Solis Wellness Giveback Plan (HMO C-SNP)

SOLIS HEALTH PLANS, INC. · 2027 plan year

Plan ID H0982-028-000

HMO★ 4.5 CMS StarsChronic or Disabling Condition SNP
MOOP (in-network)
$2,500
MOOP (combined)
—
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H0982-028-000
Medical deductible
$0 — no deductible
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$0/yr
Also owed
Your Medicare Part B premium, paid separately

More SOLIS HEALTH PLANS, INC. plans in FL

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$50/day for days 1–5, $0 after
Inpatient Hospital — Psychiatric$50/day for days 1–5, $0 after

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 SessionsNo charge
Mental Health — Group SessionsNo charge
Supplemental Health BenefitsSee plan details

Other

BenefitIn-network
Physical Therapy & Speech-Language Pathology$15-$25
Additional Telehealth Services (Part B)No charge
Opioid Treatment Program Services$25
Urgently Needed ServicesNo charge
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency Coverage$85
Partial Hospitalization ProgramNo charge
Intensive Outpatient Program (IOP)No charge
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic ServicesNo charge
Occupational Therapy Services$15-$25
Physician Specialist ServicesNo charge
Podiatry ServicesNo charge
Podiatry ServicesNo charge
Other Health Care Professional ServicesNo charge
Psychiatric ServicesSee plan details
Psychiatric Services — Individual SessionsNo charge
Psychiatric Services — Group SessionsNo charge
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests$0-$50
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology$0-$150
Therapeutic Radiology20% coinsurance
X-Ray Services$0-$50
Outpatient Hospital Services$100
Hospital Observation Services$100 per stay
Ambulatory Surgical Center (ASC)$25
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions$25
Substance Abuse — Group Sessions$25
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$150
Air Ambulance20% coinsurance
Non-Emergency Transportation — Health FacilityNo charge
Durable Medical Equipment (DME)0%-20% coinsurance
Prosthetics & OrthoticsSee plan details
Prosthetic Devices20% coinsurance
Medical SuppliesNo charge
Diabetic Supplies & ServicesSee plan details
Diabetic Supplies0%-20% coinsurance
Diabetic Therapeutic Shoes & InsertsNo charge
Diabetic Monitors0%-20% coinsurance
Dialysis Services20% coinsurance
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)0%-20% coinsurance (max $35)
Dental — Medicare-Covered ServicesNo charge
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Fluoride TreatmentNo charge
Dental — ComprehensiveSee plan details
Dental — Periodontics (Gum Care)No charge
Vision — Eye ExamsNo charge
Vision — Eye ExamsSee plan details
Vision — EyewearSee plan details
Vision — Eyeglasses (Lenses & Frames)No charge
Vision — Eyeglass LensesNo charge
Vision — Eyeglass FramesNo charge
Vision — Eyewear UpgradesNo charge
Hearing — ExamsNo charge
Hearing — ExamsSee plan details
Hearing — Routine ExamsNo charge
Hearing — Fitting & Evaluation for Hearing AidNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)No charge
Medicare-Covered Preventive ServicesSee plan details
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Vision — Contact LensesNo charge
Skilled Nursing Facility (SNF)$0/day for days 1–20, $60/day for days 21–100
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional SessionsNo charge
Intensive Cardiac Rehabilitation — Additional SessionsNo charge
Pulmonary Rehabilitation — Additional SessionsNo charge
Supervised Exercise Therapy (SET)No charge
Emergency Services$85
Over-the-Counter (OTC) ItemsNo charge
Meal BenefitNo charge
Annual Physical ExamNo charge
Health EducationNo charge
Nutritional & Dietary BenefitNo charge
Fitness BenefitNo charge
Remote Access TechnologiesNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge

Service area

  • FL: 1 county

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