McLaren Medicare Inspire Giveback (HMO)

MCLAREN HEALTH PLAN, INC. · 2027 plan year

Plan ID H6322-008-000

HMO★ 3 CMS Stars
MOOP (in-network)
$6,750
MOOP (combined)
—
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H6322-008-000
Medical deductible
$0 — no deductible
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$615/yr
Also owed
Your Medicare Part B premium, paid separately

More MCLAREN HEALTH PLAN, INC. plans in MI

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$550/day for days 1–5, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$465/day for days 1–5, $0 after
Worldwide Urgent Care Coverage$50

Pharmacy

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

Mental Health

BenefitIn-network
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions$50
Mental Health — Group Sessions$50
Supplemental Health BenefitsSee plan details

Other

BenefitIn-network
Intensive Cardiac Rehabilitation — Additional Sessions$25
Cardiac & Pulmonary RehabilitationSee plan details
Prosthetics & OrthoticsSee plan details
Hearing — Exams$50
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)$699-$999
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Supervised Exercise Therapy (SET)$20
Substance Abuse — Individual Sessions$50
Substance Abuse — Group Sessions$50
Outpatient Substance Abuse ServicesSee plan details
Vision — EyewearNo charge
Pulmonary Rehabilitation — Additional Sessions$20
Skilled Nursing Facility (SNF)$0/day for days 1–20, $221/day for days 21–100
Cardiac Rehabilitation — Additional Sessions$25
Emergency Services$130
Urgently Needed Services$50
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency Coverage$130
Partial Hospitalization Program$80
Intensive Outpatient Program (IOP)$80
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Occupational Therapy Services$50
Physician Specialist Services$0-$50
Podiatry Services$50
Other Health Care Professional Services$25-$50
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$50
Psychiatric Services — Group Sessions$50
Physical Therapy & Speech-Language Pathology$45
Additional Telehealth Services (Part B)$0-$50
Opioid Treatment Program Services$50
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests$20-$350
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology$150-$350
Therapeutic Radiology20% coinsurance
X-Ray Services$25-$350
Outpatient Hospital Services$550
Hospital Observation Services$550 per stay
Ambulatory Surgical Center (ASC)$450
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$350
Air Ambulance$350
Durable Medical Equipment (DME)20% coinsurance
Prosthetic Devices20% coinsurance
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic SuppliesNo charge
Diabetic Therapeutic Shoes & Inserts20% coinsurance
Diabetic Monitors0%-20% coinsurance
Dialysis Services20% coinsurance
Over-the-Counter (OTC) ItemsNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Nutritional & Dietary BenefitNo charge
Fitness BenefitNo charge
Enhanced Disease ManagementNo charge
Readmission Prevention ServicesNo charge
Alternative TherapiesNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)$35
Dental — Medicare-Covered Services$50
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 — Restorative Services50% coinsurance
Dental — Periodontics (Gum Care)0%-50% coinsurance
Dental — Oral & Maxillofacial Surgery0%-50% coinsurance
Dental — Adjunctive General ServicesNo charge
Vision — Eye Exams$50
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge

Service area

  • MI: 57 counties

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