CMS plan benefit package (PBP) files.