HAP Medicare Complete Assist (PPO D-SNP) H2322-020 • 2027 • Bay County, MI
- Monthly Premium
- $6.30Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $9850.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Enhanced, $700.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Bay County, MI
- Local Enrollment
- 19 beneficiaries in Bay County
Introduction
HAP Medicare Complete Assist, offered by HAP Senior Plus, is a Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) identified by CMS Plan ID H2322-020. The plan's Preferred Provider Organization (PPO) provider network serves its covered medical benefits, and the plan includes Medicare Part D prescription drug coverage. Its 2027 costs include a $6.30 monthly premium, $0.00 medical deductible, and $9850.00 in-network maximum out-of-pocket. The 2027 Part D prescription drug deductible is $700.00.
This plan is available to eligible beneficiaries who live in Bay County, Michigan. According to CMS, 19 beneficiaries in Bay County are enrolled in this plan. New members can contact the plan at (833)923-1713 (TTY 711) for help and additional plan information.
Eligibility
HAP Medicare Complete Assist is a Dual Eligible Special Needs Plan (D-SNP) designed for individuals enrolled in both Medicare and Medicaid.
- Special Needs Plan Type
- Dual-Eligible Special Needs Plan (D-SNP)
- Medicare Requirement
- Medicare Part A and Part B
- Special Needs Requirement
- Must qualify for Medicaid
- Service Area Requirement
- Must live in the plan's service area
- Prescription Drug Coverage
- Medicare Part D prescription drug coverage is included.
Compare Similar Plans in Bay County
Compare this plan with the two most-enrolled PPO D-SNP plans available in Bay County, Michigan. Enrollment is based on CMS local enrollment data.
| Plan Detail | HAP Medicare Complete Assist | HumanaChoice SNP-DE H5216-388 | Humana Dual Select H5216-385 |
|---|---|---|---|
| CMS Plan ID | H2322-020-0 |
H5216-388-0 |
H5216-385-0 |
| Local Enrollment | 19 | 397 | 169 |
| Monthly Premium | $6.30 | $0.00 | $0.00 |
| Medical Deductible | $0.00 | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $9,850.00 | $9,850.00 | $9,850.00 |
| Part B Giveback | Not offered | Not offered | Not offered |
| Primary Care | 0% or 20% coinsurance | $0 copay | $0 copay |
| Specialist | 0% or 20% coinsurance | $0 copay | $0 or $45 copay |
| Part D Deductible | $700.00 | $0.00 | $0.00 |
| CMS Star Rating | Not yet rated | Not yet rated | Not yet rated |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $0 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Plan Benefits
HAP Medicare Complete Assist has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H2322-020.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H2322-020-0 Cost Compare.
Office Visits
- Primary care
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance - Specialist
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance
Preventive and Wellness Services
- Annual wellness exam
- Not covered
- Telehealth benefit
- In-network: $0 or $40 copay, 0% or 20% coinsurance
- Routine chiropractic
- In-network: 20% coinsurance
Out-of-network: 20% coinsurance - Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- In-network: $0 copay
Out-of-network: 50% coinsurance - Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance - Lab services
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance - Outpatient x-rays
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance - Diagnostic tests and procedures
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance
Emergency and Urgent Care Services
- Emergency room care
- $0 or $115 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $0 or $40 copay
- Inpatient hospital care
- In-network:
Tier 1
$0 or $2,125 per stay
Out-of-network:
$0 per day for days 1-60
$0 or $434 per day for days 61-90
$0 or $868 per day for days 91-150 - Skilled Nursing Facility
- In-network:
Tier 1
$0 per day for days 1-20
$0 or $217 per day for days 21-100
Out-of-network:
$0 per day for days 1-20
$0 or $217 per day for days 21-100 - Ground ambulance
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance
Mental Health Services
- Outpatient individual therapy
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance - Outpatient group therapy
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance - Inpatient psychiatric hospital care
- In-network:
Tier 1
$0 or $2,125 per stay
Out-of-network:
$0 per day for days 1-60
$0 or $434 per day for days 61-90
$0 or $868 per day for days 91-150
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance - Occupational therapy
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance
Medical Equipment and Supplies
- Diabetes supplies
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance - Durable medical equipment
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance - Prosthetics
- In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0% or 0%-20% coinsurance
Out-of-network: 0% or 20% coinsurance - Other Part B drugs (Medicare-covered)
- In-network: 0% or 0%-20% coinsurance
Out-of-network: 0% or 20% coinsurance
Dental Services
- Oral exam
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Dental x-rays
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Cleaning
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Periodontics
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Endodontics
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Restorative services
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Vision Services
- Routine eye exam
- In-network: $0 copay
Out-of-network: 80% coinsurance - Contact lenses
- In-network: $0 copay
Out-of-network: 80% coinsurance - Eyeglass frames only
- In-network: $0 copay
Out-of-network: 80% coinsurance - Eyeglass lenses only
- In-network: $0 copay
Out-of-network: 80% coinsurance - Eyeglasses (frames & lenses)
- In-network: $0 copay
Out-of-network: 80% coinsurance - Upgrades
- In-network: $0 copay
Out-of-network: 80% coinsurance
Hearing Services
- Hearing exam
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Fitting/evaluation
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Prescription hearing aids
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - OTC hearing aids
- Not covered
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- Not covered
Certain preventive services are covered 100% by HAP Medicare Complete Assist as a Part B benefit.
Prescription Drug Coverage
HAP Medicare Complete Assist includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | $6.30 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $6.30 |
| Low-Income Premium Subsidy: | $6.28 |
| Low-Income Premium Subsidy Paid by CMS: | $6.30 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $700.00 annual Part D deductible. You'll pay this deductible at the pharmacy before HAP Senior Plus starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, HAP Medicare Complete Assist may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Not available |
| Generic | 25% coinsurance | Not available |
| Preferred Brand | 25% coinsurance | Not available |
| Non-Preferred Drug | 25% coinsurance | Not available |
| Specialty Tier | 25% coinsurance | Not available |
| Brand-name drugs | Not available | 25% coinsurance |
| Generic drugs | Not available | 25% coinsurance |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H2322)
CMS star ratings reflect how well a Medicare plan performs across key quality measures, such as managing chronic conditions, member satisfaction, and customer service. Ratings range from 1 to 5 stars and are updated each year by Medicare.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for HAP Senior Plus
- Website
- HAP Senior Plus Plan Page
- Providers
- HAP Senior Plus Providers Page
- Formulary
- HAP Senior Plus Formulary Page
- Pharmacy
- HAP Senior Plus Pharmacy Page
- New Member Health Plan Help
- (833)923-1713
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (833)923-1713
- New Member Part D TTY Users
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| HAP Senior Plus (official source) | http://www.hap.org/medicare | October 4, 2026 |
| CMS.gov | Dual Eligible Special Needs Plans (D-SNPs) | April 28, 2026 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | April 28, 2026 |
| Medicare.gov | Joining a plan | April 28, 2026 |
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