Gonzaba News for Agents

Carrier Spotlight: HealthSpring

Mar 16, 2026

Carrier Spotlight: HealthSpring – Osvaldo Gonzales, Broker Sales Manager, shared some key highlights of the 2026 HealthSpring Medicare Advantage plans!

HealthSpring Preferred (HMO)
Best fit: Members seeking comprehensive coverage with predictable cost‑sharing

  • $0 monthly premium
  • PCP visits: $0 copay
  • Specialist visits: $15 copay
  • Inpatient hospital: $50/day (Days 1–5), $0 thereafter
  • Annual MOOP: $3,200
  • Dental: Annual allowance up to $3,750 (preventive & comprehensive)
  • Vision: $0 routine exam + $300 eyewear allowance
  • Hearing: Routine exam $0; hearing aids available (copay applies)
  • Part D: $200 deductible (Tier 3–5 only); insulin capped at $35/month
  • Care model: PCP‑directed HMO with referrals and prior authorization

HealthSpring Preferred Savings (HMO)
Best fit: Cost‑conscious members prioritizing premium savings

  • $0 monthly premium + Part B giveback (up to $140/month)
  • PCP visits: $0 copay
  • Specialist visits: $35 copay
  • Inpatient hospital: $325/day (Days 1–6), $0 thereafter
  • Annual MOOP: $6,900
  • Dental: Preventive and comprehensive coverage (DHMO model)
  • Vision: $0 routine exam + $350 eyewear allowance
  • Hearing: Routine exam $0; hearing aids available (copay applies)
  • OTC allowance: $165 per quarter
  • Care model: Network‑based HMO with referrals and prior authorization

HealthSpring TotalCare (HMO D‑SNP)
Best fit: Dual‑eligible patients with Medicare and Medicaid

  • $0 monthly premium
  • PCP & specialist visits: $0 copay
  • Inpatient hospital: $0 copay (with full Medicaid cost‑share protection)
  • Annual MOOP: As low as $0–$3,450, depending on Medicaid level
  • Dental: $3,000 annual allowance
  • Vision: $0 routine exam + $275 eyewear allowance
  • Hearing: Routine exam $0; hearing aids available
  • OTC allowance: $250 per quarter
  • Transportation: Non‑emergency transportation included
  • Care management: Dedicated care coordination and social support services

HealthSpring Courage (HMO)
Best fit: Members seeking lower MOOP and strong core medical benefits (medical coverage–focused plan)

  • $0 monthly premium + Part B giveback (up to $120/month)
  • PCP visits: $0 copay
  • Specialist visits: $25 copay
  • Inpatient hospital: $375 per stay
  • Annual MOOP: $4,300
  • Dental: $1,500 annual allowance (preventive & comprehensive)
  • Vision: $0 routine exam + $250 eyewear allowance
  • Hearing: Routine exam $0; hearing aids available (copay applies)
  • OTC allowance: $45 per quarter
  • Transportation: 24 one‑way non‑emergency trips per year
  • Care model: HMO with PCP coordination, referrals, and prior authorization

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