HealthSpring Preferred Savings (HMO)

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

Plan ID H4513-083-001

HMO★ 3.5 CMS Stars
MOOP (in-network)
$7,200
MOOP (combined)
—
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H4513-083-001
Medical deductible
$0 — no deductible
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$300/yr
Also owed
Your Medicare Part B premium, paid separately

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

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$325/day for days 1–6, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$325/day for days 1–6, $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
Supplemental Health BenefitsSee plan details

Other

BenefitIn-network
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
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-$50
Laboratory Services0%-20% coinsurance
Radiological ServicesSee plan details
Diagnostic Radiology$0-$300
Therapeutic Radiology$85
X-Ray Services$0-$10
Outpatient Hospital Services$0-$325
Hospital Observation Services$325 per stay
Ambulatory Surgical Center (ASC)$0-$300
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
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic Supplies0%-20% coinsurance
Diabetic Therapeutic Shoes & Inserts20% coinsurance
Diabetic Monitors0%-20% coinsurance
Dialysis Services20% coinsurance
Over-the-Counter (OTC) ItemsNo charge
Meal BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Vision — Eye Exams$0-$40
Fitness BenefitNo 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)0%-20% coinsurance (max $35)
Dental — Medicare-Covered Services$40
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Vision — Eye ExamsSee plan details
Dental — Diagnostic ServicesNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Fluoride TreatmentNo charge
Dental — Other Preventive ServicesNo charge
Dental — ComprehensiveSee plan details
Dental — Restorative Services$0-$550
Dental — Endodontics (Root Canal)$0-$675
Dental — Periodontics (Gum Care)$0-$595
Dental — Removable Prosthodontics (Dentures)$25-$615
Dental — Fixed Prosthodontics (Bridges)$50-$525
Dental — Oral & Maxillofacial SurgeryNo charge
Dental — Adjunctive General Services$0-$285
Vision — Routine Eye ExamsNo charge
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Vision — Eyeglass LensesNo charge
Vision — Eyeglass FramesNo charge
Hearing — Exams$40
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)$399-$1,800
Hearing — OTC Hearing Aids$399
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$40
Psychiatric Services — Group Sessions$40
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Eyewear UpgradesNo charge

Service area

  • TX: 18 counties

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