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Community First Medicare Advantage Alamo Plan (HMO)

H5447 - 001 - 0
Plan Not Rated

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Community First Medicare Advantage Alamo Plan (HMO) is a Medicare Advantage Plan by Community First.

This page features plan details for 2025 Community First Medicare Advantage Alamo Plan (HMO) H5447 – 001 – 0 available in Bexar County.

Locations

Community First Medicare Advantage Alamo Plan (HMO) is offered in the following locations.

Bexar County, Texas
Texas

Click to see more locations

Plan Overview

Community First Medicare Advantage Alamo Plan (HMO) offers the following coverage and cost-sharing.

Insurer:Community First
Health Plan Deductible:$0
MOOP:$3,500 In-network
Drugs Covered:Yes

Ready to sign up for Community First Medicare Advantage Alamo Plan (HMO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Premium Breakdown

Community First Medicare Advantage Alamo Plan (HMO) has a monthly premium of $0.00. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$185.00 $0.00 $0.00 $ $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

Community First Medicare Advantage Alamo Plan (HMO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible: $200.00
Drug Out-Of-Pocket maximum: $2,000.00
Drug Benefit Type: Enhanced Alternative

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.

The table below shows how the LIS impacts the Part D premium of this plan.

Part DLIS Full
$0.00$0.00

Initial Coverage Phase

After you pay your $200.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2,000.00. Once you reach that amount, you will enter the next coverage phase.

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit. Please note, that this plan has a Enhanced Alternative benefit type.

Additional Benefits

Community First Medicare Advantage Alamo Plan (HMO) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

    • In-Network: No

Comprehensive Dental

  • Adjunctive General Services
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Endodontics
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Implant Services
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Maxillofacial Prosthetics
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Oral and Maxillofacial Surgery
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Orthodontics
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Periodontics
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Prosthodontics, fixed
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Prosthodontics, removable
    • In-Network: No Coins – No Co pay (Limits Apply)
  • Restorative Services
    • In-Network: No Coins – No Co pay (Limits Apply)

Diagnostic and Preventive Dental

  • Dental X-Rays
    • In-Network: No Coins – No Copay
  • Fluoride Treatment
    • In-Network: No Coins – No Copay
  • Oral Exams
    • In-Network: No Coins – No Copay
  • Other Diagnostic Dental Services
    • In-Network: No Coins – No Copay (Limits Apply)
  • Other Preventive Dental Services
    • In-Network: No Coins – No Copay (Limits Apply)
  • Prophylaxis (cleaning)
    • In-Network: No Coins – No Copay

Diagnostic procedures/lab services/imaging

  • Lab services
    • $0 copay (Authorization Required)
  • Diagnostic radiology services (e.g., MRI)
    • $0-150 copay (Authorization Required)
  • Outpatient x-rays
    • $0 copay (Authorization Required)
  • Diagnostic tests and procedures
    • $0 copay (Authorization Required)

Doctor visits

  • Primary
    • $0 copay
  • Specialist
    • $15 copay per visit

Emergency care/Urgent care

  • Emergency
    • $90 copay per visit (always covered)
  • Urgent care
    • $25 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • $30 copay or 20% coinsurance
  • Routine foot care
    • Not covered

Ground ambulance

    • $250 copay

Health plan deductible

    • $0

Hearing

  • Fitting/evaluation
    • $0 copay (Limits Apply)
  • Hearing aids
    • $0 copay (Limits Apply)
  • Hearing aids OTC
    • Not covered
  • Medicare-Covered Hearing Exam
    • $25 copay

Inpatient hospital coverage

    • $175 per day for days 1 through 6
      $0 per day for days 7 through 90 (Authorization Required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

    • $3,500 In-network

Medical equipment/supplies

  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • 20% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • 20% coinsurance per item (Authorization Required)
  • Diabetes supplies
    • $0 copay

Medicare Part B drugs

  • Chemotherapy
    • 0-20% coinsurance (Authorization Required)
  • Other Part B drugs
    • 0-20% coinsurance (Authorization Required)

Mental health services

  • Inpatient hospital – psychiatric
    • $175 per day for days 1 through 6
      $0 per day for days 7 through 90 (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • $40 copay
  • Outpatient group therapy visit
    • $15 copay
  • Outpatient individual therapy visit
    • $15 copay
  • Outpatient individual therapy visit with a psychiatrist
    • $40 copay

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • $175 copay or 20% coinsurance per visit (Authorization Required)

Preventive care

    • $0 copay

Rehabilitation services

  • Occupational therapy visit
    • $30 copay (Authorization Required)
  • Physical therapy and speech and language therapy visit
    • $25-30 copay (Authorization Required)

Skilled Nursing Facility

    • $0 per day for days 1 through 20
      $170 per day for days 21 through 100 (Authorization Required)

Transportation

    • $0 copay (Limits Apply, Authorization Required)

Vision

  • Eyeglass lenses
    • $0 copay (Limits Apply)
  • Eyeglasses (frames and lenses)
    • $0 copay (Limits Apply)
  • Other
    • Not covered
  • Contact lenses
    • $0 copay (Limits Apply)
  • Eyeglass frames
    • $0 copay (Limits Apply)
  • Routine eye exam
    • $0 copay (Limits Apply)
  • Upgrades
    • Not covered

Wellness programs (e.g., fitness, nursing hotline)

    • Covered

Ready to sign up for Community First Medicare Advantage Alamo Plan (HMO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Need more information on Community First Medicare Advantage Alamo Plan (HMO)? See 2025 Community First Medicare Advantage Alamo Plan (HMO) at MedicareAdvantageRX.com.

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