Liberty Medicare Dual Plan (HMO D-SNP) Medicare Special Need Plan H6351-005 • 2027
- Monthly Premium
- $17.50Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $7550.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Basic, $700.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- See List
- Total Enrollment
- 0 beneficiaries
Introduction
CMS Plan ID H6351-005 identifies Liberty Medicare Dual Plan, a Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) offered by Liberty Medicare Advantage. Its provider network is a Health Maintenance Organization (HMO), and Medicare Part D prescription drug coverage is included. For 2027, the plan has a $17.50 monthly premium, $0.00 medical deductible, and $7550.00 in-network maximum out-of-pocket. The 2027 Part D prescription drug deductible is $700.00.
Enrollment across the plan's service areas totals 0 beneficiaries, according to CMS. Enrollment is limited to beneficiaries who live within the plan's service area: See List.
Eligibility
Liberty Medicare Dual Plan is a Medicare D-SNP plan for people who qualify for 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.
Plan Benefits
Liberty Medicare Dual Plan 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 H6351-005.
Compare 2027 plan benefits with 2026.
Office Visits
| Covered Service | 2027 | 2026 |
|---|---|---|
| Primary care | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
| Specialist | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
Preventive and Wellness Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Annual wellness exam | In-network: 20% coinsurance | In-network: 20% coinsurance |
| Telehealth benefit | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
| Routine chiropractic | Not covered | Not covered |
| Fitness benefits | Coming soon | Not covered |
| Health education | Not covered | Not covered |
| Counseling services | Not covered | Not covered |
| Over-the-counter drug benefits | Not covered | Not covered |
| Health transportation (non-emergency) | Coming soon | In-network: $0 copay |
Diagnostic, Lab, and Imaging Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diagnostic radiology services | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
| Lab services | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
| Outpatient x-rays | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
| Diagnostic tests and procedures | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
Emergency and Urgent Care Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Emergency room care | 0% or 20% coinsurance | 0% or 20% coinsurance |
| Worldwide emergency care | Coming soon | Not covered |
| Urgent care | 0% or 20% coinsurance | 0% or 20% coinsurance |
| Inpatient hospital care | Tier 1 $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 |
Tier 1 $0 per day for days 1-60 $0 or $419 per day for days 61-90 $0 or $838 per day for days 91-150 |
| Skilled Nursing Facility | Tier 1 $0 per day for days 1-20 $0 or $217 per day for days 21-100 |
Tier 1 $0 per day for days 1-20 $0 or $209.5 per day for days 21-100 |
| Ground ambulance | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
Mental Health Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Outpatient individual therapy | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
| Outpatient group therapy | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
| Inpatient psychiatric hospital care | Tier 1 $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 |
Tier 1 $0 per day for days 1-60 $0 or $419 per day for days 61-90 $0 or $838 per day for days 91-150 |
Rehabilitation Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Physical therapy and speech and language therapy | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
| Occupational therapy | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
Medical Equipment and Supplies
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diabetes supplies | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
| Durable medical equipment | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
| Prosthetics | In-network: 0% or 20% coinsurance | In-network: 0% or 20% coinsurance |
Medicare Part B Drugs
| Covered Service | 2027 | 2026 |
|---|---|---|
| Chemotherapy | In-network: 0% or 0%-20% coinsurance | In-network: 0% or 0%-20% coinsurance |
| Other Part B drugs (Medicare-covered) | In-network: 0% or 0%-20% coinsurance | In-network: 0% or 0%-20% coinsurance |
Dental Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Oral exam | In-network: $0 copay | In-network: $0 copay |
| Dental x-rays | In-network: $0 copay | In-network: $0 copay |
| Cleaning | In-network: $0 copay | In-network: $0 copay |
| Periodontics | In-network: $0 copay | In-network: $0 copay |
| Endodontics | In-network: $0 copay | In-network: $0 copay |
| Restorative services | In-network: $0 copay | In-network: $0 copay |
| Implant services | In-network: $0 copay | In-network: $0 copay |
| Orthodontics | Not covered | Not covered |
| Oral/Maxillofacial surgery | In-network: $0 copay | In-network: $0 copay |
Vision Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Routine eye exam | In-network: $0 copay | In-network: $0 copay |
| Contact lenses | In-network: $0 copay | In-network: $0 copay |
| Eyeglass frames only | In-network: $0 copay | In-network: $0 copay |
| Eyeglass lenses only | In-network: $0 copay | In-network: $0 copay |
| Eyeglasses (frames & lenses) | In-network: $0 copay | In-network: $0 copay |
| Upgrades | In-network: $0 copay | In-network: $0 copay |
Hearing Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Hearing exam | In-network: $0 copay | In-network: $0 copay |
| Fitting/evaluation | In-network: $0 copay | In-network: $0 copay |
| Prescription hearing aids | In-network: $0 copay | In-network: $0 copay |
| OTC hearing aids | Not covered | Not covered |
Additional and Special Needs Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Adult day health services | Not covered | Not covered |
| Home-based palliative care | Not covered | Not covered |
| Personal emergency response system | Coming soon | In-network: $0 copay |
| Weight management programs | Not covered | Not covered |
| Wigs for chemotherapy-related hair loss | Coming soon | Not covered |
| Alternative therapies | Not covered | Not covered |
| Massage therapy | Not covered | Not covered |
| Home/bathroom safety devices | Not covered | Not covered |
Certain preventive services are covered 100% by Liberty Medicare Dual Plan as a Part B benefit.
Prescription Drug Coverage
Liberty Medicare Dual Plan 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: | $17.50 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $17.50 |
| Low-Income Premium Subsidy: | $13.25 |
| Low-Income Premium Subsidy Paid by CMS: | $13.30 |
| Low-Income Subsidy Premium: | $4.20 |
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 Liberty Medicare Advantage starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Liberty Medicare Dual Plan may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Brand-name drugs | 25% coinsurance | 25% coinsurance |
| Generic drugs | 25% coinsurance | 25% coinsurance |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H6351)
Medicare assigns star ratings to plans based on quality and performance across multiple measures, including customer service, member experience, and health outcomes. Ratings are updated annually by the Centers for Medicare & Medicaid Services (CMS) and are shown on a 1 to 5 star scale, with 5 stars representing the highest quality.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | Not enough data available |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | Not enough data available |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | Not enough data available |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | Not enough data available |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for Liberty Medicare Advantage
- Website
- Liberty Medicare Advantage Plan Page
- Providers
- Liberty Medicare Advantage Providers Page
- Formulary
- Liberty Medicare Advantage Formulary Page
- Pharmacy
- Liberty Medicare Advantage Pharmacy Page
- New Member Health Plan Help
- (833)354-1498
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (833)354-1498
- 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.
Plan Availability
Liberty Medicare Dual Plan (H6351-005-0) is available in the following locations (click to open):
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 |
|---|---|---|
| Liberty Medicare Advantage (official source) | http://www.LibertyMedicareAdvantage.com | October 4, 2026 |
| CMS.gov | Dual Eligible Special Needs Plans (D-SNPs) | April 28, 2026 |
| Medicare.gov | Understanding Medicare Advantage Plans | April 28, 2026 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | April 28, 2026 |
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Provenance documentation for this data is maintained under the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.