HealthSpring TotalCare (HMO D-SNP)
The HealthSpring TotalCare (HMO D-SNP) is a 2026 HMO D-SNP Dual Special Needs (D-SNP) plan from Cigna Healthcare with a $24.30/mo premium and a 4-star CMS rating. It may include allowances for vision and otc / flex allowance. It's available in 3 counties across 1 state.
Reviewed by the Medicare Advocates team · 2026 plan year · sourced from CMS data
Offered in 3 counties across 1 state
- Monthly premium$24.30
- Overall star rating4 / 5
- In-network max out-of-pocket$5,900
- Vision$300
- OTC / Flex allowance$700
2026 plan-year figures (premium, star rating, MOOP) from the CMS Landscape file; allowance amounts from CMS PBP data. Amounts vary by plan; not all plans offer all benefits.
What the HealthSpring TotalCare (HMO D-SNP) plan may include
- Vision: up to $300 per year in plan allowance (2026).
- OTC / Flex allowance: up to $700 per year in plan allowance (2026).
Costs & coverage detail
Annual Part D drug deductible: $615 (2026).
Emergency & urgent care
- Emergency room$130 copay
- Urgent care$50 copay
Tests, labs & imaging
- Lab services$0–$50 copay
- Diagnostic radiology (CT/MRI/PET)20% coinsurance
Medical equipment & supplies
- Durable medical equipment (DME)20% coinsurance
Ambulance
- Ground ambulance$200 copay
Vision
- Routine eye exam0–20% coinsurance
Hearing
- Hearing aids$399–$1,800 copay
Hospital stays
- Inpatient hospital$280/day, days 1–6; $0/day, days 7–90
- Skilled nursing facility (SNF)$0/day, days 1–20; $218/day, days 21–100
In-network, Medicare-covered cost sharing for the 2026 plan year (CMS PBP data). Costs vary by service and setting; see the Summary of Benefits for full detail.
Extra benefit allowances
- Eyewear allowance$300 per year
- Over-the-counter (OTC) allowance$175 per quarter
Prescription drug costs
Annual Part D drug deductible: $615.
| Tier | Preferred retail | Standard retail | Mail (90-day) |
|---|---|---|---|
| Tier 1 · Preferred Generic | $0 | $19 | $0 |
| Tier 2 · Generic | $20 | $20 | $0 |
| Tier 3 · Preferred Brand | 24% | 24% | 24% |
| Tier 4 · Non-Preferred Drug | 25% | 25% | 25% |
| Tier 5 · Specialty Tier | 25% | 25% | — |
30-day supply cost share for the 2026 plan year, in-network (mail column shows 90-day). Amounts shown are before any deductible applies and vary by drug.
Preventive services
This plan covers $0 for all preventive services covered under Original Medicare when you use an in-network provider — including annual wellness visits, recommended screenings, and vaccines.
Common questions
- What is the HealthSpring TotalCare (HMO D-SNP) plan?
- It is a Dual Special Needs (D-SNP) plan (CMS plan ID H4513-080-000) offered by Cigna Healthcare for the 2026 plan year. Dual Special Needs (D-SNP) plans are for people who qualify for both Medicare and Medicaid.
- What extra benefits could this plan include?
- Depending on the plan, supplemental benefits may include allowances toward vision, otc / flex allowance. Amounts shown are for the 2026 plan year and vary by plan and area. A licensed agent can confirm what is available to you.
- Where is this plan available?
- For 2026, this plan is offered in 3 counties across 1 state. Availability and benefits depend on your specific ZIP code.
- How do I enroll or compare plans?
- Call to speak with a licensed insurance agent who can review this plan alongside the other options in your area at no cost. There is no obligation to enroll, and enrollment may be limited to certain times of year unless you qualify for a Special Enrollment Period.
Counties served
Georgia (3 counties)
Catoosa, Dade, Walker
Plan documents
Official 2026 documents for this plan:
Ready when you are.
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