HMO with $0 for All Rx

[axeman462]

A fellow agent mentioned a carrier that says it will introduce an HMO in 2024 in limited areas and it will feature $0 copay for all med's. Has anyone heard about this?

If it's not a medi/medi, I'm sure the formulary is very limited

 

[straightnochaser]

I didn't see any ($0 all tier) either for Georgia but I did see something I don't recall seeing before . . . a SELECT MAPD. I know what a Select Medigap is but sometimes I think the MAPD carriers add things on to the name to confuse people. The two plans identified as "select" were HMO so based on my understanding of Select plans that is almost a redundant title.

2 kinds of select plans

DSNP - Designed for beneficiaries with Partial Medicaid
Standard - Limited network plans

 

[gregj]

says it will introduce an HMO in 2024

introduce for 2024 coverage, or introduce in 2024 for 2025 coverage?

 

[StephanieCJ]

They're throwing so many "benefits" at plans, that I wouldn't be surprised if this became a thing on a narrow network, high moop plan. We have DSNP and Partial plans that are HMO where I am that are $0 on all RX, but nothing for the regular Joe like that.

 

[straightnochaser]

Humana offers $0 copays for all plans if a beneficiary has LIS and they use centerwell pharmacy