H1799-004 — Molina Medicare Complete Care (HMO D-SNP) — 2026 Special Needs Plan
Passport Advantage
Plan ID: H1799-004 · Contract: H1799
Use this Medicare plan ID to verify you are comparing the exact 2026 plan before checking benefits, county availability, drug coverage, provider networks, and costs.
Very Stable
Monthly Premium
$0
Medical Deductible
N/A
Drug Deductible
$615
Max Out-of-Pocket
$9,250
Supplemental Benefits
Benefit Details
Drug Coverage Summary
Drug Deductible
$615
Drug Premium
$0/mo
This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.
Medical Benefits
Inpatient Hospital
inpatient
Emergency Room
emergency
Urgent Care
urgent_care
Primary Care
primary_care
Specialist
specialist
Outpatient Hospital
outpatient
Dental - Preventive
dental
Dental - Comprehensive
dental
Vision - Eye Exams
vision
Hearing - Exams & Aids
hearing
Counties Served (3)
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
This is not a government website. This site is operated by Medicare Choose.