Medicare Advantage · HMOPOS
Gold Kidney Health Plan
Plan year 2026

Gold Dialysis & Kidney Complete (HMO-POS C-SNP) H1526-004

Monthly premium
$4.80
+ your Part B premium
Max out-of-pocket
$9,250
in-network annual cap
Primary care
20%
per visit copay
Specialist
20%
per visit
Eligibility required for this C-SNP
The plan must verify that you have one of its qualifying chronic or disabling conditions, such as Chronic kidney disease. If the plan uses a pre-enrollment assessment, provider verification is due by the end of your first month of enrollment. If verification is still missing, the plan must notify you and may disenroll you at the end of your second month. Your coverage continues if verification arrives before then. Review the official plan documents for the exact criteria.
Extra benefits for members who qualify
  • $200/month food and produce allowance
  • $100/quarter general supports for living
These benefits are not available to every member. Even if you have a listed chronic condition, the plan must confirm that you meet its coverage criteria. See the Evidence of Coverage for complete rules.

Your costs at a glanceIn-network, for the 2026 plan year

Rx deductible
$615
Outpatient surgery
20%
Emergency room
20% (max $115/visit)
Urgent care
20% (max $40/visit)

What's included, and what it's actually worth4 benefits included. Tap any card for the detail

Dental

$4,000/yr preventive dental allowance
Details$4,000/yr preventive dental allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Vision

$115eyewear allowance
Eyewear allowance$115 eyewear allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.
See more details about this plan
Doctor Visits: PCP20%
In-network20% per visit
Doctor Visits: Specialist20%
In-network20% per visit
Outpatient Surgery20%
In-network20% per procedure
Transportation24 one-way trips/year
Trips per year24 one-way trips/year
MealsMeal benefit

Your coverageCheck your coverageFrom the doctors and prescriptions you added

Your plan's drug tiers30-day retail · after any applicable deductible

Tier 1
25%
Preferred Generic

Our take

Things to know before you enroll

This plan’s out-of-pocket maximum is above the national median.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Plan questions

Common questions about Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS)

What does Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS) cover?

Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS) is a Chronic Condition Special Needs Plan, a Medicare Advantage plan for people whose qualifying condition the plan verifies, including end stage renal disease. The plan record also identifies Part D prescription drug coverage. Its published drug benefit lists 1 formulary tiers. Published supplemental benefits include dental ($4,000/yr preventive dental allowance), vision ($115 eyewear allowance), transportation (24 one-way trips/year), and meals (Meal benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS) cost in 2026?

The published 2026 monthly plan premium for Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS) is $4.80. The standard Part B premium is $202.90/month in 2026 for most people; assistance may pay it for some members. The listed Part D deductible is $615. The in-network medical out-of-pocket maximum is $9,250; it does not include Part D drug spending. Published visit costs include primary care 20% and specialist visits 20%. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS)?

CMS lists Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS) as a HMOPOS plan. The record also identifies point-of-service flexibility, but exact out-of-network rules can vary. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.

Check your doctors

What chronic conditions qualify for Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS)?

Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS) is listed in the current plan record as a C-SNP. The plan must verify that you have one of its qualifying chronic or disabling conditions, such as Chronic kidney disease. If the plan uses a pre-enrollment assessment, provider verification is due by the end of your first month of enrollment. If verification is still missing, the plan must notify you and may disenroll you at the end of your second month. Your coverage continues if verification arrives before then. Review the official plan documents for the exact criteria.

Learn about Special Needs Plans

How does Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS) coordinate care for my chronic condition?

Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS) is identified in the current plan record as a Chronic Condition Special Needs Plan for qualifying conditions that include Chronic kidney disease. The record also lists dental ($4,000/yr preventive dental allowance), vision ($115 eyewear allowance), and transportation (24 one-way trips/year). The data on this page does not describe a personal care plan or promise a specific care coordinator. Review the Evidence of Coverage and ask the plan how its model of care, provider communication, and medication support apply to your verified condition.

When can I enroll in Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS)?

Gold Dialysis & Kidney Complete (HMO-POS C-SNP) (HMOPOS) is a 2026 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. Because this is a C-SNP, the plan must also verify its eligibility requirements. A qualifying circumstance may create a Special Enrollment Period, but eligibility alone does not guarantee a year-round right to enroll. Confirm the enrollment window and effective date that apply to you before changing coverage.

Review Medicare enrollment periods

More plan options

Browse the full 2026 Chronic Condition Special Needs Plan directory. This plan is offered in Florida. Plan availability can vary by county.

Helpful next steps

Gold Dialysis & Kidney Complete H1526-004 (HMO-POS C-SNP) — 2026