Molina Medicare Choice Care (HMO)

H2715 - 003 - 0
Plan Not Rated

Molina Medicare Choice Care (HMO) is a Medicare Advantage Plan by Molina Healthcare of Illinois.

This page features plan details for 2025 Molina Medicare Choice Care (HMO) H2715 – 003 – 0 available in Select counties in IL.

Locations

Molina Medicare Choice Care (HMO) is offered in the following locations.

Plan Overview

Molina Medicare Choice Care (HMO) offers the following coverage and cost-sharing.

Insurer:Molina Healthcare of Illinois
Health Plan Deductible:$0
MOOP:$9,350 In-network
Drugs Covered:Yes

Ready to sign up for Molina Medicare Choice Care (HMO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Medicare Part B Give Back Benefit

The Part B Premium Reduction (Medicare Part B Give Back Benefit) lowers the cost of some Medicare Advantage plans. 

Molina Medicare Choice Care (HMO) qualifies for a monthly Medicare Give Back Benefit of $57.60.

Premium Reduction:$57.60

Premium Breakdown

Molina Medicare Choice Care (HMO) has a monthly premium of $0.00. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$185.00 $0.00 $0.00 $57.60 $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

Molina Medicare Choice Care (HMO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible: $125.00
Drug Out-Of-Pocket maximum: $2,000.00
Drug Benefit Type: Enhanced Alternative

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.

The table below shows how the LIS impacts the Part D premium of this plan.

Part DLIS Full
$0.00$0.00

Initial Coverage Phase

After you pay your $125.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2,000.00. Once you reach that amount, you will enter the next coverage phase.

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit. Please note, that this plan has a Enhanced Alternative benefit type.

Additional Benefits

Molina Medicare Choice Care (HMO) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

    • In-Network: No

Diagnostic procedures/lab services/imaging

  • Outpatient x-rays
    • $0 copay (Authorization Required)
  • Diagnostic radiology services (e.g., MRI)
    • 20% coinsurance (Authorization Required)
  • Diagnostic tests and procedures
    • 0-20% coinsurance (Authorization Required)
  • Lab services
    • $0 copay (Authorization Required)

Doctor visits

  • Primary
    • $0 copay
  • Specialist
    • $40 copay per visit

Emergency care/Urgent care

  • Urgent care
    • $20 copay per visit (always covered)
  • Emergency
    • $110 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • $0 copay (Authorization Required)
  • Routine foot care
    • Not covered

Ground ambulance

    • 20% coinsurance

Health plan deductible

    • $0

Hearing

  • Hearing aids OTC
    • Not covered
  • Hearing aids – outer ear
    • Not covered
  • Fitting/evaluation
    • Not covered
  • Hearing aids – over the ear
    • Not covered
  • Hearing aids – inner ear
    • Not covered
  • Medicare-Covered Hearing Exam
    • $10 copay

Inpatient hospital coverage

    • $295 per day for days 1 through 6
      $0 per day for days 7 through 90 (Authorization Required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

    • $9,350 In-network

Medical equipment/supplies

  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • 20% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • 20% coinsurance per item (Authorization Required)
  • Diabetes supplies
    • $0 copay (Authorization Required)

Medicare Part B drugs

  • Other Part B drugs
    • 0-20% coinsurance (Authorization Required)
  • Chemotherapy
    • 0-20% coinsurance (Authorization Required)

Mental health services

  • Outpatient individual therapy visit with a psychiatrist
    • $45 copay (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • $45 copay (Authorization Required)
  • Inpatient hospital – psychiatric
    • Coming soon (Authorization Required)
  • Outpatient group therapy visit
    • $45 copay (Authorization Required)
  • Outpatient individual therapy visit
    • $45 copay (Authorization Required)

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • $0-500 copay per visit (Authorization Required)

Preventive care

    • $0 copay

Rehabilitation services

  • Physical therapy and speech and language therapy visit
    • $35 copay (Authorization Required)
  • Occupational therapy visit
    • $35 copay (Authorization Required)

Skilled Nursing Facility

    • $0 per day for days 1 through 20
      $214 per day for days 21 through 100 (Authorization Required)

Transportation

    • Not covered

Vision

  • Eyeglasses (frames and lenses)
    • Not covered
  • Contact lenses
    • Not covered
  • Other
    • Not covered
  • Upgrades
    • Not covered
  • Eyeglass lenses
    • Not covered
  • Eyeglass frames
    • Not covered
  • Routine eye exam
    • Not covered

Wellness programs (e.g., fitness, nursing hotline)

    • Covered

Ready to sign up for Molina Medicare Choice Care (HMO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Need more information on Molina Medicare Choice Care (HMO)? See 2025 Molina Medicare Choice Care (HMO) at MedicareAdvantageRX.com.

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