HealthSpring TotalCare Plus (HMO D-SNP)

HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. · 2027 plan year

Plan ID H4513-034-000

HMO★ 3.5 CMS StarsDual-Eligible SNP

MOOP (in-network): $9,850
MOOP (combined): —
Monthly premium: $10/mo; Part C $0 + Part D $10, before Extra Help
Prescription drugs: Included

This plan in 2026

HealthSpring TotalCare Plus (HMO D-SNP)Compare 2026 vs 2027

Plan information

Contract / Plan / Segment: H4513-034-000
Medical deductible: Medicare Part B deductible (CMS has not yet announced the 2027 amount)
Part D premium: $10/mo (part of the monthly premium above)Before Extra Help, which can lower or remove it for people with limited income.
Part D deductible: $700/yr
Also owed: Your Medicare Part B premium, paid separately

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Benefits & cost sharing

Hospital

Benefit	In-network
Inpatient Hospital — Acute	Original Medicare cost sharing
Inpatient Hospital — Psychiatric	Original Medicare cost sharing
Worldwide Urgent Care Coverage	$115

Pharmacy

Benefit	In-network
Part B Drugs	See plan details
Chemotherapy & Radiation Drugs (Part B)	0%-20% coinsurance
Other Part B Drugs	0%-20% coinsurance

Mental Health

Benefit	In-network
Mental Health Specialty Services	See plan details
Mental Health — Individual Sessions	$10
Mental Health — Group Sessions	$10
Supplemental Health Benefits	See plan details

Other

Benefit	In-network
Substance Abuse — Group Sessions	20% coinsurance
Emergency Services	$115
Skilled Nursing Facility (SNF)	Original Medicare cost sharing
Cardiac & Pulmonary Rehabilitation	See plan details
Cardiac Rehabilitation — Additional Sessions	20% coinsurance
Intensive Cardiac Rehabilitation — Additional Sessions	20% coinsurance
Pulmonary Rehabilitation — Additional Sessions	20% coinsurance
Supervised Exercise Therapy (SET)	20% coinsurance
Substance Abuse — Individual Sessions	20% coinsurance
Urgently Needed Services	$40
Worldwide Emergency & Urgent Coverage	See plan details
Worldwide Emergency Coverage	$115
Worldwide Emergency Transportation	20% coinsurance
Partial Hospitalization Program	$115
Intensive Outpatient Program (IOP)	$115
Home Health Services	No charge
Primary Care Physician Services	20% coinsurance
Chiropractic Services	20% coinsurance
Occupational Therapy Services	20% coinsurance
Physician Specialist Services	20% coinsurance
Podiatry Services	20% coinsurance
Other Health Care Professional Services	20% coinsurance
Psychiatric Services	See plan details
Psychiatric Services — Individual Sessions	$10
Psychiatric Services — Group Sessions	$10
Physical Therapy & Speech-Language Pathology	20% coinsurance
Additional Telehealth Services (Part B)	20% coinsurance
Opioid Treatment Program Services	20% coinsurance
Diagnostic Tests & Lab Services	See plan details
Diagnostic Procedures & Tests	0%-20% coinsurance
Laboratory Services	20% coinsurance
Radiological Services	See plan details
Diagnostic Radiology	0%-20% coinsurance
Therapeutic Radiology	20% coinsurance
X-Ray Services	20% coinsurance
Outpatient Hospital Services	0%-20% coinsurance
Hospital Observation Services	20% coinsurance
Ambulatory Surgical Center (ASC)	0%-20% coinsurance
Outpatient Substance Abuse Services	See plan details
Outpatient Blood Services	No charge
Ambulance Services	See plan details
Ground Ambulance	20% coinsurance
Air Ambulance	20% coinsurance
Non-Emergency Transportation — Health Facility	No charge
Durable Medical Equipment (DME)	20% coinsurance
Prosthetics & Orthotics	See plan details
Prosthetic Devices	20% coinsurance
Medical Supplies	20% coinsurance
Diabetic Supplies & Services	See plan details
Diabetic Supplies	0%-20% coinsurance
Diabetic Therapeutic Shoes & Inserts	20% coinsurance
Diabetic Monitors	0%-20% coinsurance
Dialysis Services	20% coinsurance
Over-the-Counter (OTC) Items	No charge
Vision — Routine Eye Exams	No charge
Meal Benefit	No charge
Medicare-Covered Preventive Services	See plan details
Annual Physical Exam	20% coinsurance
Fitness Benefit	No charge
Kidney Disease Education Services	No charge
Glaucoma Screening	No charge
Diabetes Self-Management Training	No charge
Digital Rectal Exams	No charge
Welcome to Medicare EKG	No charge
Insulin (Part B)	0%-20% coinsurance (max $35)
Dental — Medicare-Covered Services	20% coinsurance
Vision — Eyewear	No charge
Dental — Preventive	See plan details
Dental — Oral Exams	No charge
Dental — X-Rays	No charge
Dental — Diagnostic Services	No charge
Dental — Prophylaxis (Cleaning)	No charge
Dental — Fluoride Treatment	No charge
Dental — Other Preventive Services	No charge
Dental — Comprehensive	See plan details
Dental — Restorative Services	No charge
Dental — Endodontics (Root Canal)	No charge
Dental — Periodontics (Gum Care)	No charge
Dental — Removable Prosthodontics (Dentures)	No charge
Dental — Maxillofacial Prosthetics	No charge
Dental — Implant Services	No charge
Dental — Fixed Prosthodontics (Bridges)	No charge
Dental — Oral & Maxillofacial Surgery	No charge
Dental — Orthodontics	No charge
Dental — Adjunctive General Services	No charge
Vision — Eye Exams	0%-20% coinsurance
Vision — Eye Exams	See plan details
Vision — Eyewear	See plan details
Vision — Contact Lenses	No charge
Vision — Eyeglasses (Lenses & Frames)	No charge
Vision — Eyeglass Lenses	No charge
Vision — Eyeglass Frames	No charge
Vision — Eyewear Upgrades	No charge
Hearing — Exams	20% coinsurance
Hearing — Exams	See plan details
Hearing — Routine Exams	No charge
Hearing — Fitting & Evaluation for Hearing Aid	No charge
Hearing — Prescription Hearing Aids	See plan details
Hearing — Hearing Aids (All Types)	$399-$1,800
Hearing — OTC Hearing Aids	$399

Service area

TN: 62 counties

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