DualConnect (HMO D-SNP) is a Medicare Advantage Special Needs Plan by Santa Clara Family Health Plan.
This page features plan details for 2026 DualConnect (HMO D-SNP) H4045 – 001 – 0 available in .
IMPORTANT: This page features the 2026 version of this plan. See the 2025 version using the link below:
IMPORTANT: This page has been updated with plan and premium data for 2026. Data may be incomplete or inaccurate until Annual Enrollment begins on October 15th.
DualConnect (HMO D-SNP) is offered in the following locations.
DualConnect (HMO D-SNP) offers the following coverage and cost-sharing.
| Special Needs Plan Type: | Dual-Eligible |
| Conditions Covered: | Not ApplicableNot Applicable |
| Insurer: | Santa Clara Family Health Plan |
| Health Plan Deductible: | |
| MOOP: | $9,250.00 |
| Drugs Covered: | Yes |
Ready to sign up for DualConnect (HMO D-SNP) ?
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
| Part B | Part C | Part D | Part B Give Back | Total |
|---|---|---|---|---|
| $206.50 | $0.00 | $10.00 | $ | $ |
DualConnect (HMO D-SNP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
| Drug Deductible: | $615.00 |
| Drug Out-Of-Pocket maximum: | $2100.00 |
| Drug Benefit Type: | Enhanced Alternative |
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 D | LIS Full |
|---|---|
| $10.00 | $0.00 |
After you pay your $615.00 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 $2100.00. Once you reach that amount, you will enter the next coverage phase.
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2100.00, 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.
Ready to sign up for DualConnect (HMO D-SNP) ?
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