Molina Medicare Complete Care (HMO D-SNP)

Available to residents of Mitchell County, IA for 2027. Contract H4367, plan 002, segment 0.

2027 drug-by-drug coverage is not published by CMS yet. The drug lookup covers 2026, whose formulary is live.

Renewed for 2027. CMS crosswalks 2026’s Molina Medicare Complete Care (HMO D-SNP) (H1799-005-0) into this plan, so its members move here unless they choose otherwise.

Plan details

Monthly premium (Part C + D)	$0.60
— medical (Part C) part	$0.00
— drug (Part D) part	$0.60
In-network out-of-pocket maximum	$9,850.00
Drug deductible	$700.00Tier 1 and 6 exempt
Drug out-of-pocket threshold	$2,400.00
Plan type	HMO D-SNP
Special needs plan	Dual-eligible SNP
D-SNP integration status	Highly Integrated (HIDE)
Zero-dollar cost sharing D-SNP	Yes
Contract / plan	H4367-002-0
Offered by	Molina Healthcare of Iowa, Inc.
Parent organization	Molina Healthcare, Inc.
Formulary tiers	6
Member services	(844)246-7256TTY 711

CMS star ratings

Overall: —
Health plan (Part C): —
Drug plan (Part D): —

Published per contract — every plan under contract H4367 shares this rating.

Drug tiers — preferred pharmacy, initial coverage

Tier	Cost-sharing
Tier 1 · Preferred Generic	$0.00
Tier 2 · Generic	25%
Tier 3 · Preferred Brand	25%
Tier 4 · Non-Preferred Drug	25%
Tier 5 · Specialty Tier	25%
Tier 6 · Select Care Drugs	$0.00

Plan facts come from the CMS plan Landscape file and the CMS plan benefit package (PBP) files.

Molina Medicare Complete Care (HMO D-SNP)

Plan details

CMS star ratings

Drug tiers — preferred pharmacy, initial coverage

Also available in 89 other IA counties