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Medicare Advocates
Dual Special Needs (D-SNP) · HMO D-SNP · Plan ID H5628-014-001

Molina Medicare Complete Care Select (HMO D-SNP)

The Molina Medicare Complete Care Select (HMO D-SNP) is a 2026 HMO D-SNP Dual Special Needs (D-SNP) plan from Molina Healthcare of Utah & Idaho with a $0 monthly premium and a 3-star CMS rating. It may include allowances for dental and vision. It's available in 5 counties across 1 state.

Reviewed by the Medicare Advocates team · 2026 plan year · sourced from CMS data

Offered in 5 counties across 1 state

2026 plan at a glance
  • Monthly premium$0
  • Overall star rating3 / 5
  • In-network max out-of-pocket$9,250
Yearly benefit allowances
  • Dental$500
  • Vision$250

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 Molina Medicare Complete Care Select (HMO D-SNP) plan may include

  • Dental: up to $500 per year in plan allowance (2026).
  • Vision: up to $250 per year in plan allowance (2026).

Costs & coverage detail

Annual Part D drug deductible: $615 (2026).

Doctor visits

  • Specialist visit$10 copay
  • Telehealth0–20% coinsurance

Emergency & urgent care

  • Emergency room$100 copay
  • Urgent care$25 copay

Tests, labs & imaging

  • Diagnostic radiology (CT/MRI/PET)20% coinsurance

Outpatient hospital & surgery

  • Ambulatory surgical center$50 copay
  • Outpatient substance abuse (individual)$10 copay

Medical equipment & supplies

  • Durable medical equipment (DME)20% coinsurance

Ambulance

  • Ground ambulance20% coinsurance

Vision

  • Eyewear (glasses/contacts)20% coinsurance

Hearing

  • Routine hearing exam$10 copay

Hospital stays

  • Inpatient hospital$295/day, days 1–6; $0/day, days 7–90
  • Skilled nursing facility (SNF)$0/day, days 1–20; $190/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

  • Comprehensive dental allowance$500 per year
  • Eyewear allowance$250 per year

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 Molina Medicare Complete Care Select (HMO D-SNP) plan?
It is a Dual Special Needs (D-SNP) plan (CMS plan ID H5628-014-001) offered by Molina Healthcare of Utah & Idaho 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 dental, vision. 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 5 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

Idaho (5 counties)

Ada, Boise, Canyon, Gem, Owyhee

Plan documents

Official 2026 documents for this plan:

Ready when you are.

No cost. No pressure. There is no obligation to enroll.One Advocate, for as long as you’re on Medicare.