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RiverSpring Star (HMO I-SNP)

Health Insurance Company: RiverSpring Health Plans

Medicare Advantage Plan Details

Institutional Special Needs Plans (I-SNP)

RiverSpring Health Plans
$26 /mo
monthly premium
RiverSpring Star (HMO I-SNP)
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Hearing
(coming soon)

General Plan Details

Medical Deductible
$0
Out-of-Pocket Maximum
$9350
Rx Drug Coverage
Yes
Rx Deductible
$590
Primary Doctor Office Visit
$0 copay
Specialist Office Visit
20% coinsurance per visit

Additional Benefits

Dental Coverage
No
Vision Coverage
No
Mental Health Coverage
Yes
Transportation for non-emergency
No
Fitness Benefits
No
Worldwide emergency
No
Telehealth
No
Part B Give Back
No

Doctor & Hospital Coverage

Primary Doctor Office Visit
$0 copay
Specialist Office Visit
20% coinsurance per visit
Periodic Exam Coverage
$0 copay

Emergency Room

20% coinsurance per visit (always covered)

Ambulance Coverage

20% coinsurance

Lab, X-Ray, Radiology Coverage

Outpatient diag procs/tests/lab services:
Medicare-covered diagnostic procedures/tests: 20% coinsurance
Medicare-covered lab services: 20% coinsurance
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): 20% coinsurance
Medicare-covered x-ray services: 20% coinsurance

Outpatient Surgery Coverage

Outpatient hospital:
Medicare-covered outpatient hospital services: 20% coinsurance per visit

Hospitalization Coverage

Inpatient hospital-acute:
$0 copay
Inpatient hospital psychiatric:
$0 copay

Rehabilitation Coverage

Occupational therapy services:
20% coinsurance
Physical therapy and speech and language therapy services:
20% coinsurance

Urgent Care Coverage

20% coinsurance per visit (always covered)

Skilled Nursing Facility (SNF)

$0 copay

Mental Health Coverage

Medicare-covered individual sessions: 20% coinsurance
Medicare-covered group sessions: 20% coinsurance

Dental, Vision, Hearing Benefits

Vision Benefits

Eye exams:
Routine eye exams: Not covered
Eyewear:
Contact Lenses: Not covered
Eyeglasses: Not covered

Hearing Benefits

Hearing exams:
Routine hearing exams: 20% coinsurance

More Additional Benefits

Annual physical exams
No
Chiropractic Coverage
No
Acupuncture
No
Massage Therapy
No
Health Education
No
Counseling Services
No
Support for Caregivers of Enrollees
No
Personal Emergency Response System (PERS)
No
In-home support services
No
Home and bathroom safety devices
No
Meals for short duration
No

Plan Links

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Where This Plan is Available

State:
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Additional Plan Info

Plan Year:
2025
Insurance Company Website:
RiverSpring Health Plans

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following insurance companies:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Anthem Blue Cross
  • Anthem Blue Cross and Blue Shield
  • Aspire Health Plan
  • Baylor Scott & White Health Plan
  • Capital Blue Cross
  • Cigna Healthcare
  • Dean Health Plan
  • Devoted Health
  • Florida Blue Medicare
  • Freedom Health
  • GlobalHealth
  • Health Care Service Corporation
  • Healthy Blue
  • HealthSun
  • Humana
  • Molina Healthcare
  • Mutual of Omaha
  • Medica Central Health Plan
  • Optimum HealthCare
  • Premera Blue Cross
  • SCAN Health Plan
  • Simply
  • UnitedHealthcareⓇ
  • Wellcare
  • WellPoint