| Attribute | 2024 | 2025 | Change |
|---|---|---|---|
| Part C premium | — | 0.00 | ＋ new |
| Part D total premium | — | 72.30 | ＋ new |
| Monthly consolidated premium | — | 72.30 | ＋ new |
| MOOP in network | — | 6000.00 | ＋ new |
| Annual Part D deductible | — | 590.00 | ＋ new |
| Drug benefit type | — | Defined Standard | ＋ new |
| Plan type | — | HMO I-SNP | ＋ new |
| SNP type | — | Institutional | ＋ new |
| Contract category | — | SNP | ＋ new |