Molina Medicare Complete Care (HMO D-SNP)

Available to residents of Dodge County, NE for 2027. Contract H6585, plan 002, segment 0.

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

Consolidated into another plan for 2027. CMS crosswalks 2026’s Molina Medicare Complete Care (HMO D-SNP) (H2715-006-2) into this plan, so its members move here unless they choose otherwise.

Plan details

Monthly premium (Part C + D)	$10.30
— medical (Part C) part	$0.00
— drug (Part D) part	$10.30
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	H6585-002-0
Offered by	Molina Healthcare of Nebraska
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 H6585 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	26%
Tier 5 · Specialty Tier	25%
Tier 6 · Select Care Drugs	$0.00

Also available in 51 other NE counties

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