H5938-001Capital Health Plan Advantage Plus (HMO)2026 Medicare Advantage Prescription Drug Plan

MA-PDHMO

Capital Health Plan

Plan ID: H5938-001 · Contract: H5938

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.

5.0+0.5

Improved from 4.5 stars last year

100/100

Very Stable

What affects this score:

Plan continues unchanged (renewed)0

Monthly Premium

$34

+$34 drug premium

Medical Deductible

N/A

Drug Deductible

$250

Max Out-of-Pocket

$4,500

Key Copays

$0

Primary Care

Specialist

$125

Emergency Room

$20

Urgent Care

Supplemental Benefits

🦷 Dental
👁️ Vision
👂 Hearing
🏋️ Fitness
💊 OTC Benefit
🚘 Transportation
📱 Telehealth
🍲 Meals

Benefit Details

Preventive Dental$30 copay
Comprehensive Dental
Vision - Eye Exams$10 copay
Vision - Eyewear
Hearing Exams & Aids
OTC Allowance
Meals

Drug Coverage Summary

Drug Deductible

$250

Drug Premium

$34/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

In: $125 copay

Urgent Care

urgent_care

In: $20 copay

Primary Care

primary_care

In: $0 copay

Specialist

specialist

Outpatient Hospital

outpatient

Dental - Preventive

dental

In: $30 copay

Dental - Comprehensive

dental

Vision - Eye Exams

vision

In: $10 copay

Hearing - Exams & Aids

hearing

Counties Served (9)

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