H5734-001 — Advantage D-SNP (HMO) (HMO D-SNP) — 2026 Special Needs Plan
Health Plan of San Joaquin / Mountain Valley Health Plan Advantage D-SNP (HMO)
Plan ID: H5734-001 · Contract: H5734
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
$2.8
+$2.8 drug premium
Medical Deductible
N/A
Drug Deductible
$615
Max Out-of-Pocket
$9,250
Supplemental Benefits
OTC Allowance: $150/quarter
Benefit Details
Drug Coverage Summary
Drug Deductible
$615
Drug Premium
$2.8/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
Vision - Eye Exams
vision
Hearing - Exams & Aids
hearing
Counties Served (4)
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