DrFlex (HMO D-SNP) — 2026 Special Needs Plan

SNPHMO D-SNPSNP: Dual-Eligible

Doctors HealthCare Plans, Inc.

Plan ID: H4140_013

4.5+0.5

Improved from 4 stars last year

80/100

Mostly Stable

What affects this score:

Plan is merging with another (consolidated)-20

Monthly Premium

$1.1

+$1.1 drug premium

Medical Deductible

N/A

Drug Deductible

$615

Max Out-of-Pocket

$3,400

Key Copays

Primary Care

Specialist

$50

Emergency Room

Urgent Care

Supplemental Benefits

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

Benefit Details

Preventive Dental
Comprehensive Dental
Vision - Eye Exams
Vision - Eyewear
Hearing Exams & Aids
Fitness/Wellness
Meals

Drug Coverage Summary

Drug Deductible

$615

Drug Premium

$1.1/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: $50 copay

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 (2)

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