2026 Plans and Benefits

2026 Monthly Premium, Deductible, and Limits on How Much You Pay for Covered Services

Benefit Coverage

H3048-001 SECUR Advantage (HMO I-SNP)

H3048-002 SECUR Enhanced (HMO I-SNP)

H3048-003 SECUR Edge (HMO I-SNP)

Benefit Coverage

PREMIUMS, DEDUCTIBLES & MAXIMUM OUT-OF-POCKET (MOOP)

H3048-001 SECUR Advantage (HMO I-SNP)

PREMIUMS, DEDUCTIBLES & MAXIMUM OUT-OF-POCKET (MOOP)

H3048-002 SECUR Enhanced (HMO I-SNP)

PREMIUMS, DEDUCTIBLES & MAXIMUM OUT-OF-POCKET (MOOP)

H3048-003 SECUR Edge (HMO I-SNP)

PREMIUMS, DEDUCTIBLES & MAXIMUM OUT-OF-POCKET (MOOP)

Benefit Coverage

Monthly Plan Premium

(includes both medical and drugs)

H3048-001 SECUR Advantage (HMO I-SNP)

You pay $4.80. If you receive “Extra Help,” you may pay $0.

H3048-002 SECUR Enhanced (HMO I-SNP)

You pay $4.80. If you receive “Extra Help,” you may pay $0.

H3048-003 SECUR Edge (HMO I-SNP)

You pay $0.

Benefit Coverage

Deductible

H3048-001 SECUR Advantage (HMO I-SNP)

Part C deductible is $0. Part D deductible is $615.

H3048-002 SECUR Enhanced (HMO I-SNP)

Part C deductible is $0. Part D deductible is $615.

H3048-003 SECUR Edge (HMO I-SNP)

Part C deductible is $0. Part D deductible is $615.

Benefit Coverage

Maximum Out-of-Pocket Responsibility (In-Network)

(does not include Part D prescription drugs)

H3048-001 SECUR Advantage (HMO I-SNP)

You pay no more than $8,300 annually for in-network services.

H3048-002 SECUR Enhanced (HMO I-SNP)

You pay no more than $2,500 annually for in-network services.

H3048-003 SECUR Edge (HMO I-SNP)

You pay no more than $3,400 annually for in-network services.

For more details about our benefits, please see each plan’s Summary of Benefits.

a woman getting her blood pressure taken at home

SECUR Advantage (HMO I-SNP)

This plan is available to anyone residing in a facility in the following counties: Citrus, Hernando, Hillsborough, Pasco, and Pinellas.

  • $0 Copays. You pay $0 for primary care visits.
  • Flex Card: Receive a flex card, which can be used for over-the-counter items and medical supplies. $100 will be loaded on the card at the beginning of the month and unused funds do not roll over to the following month.
  • Transportation: You receive up to 60 one-way trips per year to plan-approved locations.
  • Dental Allowance: You receive a $2,600 benefit allowance every year for preventive and comprehensive dental services combined such as deep cleaning, fillings, crowns, root canals, extractions, and dentures.
  • Eyewear Benefit: You receive a $360 benefit allowance toward eyeglasses (lenses and frames), upgrades, or a pair of contacts every two years.
  • Hearing Aid Benefit: Routine hearing exam every year and a $3,600 benefit allowance toward hearing aids with both ears combined every two years.
two women looking at a tablet

SECUR Enhanced (HMO I-SNP)

This plan is available for anyone residing in an assisted living facility or in the community in the following counties: Citrus, Hernando, Hillsborough, Pasco, and Pinellas.

  • Flex Card: Receive a flex card, which can be used for over-the-counter items, groceries, medical supplies, etc. $100 will be loaded on the card at the beginning of the month.
  • Transportation: You receive up to 60 one-way trips per year to plan-approved locations.
  • Dental Allowance: You receive a $1,250 benefit allowance every year for preventive and comprehensive dental services combined.
  • Eyewear Benefit: You receive a $250 benefit allowance toward eyeglasses (lenses and frames), upgrades, or a pair of contacts every two years.
  • Hearing Aid Benefit: You receive a $2,000 benefit allowance toward hearing aids with both ears combined every two years.
  • Meal Benefits: Members that have a qualifying chronic condition can access and participate in the care management program. Authorization is needed.*

* The benefits mentioned are a part of a special supplemental program for the chronically ill. Not all members qualify.

SECUR Edge (HMO I-SNP)

This plan is available for anyone residing in an assisted living facility or in the community in the following counties: Citrus, Hernando, Hillsborough, Pasco, and Pinellas.

  • Flex card: Receive a flex card, which can be used for over-the-counter items, groceries, medical supplies, etc. $115 will be loaded on the card at the beginning of the month.

  • Transportation: You receive up to 60 one-way trips per year to plan-approved locations.

  • Dental Allowance: You receive a $1,500 benefit allowance every year for preventive and comprehensive dental services combined — such as deep cleaning, fillings, crowns, root canals, extractions, and dentures.

  • Eyewear Benefit: You receive a $250 benefit allowance toward eyeglasses (lenses and frames), upgrades, or a pair of contacts every two years.

  • Hearing Aid Benefit: Routine hearing exam every year and $2,000 benefit allowance toward hearing aids with both ears combined every two years.

  • Meal Benefits: Members that have a qualifying chronic condition can access and participate in the care management program. Authorization is needed.

  • SECUR Edge offers fix co-pays to its members who specifically do not have Medicaid benefits.

 

You may qualify today if you are:

  • Living in Citrus, Hernando, Hillsborough, Pasco, or Pinellas County.
  • Turning or recently turned 65.
  • Enrolled in both Medicare Parts A and B.

For these three plans:

  • $0 Copays: You pay $0 for primary care visits. Low copay for specialists and inpatient hospital stays.
  • Dental: Preventive and comprehensive dental services include deep cleanings, fillings, crowns, root canals, extractions, and dentures.
  • Hearing: Routine hearing exam every year and fitting and evaluation for hearing aids every two years.
  • Rehabilitation Services: You pay $0 for physical therapy, speech therapy and occupational therapy visits.

Find a Provider, Pharmacy or Drug

Search from our database of doctors, hospitals, and other healthcare facilities. You can also find pharmacies or drugs covered by our health plan.

Quick Reference Guide - SECUR Health Plan

ES - Quick Reference Guide - SECUR Health Plan

Utilization Management Training - SECUR Health Plan

ES - Utilization Management Training - SECUR Health Plan

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