The University of Maryland Health Advantage Dual plan (HMO-SNP) is a Medicare Advantage Prescription Drug Plan for those with both Medicare and Medicaid (Maryland Medical Assistance Program) as a Qualified Medicare Beneficiary (QMB) or a Full Benefit Dual Eligible (FBDE). This plan combines your Medical, Hospital and Prescription Drug coverage with extra services and personalized programs focused on improving your health.
To be eligible for the University of Maryland Health Advantage Dual (HMO-SNP) plan, you must also have Medicare Parts A & B and reside in the following Maryland counties: Anne Arundel, Baltimore, Baltimore City, Caroline, Carroll, Cecil, Charles, Dorchester, Howard, Harford, Kent, Montgomery, Prince Georges, Queen Anne’s, and Talbot.
How Much You Pay for Covered Services
Monthly Plan Premium
$0 - $33.70
Part B Benefits Deductible
$0 - $183
These are 2017 amounts and may change January 1, 2018.
Primary Care Physician Visit
$0 or 20% coinsurance**
Inpatient Hospital Care
Days 1-60: $0 - $1,1316 deductible
Days 61-90: $0 - $329 per day
Days 91-150: Lifetime Reserve Days
$0 - $658 per day
Durable Medical Equipment
Part D Deductible
Prescription Drug Coverage
24 one-way trips per year
$0 copayment per visit. The Plan pays a maximum benefit amount of $1,000 per calendar year for Comprehensive Dental Services for Dentures, Denture Adjustments, Periodontics, and Restorative Services.
$0 copayment for 1 hearing test, once per year
$0 copayment for:
If your hearing aid is lost, stolen or damaged, you will be financially responsible for a $195 deductible per hearing aid. The plan pays the balance after the deductible has been met.
$60 quarterly allowance
$0 (up to 42 meals post discharge)
** If you are eligible for Medicare cost-sharing assistance under Medicaid, you pay $0.
University of Maryland Health Advantage Dual (HMO-SNP) covers all Medicare benefits plus: