Simply Complete (HMO D-SNP)
The Simply Complete (HMO D-SNP) is a 2026 HMO D-SNP Dual Special Needs (D-SNP) plan from Simply Healthcare Plans, Inc. with a $0 monthly premium and a 4.5-star CMS rating. It may include allowances for vision, hearing, and otc / flex allowance. It's available in 1 county across 1 state.
Reviewed by the Medicare Advocates team · 2026 plan year · sourced from CMS data
Offered in 1 county across 1 state
- Monthly premium$0
- Overall star rating4.5 / 5
- In-network max out-of-pocket$500
- Vision$400
- Hearing$2,000
- OTC / Flex allowance$960
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 Simply Complete (HMO D-SNP) plan may include
- Vision: up to $400 per year in plan allowance (2026).
- Hearing: up to $2,000 per year in plan allowance (2026).
- OTC / Flex allowance: up to $960 per year in plan allowance (2026).
Costs & coverage detail
Annual Part D drug deductible: $615 (2026).
Doctor visits
- Primary care visit$0
- Specialist visit$0
Emergency & urgent care
- Emergency room$0
- Urgent care$0
Tests, labs & imaging
- Lab services$0
- Diagnostic tests & procedures$0
- X-rays$0
- Diagnostic radiology (CT/MRI/PET)$0
Outpatient hospital & surgery
- Outpatient hospital services$0
- Ambulatory surgical center$0
- Outpatient substance abuse (individual)$0
Home health & equipment
- Home health care$0
Medical equipment & supplies
- Durable medical equipment (DME)$0
Ambulance
- Ground ambulance$0
Dental
- Preventive dental (exams, cleanings, X-rays)$0
- Comprehensive dental (restorative)$0
Vision
- Routine eye exam$0
- Eyewear (glasses/contacts)$0
Hearing
- Routine hearing exam$0
- Hearing aids$0
Hospital stays
- Skilled nursing facility (SNF)$0/day, days 1–100
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$400 per year
- Hearing aid allowance$2,000 per year
- Over-the-counter (OTC) allowance$80 per month
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 Simply Complete (HMO D-SNP) plan?
- It is a Dual Special Needs (D-SNP) plan (CMS plan ID H5471-066-000) offered by Simply Healthcare Plans, Inc. 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, hearing, 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 1 county 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
Florida (1 county)
Polk
Plan documents
Official 2026 documents for this plan:
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