HealthSpring Premier (HMO-POS)

HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. · 2026 plan year

Plan ID H4513-096-000

HMOPOS★ 4.5 CMS StarsNew for 2026
MOOP (in-network)
$2,000
MOOP (combined)
—
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

This plan in 2027

Plan information

Contract / Plan / Segment
H4513-096-000
Medical deductible
$0 — no deductible
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$200/yr
Also owed
Your Medicare Part B premium, paid separately

More HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC. plans in NV

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$75/day for days 1–4, $0 after
Inpatient Hospital — Psychiatric$75/day for days 1–4, $0 after
Worldwide Urgent Care Coverage$140

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

Other

BenefitIn-network
Vision — Eyewear UpgradesNo charge
Hearing — ExamsNo charge
Hearing — ExamsSee plan details
Hearing — Routine ExamsNo charge
Hearing — Fitting & Evaluation for Hearing AidNo charge
Diabetic SuppliesNo charge
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic Therapeutic Shoes & Inserts20% coinsurance
X-Ray Services$10
Prosthetic Devices20% coinsurance
Skilled Nursing Facility (SNF)$20/day for days 1–20, $214/day for days 21–100
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional Sessions$25
Intensive Cardiac Rehabilitation — Additional Sessions$25
Pulmonary Rehabilitation — Additional Sessions$25
Supervised Exercise Therapy (SET)$25
Emergency Services$140
Urgently Needed Services$10
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency Coverage$140
Worldwide Emergency Transportation$140
Partial Hospitalization Program$130
Intensive Outpatient Program (IOP)$130
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic ServicesNo charge
Occupational Therapy ServicesNo charge
Physician Specialist 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
Physical Therapy & Speech-Language PathologyNo charge
Additional Telehealth Services (Part B)No charge
Opioid Treatment Program ServicesNo charge
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests$0-$50
Laboratory Services$0-$50
Radiological ServicesSee plan details
Diagnostic Radiology$0-$100
Therapeutic Radiology20% coinsurance
Outpatient Hospital Services$0-$50
Hospital Observation Services$50 per stay
Ambulatory Surgical Center (ASC)No charge
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual SessionsNo charge
Substance Abuse — Group SessionsNo charge
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$255
Air Ambulance20% coinsurance
Non-Emergency Transportation — Health FacilityNo charge
Durable Medical Equipment (DME)20% coinsurance
Prosthetics & OrthoticsSee plan details
Dialysis Services20% coinsurance
Over-the-Counter (OTC) ItemsNo charge
Meal BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Fitness BenefitNo charge
Caregiver Support ServicesNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Vision — Contact LensesNo 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 — Diagnostic ServicesNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Fluoride TreatmentNo charge
Dental — Other Preventive ServicesNo 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-$35
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Eyeglasses (Lenses & Frames)No charge
Vision — Eyeglass LensesNo charge
Vision — Eyeglass FramesNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)$399-$1,800
Hearing — OTC Hearing Aids$399

Service area

  • NV: 2 counties

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