Molina Medicare Complete Care Plus (HMO D-SNP) in St. Clair County, Illinois — 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

Molina Medicare Complete Care Plus (HMO D-SNP) (H3093-003) is a $0-premium Medicare Advantage HMO D-SNP from Molina Healthcare, Inc. available in St. Clair County, Illinois in 2026, with a -star overall rating, a $9,250 in-network out-of-pocket maximum, and a $100 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationMolina Healthcare, Inc.
Plan nameMolina Medicare Complete Care Plus (HMO D-SNP)
Contract IDH3093
Plan ID003
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$30.30
Part D total premium$0.00
Annual Part D deductible$100.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating

How this plan is structured

  • $0 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.
  • $9,250 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 = St. Clair 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 St. Clair County

The CMS CY2026 Landscape file lists 56 Medicare Advantage plans in St. Clair County, Illinois, of which 0 carry a 5.0-star overall rating and 41 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $254.00 per month, and in-network out-of-pocket maximums range from $2000.00 to $9250.00.

For the full county plan directory, see all Medicare plans in St. Clair County, Illinois.

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:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3093-003.
  2. Call the plan (Molina Healthcare, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3093-003 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3093-003, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3093 are the contract number issued to the organization, and the three-digit 003 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 Molina Medicare Complete Care Plus (HMO D-SNP) an HMO or PPO?

Molina Medicare Complete Care Plus (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 Molina Medicare Complete Care Plus (HMO D-SNP) include prescription drug coverage?

Yes — Molina Medicare Complete Care Plus (HMO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $100.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Molina Medicare Complete Care Plus (HMO D-SNP)?

The 2026 in-network maximum out-of-pocket limit for Molina Medicare Complete Care Plus (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer Molina Medicare Complete Care Plus (HMO D-SNP) (H3093-003)?

Molina Medicare Complete Care Plus (HMO D-SNP) (H3093-003) is offered in 34 Illinois counties: Alexander County, Bond County, Clay County, Clinton County, Crawford County, Edwards County, Effingham County, Fayette County, Franklin County, Gallatin County, Hamilton County, Hardin County, Jackson County, Jasper County, Jefferson County, Johnson County, Lawrence County, Madison County, Marion County, Massac County, Monroe County, Perry County, Pope County, Pulaski County, Randolph County, Richland County, Saline County, St. Clair County, Union County, Wabash County, Washington County, Wayne County, White County, and Williamson County.

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