Alterwood Advantage Select (HMO)

ALTERWOOD ADVANTAGE, INC. · 2027 plan year

Plan ID H9306-009-001

HMO★ 3.5 CMS Stars
MOOP (in-network)
$7,500
MOOP (combined)
—
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H9306-009-001
Medical deductible
$0 — no deductible
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$295/yr
Also owed
Your Medicare Part B premium, paid separately

Other segments for this plan:

More ALTERWOOD ADVANTAGE, INC. plans in MD

Benefits & cost sharing

Primary Care

BenefitIn-network
Chiropractic — Routine Care$15

Hospital

BenefitIn-network
Inpatient Hospital — AcuteTier 1: $395/day for days 1–4, $0 after; Tier 2: $520/day for days 1–4, $0 after
Inpatient Hospital — Psychiatric$395/day for days 1–4, $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 Sessions$45
Mental Health — Group Sessions$35
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 ServicesNo charge
Partial Hospitalization Program$55
Intensive Outpatient Program (IOP)$55
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Chiropractic ServicesSee plan details
Chiropractic — Other ServicesNo charge
Occupational Therapy Services$35
Physician Specialist Services$25
Podiatry Services$35
Podiatry Services$35
Other Health Care Professional Services$20-$35
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$45
Psychiatric Services — Group Sessions$35
Physical Therapy & Speech-Language Pathology$50
Additional Telehealth Services (Part B)No charge
Opioid Treatment Program Services$35
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests$15
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology$165-$415
Therapeutic Radiology20% coinsurance
X-Ray Services$20-$50
Outpatient Hospital Services$325-$625
Hospital Observation Services$250-$625 per stay
Ambulatory Surgical Center (ASC)$50
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions$45
Substance Abuse — Group Sessions$35
Outpatient Blood ServicesNo charge
Ground Ambulance$240
Air Ambulance$300
Durable Medical Equipment (DME)20% coinsurance
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
Fitness BenefitNo charge
Readmission Prevention ServicesNo 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$40
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 Services20% coinsurance
Dental — Endodontics (Root Canal)20% coinsurance
Dental — Periodontics (Gum Care)20% coinsurance
Dental — Removable Prosthodontics (Dentures)20% coinsurance
Dental — Oral & Maxillofacial Surgery20% coinsurance
Dental — Adjunctive General Services20% coinsurance
Vision — Eye Exams$40
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — Eyewear20% coinsurance
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Vision — Eyeglass LensesNo charge
Vision — Eyeglass FramesNo charge
Ambulance ServicesSee plan details
Prosthetics & OrthoticsSee plan details
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)$475-$1,950

Service area

  • MD: 19 counties

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