MeridianComplete (Medicare-Medicaid Plan) - 2025 Centene Corporation - H0480 - 001

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H0480 - 001 - 0

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MeridianComplete (Medicare-Medicaid Plan) is a Medicare Advantage Plan by MeridianComplete (Medicare-Medicaid Plan).

This page features plan details for 2025 MeridianComplete (Medicare-Medicaid Plan) H0480 – 001 – 0 available in Select counties in Michigan.

Locations

MeridianComplete (Medicare-Medicaid Plan) is offered in the following locations.

Barry County, Michigan

Berrien County, Michigan

Branch County, Michigan

Click to see more locations

Plan Overview

MeridianComplete (Medicare-Medicaid Plan) offers the following coverage and cost-sharing.

Insurer:	MeridianComplete (Medicare-Medicaid Plan)
Health Plan Deductible:	$0
MOOP:	Not Applicable
Drugs Covered:	Yes

Ready to sign up for MeridianComplete (Medicare-Medicaid Plan)?

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

MeridianComplete (Medicare-Medicaid Plan) 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	$Not Applicable	$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

MeridianComplete (Medicare-Medicaid Plan) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible:	$0.00
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 D	LIS Full
$0.00	$0.00

Initial Coverage Phase

After you pay your $0.00 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.

30 Day

60 Day

90 Day

30 Day

60 Day

90 Day

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

MeridianComplete (Medicare-Medicaid Plan) 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, Authorization Required)
Endodontics
- In-Network: No Coins – No Co pay (Authorization Required)
Oral and Maxillofacial Surgery
- In-Network: No Coins – No Co pay (Authorization Required)
Periodontics
- In-Network: No Coins – No Co pay (Authorization Required)
Prosthodontics, fixed
- In-Network: No Coins – No Co pay
Prosthodontics, removable
- In-Network: No Coins – No Co pay (Authorization Required)
Restorative Services
- In-Network: No Coins – No Co pay (Limits Apply, Authorization Required)

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
Other Preventive Dental Services
- In-Network: No Coins – No Copay
Prophylaxis (cleaning)
- In-Network: No Coins – No Copay

Diagnostic procedures/lab services/imaging

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

Doctor visits

Primary
- $0 copay
Specialist
- $0 copay (Referral Required)

Emergency care/Urgent care

Emergency
- $0 copay
Urgent care
- $0 copay

Foot care (podiatry services)

Foot exams and treatment
- $0 copay
Routine foot care
- Not covered

Ground ambulance

- $0 copay

Health plan deductible

- $0

Hearing

Fitting/evaluation
- $0 copay (Limits Apply, Authorization Required, Referral Required)
Hearing aids
- $0 copay (Limits Apply, Authorization Required, Referral Required)
Hearing aids OTC
- Not covered
Medicare-Covered Hearing Exam
- $0 copay (Authorization Required, Referral Required)

Inpatient hospital coverage

- $0 copay (Authorization Required)

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

- Not Applicable

Medical equipment/supplies

Diabetes supplies
- $0 copay (Authorization Required)
Durable medical equipment (e.g., wheelchairs, oxygen)
- $0 copay (Authorization Required)
Prosthetics (e.g., braces, artificial limbs)
- $0 copay (Authorization Required)

Medicare Part B drugs

Chemotherapy
- $0 copay (Authorization Required)
Other Part B drugs
- $0 copay (Authorization Required)

Mental health services

Inpatient hospital – psychiatric
- $0 copay (Authorization Required)
Outpatient group therapy visit
- $0 copay (Authorization Required)
Outpatient individual therapy visit with a psychiatrist
- $0 copay (Authorization Required)
Outpatient individual therapy visit
- $0 copay (Authorization Required)
Outpatient group therapy visit with a psychiatrist
- $0 copay (Authorization Required)

Optional supplemental benefits

- No

Other health plan deductibles?

- In-Network: No

Outpatient hospital coverage

- $0 copay (Authorization Required)

Preventive care

- $0 copay

Rehabilitation services

Physical therapy and speech and language therapy visit
- $0 copay (Authorization Required, Referral Required)
Occupational therapy visit
- $0 copay (Authorization Required, Referral Required)

Skilled Nursing Facility

- $0 copay (Authorization Required)

Transportation

- $0 copay (Authorization Required)

Vision

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

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

- Covered (Authorization Required, Referral Required)

Ready to sign up for MeridianComplete (Medicare-Medicaid Plan)?

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 MeridianComplete (Medicare-Medicaid Plan)? See 2025 MeridianComplete (Medicare-Medicaid Plan) at MedicareAdvantageRX.com.

Get Help Enrolling

Get help enrolling in a Medicare Advantage or Medicare Prescription Drug Plan by calling a licensed insurance agent today.

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint

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Factsonmedicare.com is a free-to-use informational website by Dog Media Solutions LLC. All insurance agents and enrollment platforms linked to this site have their own terms and conditions.

Medicare has neither approved nor endorsed any information on this site.

This is a promotional communication.

Every year, Medicare evaluates plans based on a 5-star rating system.

Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.

All plan-related information on this site is from CMS.gov and Medicare.gov.We only use data released publicly each year. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Contact a plan for a Summary of Benefits.

Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period.

We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contactMedicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan’s contract renewal.

Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.

MeridianComplete (Medicare-Medicaid Plan) - 2025 Centene Corporation - H0480 - 001 - 0 (2025)