Horizon Specialty Care (HMO C-SNP) H8298-002
- Food and produce benefit
- General supports for living
Your costs at a glanceIn-network, for the 2027 plan year
What's included, and what it's actually worth5 benefits included. Tap any card for the detail
Vision
$300/yr eyewear allowance
Hearing
$299–$1,199copay per hearing aid
See more details about this plan
Doctor Visits: PCP$0 copay
Doctor Visits: Specialist$25 copay
Inpatient Hospital$450/day, days 1–5
Outpatient Surgery$450 copay
Mental HealthDays 1-5: $350/day, Days 6-90: $0/day
TransportationNon-emergency transportation benefit
Your coverageCheck your coverageFrom the doctors and prescriptions you added
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Where this plan shines
Things to know before you enroll
Plan documents
Plan questions
Common questions about Horizon Specialty Care (HMO C-SNP)
What does Horizon Specialty Care (HMO C-SNP) cover?
Horizon Specialty Care (HMO C-SNP) is a Chronic Condition Special Needs Plan, a Medicare Advantage plan for people whose qualifying condition the plan verifies, including cardiovascular disorders and diabetes. The plan record also identifies Part D prescription drug coverage. Published supplemental benefits include vision ($300/yr eyewear allowance), hearing ($299–$1,199 copay per hearing aid), fitness ($0 fitness benefit), and transportation (Non-emergency transportation benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does Horizon Specialty Care (HMO C-SNP) cost in 2027?
The published 2027 monthly plan premium for Horizon Specialty Care (HMO C-SNP) is $0. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The listed Part D deductible is $375. The in-network medical out-of-pocket maximum is $9,850; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $25. These figures are plan data, not a personal yearly-cost estimate.
Understand Medicare drug-cost limitsCan I use my current doctors with Horizon Specialty Care (HMO C-SNP)?
CMS lists Horizon Specialty Care (HMO C-SNP) as a HMO plan. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.
Check your doctorsWhat chronic conditions qualify for Horizon Specialty Care (HMO C-SNP)?
Horizon Specialty Care (HMO C-SNP) is listed in the current plan record as a C-SNP. The plan must verify that you have one of its qualifying chronic or disabling conditions, such as cardiovascular disorders, diabetes. If the plan uses a pre-enrollment assessment, provider verification is due by the end of your first month of enrollment. If verification is still missing, the plan must notify you and may disenroll you at the end of your second month. Your coverage continues if verification arrives before then. Review the official plan documents for the exact criteria.
Learn about Special Needs PlansHow does Horizon Specialty Care (HMO C-SNP) coordinate care for my chronic condition?
Horizon Specialty Care (HMO C-SNP) is identified in the current plan record as a Chronic Condition Special Needs Plan for qualifying conditions that include cardiovascular disorders and diabetes. The record also lists vision ($300/yr eyewear allowance), hearing ($299–$1,199 copay per hearing aid), and fitness ($0 fitness benefit). The data on this page does not describe a personal care plan or promise a specific care coordinator. Review the Evidence of Coverage and ask the plan how its model of care, provider communication, and medication support apply to your verified condition.
When can I enroll in Horizon Specialty Care (HMO C-SNP)?
Horizon Specialty Care (HMO C-SNP) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. Because this is a C-SNP, the plan must also verify its eligibility requirements. A qualifying circumstance may create a Special Enrollment Period, but eligibility alone does not guarantee a year-round right to enroll. Confirm the enrollment window and effective date that apply to you before changing coverage.
Review Medicare enrollment periodsMore plan options
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Browse the full 2027 Chronic Condition Special Needs Plan directory. This plan is offered in New Jersey. Plan availability can vary by county.
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