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Medicare Advantage · HMO
Molina Healthcare of California
Plan year 2026
Molina Medicare Choice Care H5810-014 (HMO)
Monthly premium
$0
+ your Part B premium
Max out-of-pocket
$3,600
in-network annual cap
Primary care
$0
per visit copay
Specialist
$40
per visit
This plan includes a Part B giveback, which lowers what you pay for your Medicare Part B premium by up to $2 a month. Depending on how you pay Part B, the reduction may appear in your Social Security payment or on your Part B bill. That is up to $24 a year. Processing can take time; confirm the amount and timing with the plan.
Your costs at a glanceIn-network, for the 2026 plan year
Rx deductible
$0
Inpatient hospital
Days 1-6: $325/day, Days 7-90: $0/day
no limit on covered hospital days
Outpatient surgery
$500
Emergency room
$100
Urgent care
$25
What's included, and what it's actually worth5 benefits included. Tap any card for the detail
Part B giveback
$2/month
DetailsThis plan includes a Part B giveback, which lowers what you pay for your Medicare Part B premium by up to $2 a month.
Processing can take time; confirm the amount and timing with the plan.
Vision
$350/yr eyewear allowance
Eyewear allowance$350/yr eyewear allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.
See more details about this plan
Doctor Visits: PCP$0 copay
Doctor Visits: Specialist$40 copay
Inpatient Hospital$325/day, days 1–6
Outpatient Surgery$500 copay
HearingHearing exam ($10 copay)
TransportationNon-emergency transportation benefit
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
$3
Preferred Generic
Tier 2
$12
Generic
Tier 3
$47
Preferred Brand
Tier 4
35%
Non-Pref Brand
Tier 5
33%
Specialty
Tier 6
$0
Tier 6
Our take
Where this plan shines
This plan has a $0 monthly premium.
This plan’s out-of-pocket maximum ($3,600) is among the lowest available.
See your primary doctor for $0.
No separate drug deductible.
Things to know before you enroll
Network restriction — you’ll need to use in-network providers except in emergencies.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)
Plan documents
Summary of Benefits (PDF)
Download the plan's official Summary of Benefits document
Check Your Doctors
See if your doctors accept this plan
Documentos en español
Llame al (844)246-7256 (TTY: 711) para solicitar documentos en español