H3305-033 — MVP DualAccess (HMO D-SNP) — 2026 Special Needs Plan
MVP HEALTH CARE
Plan ID: H3305-033 · Contract: H3305
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.
Declined from 4.5 stars last year
Plan history: Few changes identified
Based only on the year-over-year CMS records available to Medicare Choose. This is not a CMS rating and does not predict future premiums, benefits, provider networks, or plan availability.
Why this summary appears:
The available history is limited to the renewal record. It does not confirm that every cost, benefit, or network detail stayed the same.
How this D-SNP works
A Dual Eligible Special Needs Plan is designed for people who qualify for both Medicare and Medicaid. Eligibility, premiums, copays, benefits, and provider access can depend on your Medicaid status and state program. Confirm eligibility and cost sharing before enrolling.
Monthly Premium
As low as $0/mo
$55/mo before Extra Help or Medicaid assistance The CMS data also lists a $55/month drug-premium component; do not add it again unless the plan’s official materials say it is charged separately. You must continue paying your Medicare Part B premium unless another program pays it for you.
Medical Deductible
Not available
CMS data does not list a medical deductible for this plan. This does not mean the cost is $0.
Drug Deductible
$615
Max Out-of-Pocket
$9,250
Common Medical Cost Sharing
A copay is a fixed dollar amount. Coinsurance is a percentage of the allowed cost. The amount you owe can depend on the service, provider, network, and plan rules.
20% coinsurance
Primary Care
20% coinsurance
Specialist
20% coinsurance
Emergency Room
20% coinsurance
Urgent Care
Supplemental Benefits
Benefit Details
Preventive Dental
Coverage included; review plan details for limits
Comprehensive Dental
Coverage included; review plan details for limits
Vision - Eye Exams
20% coinsurance
Vision - Eyewear
Coverage included; review plan details for limits
Hearing Exams & Aids
20% coinsurance
Meals
Coverage included; review plan details for limits
Drug Coverage Summary
Drug Deductible
$615
Drug Premium
$54.6/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
In-network: Not available in the CMS data
Emergency Room
In-network: 20% coinsurance
Urgent Care
In-network: 20% coinsurance
Primary Care
In-network: 20% coinsurance
Specialist
In-network: 20% coinsurance
Outpatient Hospital
In-network: Not available in the CMS data
Dental - Preventive
In-network: Not available in the CMS data
Dental - Comprehensive
In-network: Not available in the CMS data
Vision - Eye Exams
In-network: 20% coinsurance
Hearing - Exams & Aids
In-network: 20% coinsurance
Counties Served (14)
Data Source and Verification
Sources: Centers for Medicare & Medicaid Services (CMS) public-use data. The following CMS pages provide the source files and their documentation:
- Plan premiums and service areas — CMS Landscape files
- Plan Benefit Package (PBP) benefits data
- Monthly Part D formulary and pharmacy network files
- Part C and D performance data — Star Ratings
Data vintage: 2026 plan-year data. CMS may revise files during the year.
Verify before enrolling: Confirm premiums, benefits, drugs, pharmacies, providers, eligibility, and service area with Medicare.gov Plan Compare or the plan. Read our methodology and editorial policy, or visit the Medicare plan FAQ.
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.
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