Great Plains Medicare Advantage Gold (HMO I-SNP)

HMO Institutional SNP Includes Rx

Plan Details

Plan NameGreat Plains Medicare Advantage Gold (HMO I-SNP)

OrganizationGreat Plains Medicare Advantage

Legal EntityGOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.

Plan TypeHMO

Service AreaNebraska (partial)

Contract IDH7511

Plan ID002

In-Network MOOP$2,150

Prescription Drug CoverageYes (Part D Included)

About This Plan

Great Plains Medicare Advantage Gold (HMO I-SNP) is a HMO Medicare plan offered by Great Plains Medicare Advantage (GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.). This plan is available to eligible Medicare beneficiaries in Nebraska (partial).

This is a Special Needs Plan (SNP) designed for Institutional beneficiaries. This plan includes Medicare Part D prescription drug coverage.

The in-network maximum out-of-pocket (MOOP) for this plan is $2,150, which is the most you would pay for covered services in a plan year. After reaching this amount, the plan pays 100% of covered services.