HealthSpring True Choice (PPO)

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

Plan ID H7849-146-000

Local PPO★ 3 CMS Stars
MOOP (in-network)
$7,500
MOOP (combined)
$11,000
Monthly premium
$14/mo
Part C $14 + Part D $0
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H7849-146-000
Medical deductible
$350
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$700/yr
Also owed
Your Medicare Part B premium, paid separately

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$370/day for days 1–5, $0 after
Inpatient Hospital — Psychiatric$370/day for days 1–5, $0 after
Worldwide Urgent Care Coverage$115

Pharmacy

BenefitIn-network
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Other Part B Drugs0%-20% coinsurance

Mental Health

BenefitIn-network
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions$40
Mental Health — Group Sessions$40

Other

BenefitIn-network
Diabetic Supplies & ServicesSee plan details
Skilled Nursing Facility (SNF)$0/day for days 1–20, $221/day for days 21–100
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional Sessions$30
Intensive Cardiac Rehabilitation — Additional Sessions$40
Pulmonary Rehabilitation — Additional Sessions$25
Supervised Exercise Therapy (SET)$20
Emergency Services$115
Urgently Needed Services$40
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency Coverage$115
Worldwide Emergency Transportation20% coinsurance
Partial Hospitalization Program$115
Intensive Outpatient Program (IOP)$115
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Occupational Therapy Services$35
Physician Specialist Services$40
Podiatry Services$40
Other Health Care Professional Services$0-$40
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$40
Psychiatric Services — Group Sessions$40
Physical Therapy & Speech-Language Pathology$35
Additional Telehealth Services (Part B)$0-$40
Opioid Treatment Program Services$40
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests$0-$150
Laboratory Services0%-20% coinsurance
Radiological ServicesSee plan details
Diagnostic Radiology$0-$225
Therapeutic Radiology$85
X-Ray Services$0-$50
Outpatient Hospital Services$0-$370
Medical Supplies20% coinsurance
Hospital Observation Services$370 per stay
Ambulatory Surgical Center (ASC)$0-$325
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions$40
Substance Abuse — Group Sessions$40
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$250
Air Ambulance20% coinsurance
Durable Medical Equipment (DME)20% coinsurance
Prosthetics & OrthoticsSee plan details
Prosthetic Devices20% coinsurance
Diabetic Supplies0%-20% coinsurance
Diabetic Therapeutic Shoes & Inserts20% coinsurance
Diabetic Monitors0%-20% coinsurance
Dialysis Services20% coinsurance
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Dental — Other Preventive ServicesNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)0%-20% coinsurance (max $35)
Dental — Medicare-Covered Services$40
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Diagnostic ServicesNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Fluoride TreatmentNo charge
Dental — ComprehensiveSee plan details
Dental — Restorative ServicesNo charge
Dental — Endodontics (Root Canal)No charge
Dental — Periodontics (Gum Care)No charge
Dental — Removable Prosthodontics (Dentures)No charge
Dental — Maxillofacial ProstheticsNo charge
Dental — Implant ServicesNo charge
Dental — Fixed Prosthodontics (Bridges)No charge
Dental — Oral & Maxillofacial SurgeryNo charge
Dental — OrthodonticsNo charge
Dental — Adjunctive General ServicesNo charge
Vision — Eye Exams$0-$40
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Vision — Eyeglass LensesNo charge
Vision — Eyeglass FramesNo charge
Vision — Eyewear UpgradesNo charge
Hearing — Exams$40

Service area

  • DE: 1 county

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