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Longevity Health Plan (HMO I-SNP)

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Plan overview

Longevity Health Plan (HMO I-SNP) of Illinois helps your Medicare benefits work better for you – giving you more benefits when it matters the most.

Service areas

Longevity Health Plan (HMO I-SNP) of Illinois is offered in the following counties: Cook County, Lake County, and DuPage County.

Plan benefits

Prescription Drug Benefits

Longevity Health Plan (HMO I-SNP) of Illinois provides Medicare Part D prescription drug coverage through our partner Navitus Health Solutions, a full-service pharmacy benefit management company.

Stage 1 Yearly Deductible: Your yearly deductible is $445 for all Part D prescription drugs
Stage 2 Initial Coverage: After your yearly deductible is met, you pay 25% coinsurance for all drugs covered by this plan until your total yearly drug costs reach $4,130.
Stage 3 Coverage Gap: After your total drug costs reach $4,130 (including what our plan has paid and what you have paid), you will pay no more than 37% coinsurance for generic drugs or 25% coinsurance for brand name drugs, for any drug tier during the coverage gap.
Stage 4 Catastrophic Coverage: After your yearly out-of-pocket drug costs reach $6,550 (including drugs purchased through your retail pharmacy and through mail order) you pay the greater dollar amount of either 5% coinsurance, or $3.70 copayment for generic (including brand drugs treated as generic) and a $9.20 copayment for all other drugs.

If you take many medications for more than one chronic health condition you may be eligible to participate in the Medication Therapy Management (MTM) program offered by the Centers for Medicare and Medicaid Services.

Cost-sharing may differ based on point-of-service (retail, Long Term Care (LTC)), home infusion, whether the pharmacy is in our standard network, or whether the prescription is a short-term (30-day supply) or long-term (90-day supply).

Enrollment Documents

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