HealthSpring TotalCare (HMO D-SNP) in Lowndes County, Alabama — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
HealthSpring TotalCare (HMO D-SNP) (H4513-055) is a $3-premium Medicare Advantage HMO D-SNP from Health Care Service Corporation available in Lowndes County, Alabama in 2026, with a 4.0-star overall rating, a $5,900 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Health Care Service Corporation |
|---|---|
| Plan name | HealthSpring TotalCare (HMO D-SNP) |
| Contract ID | H4513 |
| Plan ID | 055 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO D-SNP |
| SNP | Yes — Dual-Eligible |
| Monthly consolidated premium | $3.30 |
| Part C premium | $0.00 |
| Part D basic premium | $3.30 |
| Part D total premium | $3.30 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $5900.00 |
| Overall star rating | 4.0 |
How this plan is structured
- $3 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- HMO D-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
- $5,900 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Lowndes County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Lowndes County
The CMS CY2026 Landscape file lists 62 Medicare Advantage plans in Lowndes County, Alabama, of which 0 carry a 5.0-star overall rating and 32 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $163.00 per month, and in-network out-of-pocket maximums range from $2900.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Lowndes County, Alabama.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H4513-055.
- Call the plan (Health Care Service Corporation) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H4513-055 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H4513-055, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 4513 are the contract number issued to the organization, and the three-digit 055 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is HealthSpring TotalCare (HMO D-SNP) an HMO or PPO?
HealthSpring TotalCare (HMO D-SNP) is an HMO D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does HealthSpring TotalCare (HMO D-SNP) include prescription drug coverage?
Yes — HealthSpring TotalCare (HMO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for HealthSpring TotalCare (HMO D-SNP)?
The 2026 in-network maximum out-of-pocket limit for HealthSpring TotalCare (HMO D-SNP) is $5900.00, per the CMS CY2026 Landscape file.
What counties offer HealthSpring TotalCare (HMO D-SNP) (H4513-055)?
HealthSpring TotalCare (HMO D-SNP) (H4513-055) is offered in 30 Alabama counties: Autauga County, Baldwin County, Bibb County, Blount County, Cherokee County, Chilton County, Colbert County, Coosa County, Cullman County, Dallas County, DeKalb County, Elmore County, Etowah County, Jackson County, Jefferson County, Lauderdale County, Lawrence County, Limestone County, Lowndes County, Madison County, Marshall County, Mobile County, Montgomery County, Morgan County, Perry County, Shelby County, St. Clair County, Talladega County, Tuscaloosa County, and Walker County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.