HMO Not Available SNP Includes Rx
Plan Details
Plan NameSaint Alphonsus Health Plan EGWP 1 (HMO)
OrganizationSaint Alphonsus Health Plan
Legal EntityMOUNT CARMEL HEALTH PLAN OF IDAHO, INC.
Plan TypeHMO
Service AreaSelect Counties in Idaho
Contract IDH6910
Plan ID801
In-Network MOOP$9,350
Prescription Drug CoverageYes (Part D Included)
About This Plan
Saint Alphonsus Health Plan EGWP 1 (HMO) is a HMO Medicare plan offered by Saint Alphonsus Health Plan (MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.). This plan is available to eligible Medicare beneficiaries in Select Counties in Idaho.
This is a Special Needs Plan (SNP) designed for Not Available beneficiaries. This plan includes Medicare Part D prescription drug coverage.
The in-network maximum out-of-pocket (MOOP) for this plan is $9,350, 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.
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