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, Dorchester, Howard, Harford, Kent, Montgomery, Queen Anne’s, and Talbot.
How Much You Pay for Covered Services
Monthly Plan Premium
$0 - $33.20
Part B Benefits Deductible
$0 - $186
Primary Care Physician Visit
$0 or 20% coinsurance
Inpatient Hospital Care
Days 1-60: $0 - $1,316 deductible
Days 61-90: $0 - $329 per day
Days 91-150: Lifetime Reserve Days
$0 - $658 per day
The deductible and cost-shares listed are for the calendar year of 2016 and may change effective January 1, 2017.
Durable Medical Equipment
Part D Deductible
$0 - $82 (depending on level of “extra help”
Prescription Drug Coverage
For generic drugs (including brand drugs treated as generic), you pay either: $0, $1.20, or $3.30 copay. For all other drugs, you pay either: $0, $3.70, or $8.25 copay.
24 one-way trips per year
$50 quarterly allowance
$0 (up to 42 meals post discharge)
University of Maryland Health Advantage Dual (HMO-SNP) covers all Medicare benefits plus: