2027 Medicare Advantage plan
Health First Secure H1099-009 (HMO): 2027 benefits and costs
Health First Health Plans, Inc. HMO
CMS plan ID: H1099-009-0 · Plan year: 2027
Health First Secure H1099-009 (HMO) is a 2027 Medicare Advantage plan offered by Health First Health Plans, Inc.. It is listed in Florida.
2027 plan costs at a glance
Monthly plan premium$0.00
In-network medical out-of-pocket maximum$3,900.00
- Organization
- Health First Health Plans, Inc.
- Plan organization
- HEALTH FIRST HEALTH PLANS
- Parent company
- Health First Shared Services, Inc.
- Plan type
- HMO
- Part C premium
- $0.00
- Prescription drug coverage
- No
- 2027 CMS Star Rating
- Standard monthly Medicare Part B premium
- $209.50 (estimated)
You must continue to pay your Medicare Part B premium.
- In-network medical deductible
- None
- In-network medical maximum
- $3,900.00
2027 benefit summary
Doctor visits and medical care
| Service | In-network | What to know |
|---|---|---|
| Primary care doctor | $0.00 copay
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| Specialist visit | $20.00 copay
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| Telehealth | $0.00 to $25.00 copay
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| Emergency care | $150.00 copay | |
| Urgent care | $25.00 copay | |
| Home health | $0.00 copay
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| Dialysis | 20% coinsurance
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| Part B chemotherapy and radiation drugs | 0% to 20% coinsurance
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| Other Part B drugs | 0% to 20% coinsurance
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| Kidney disease education services | $0.00 copay
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| Medicare-covered chiropractic | $20.00 copay
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| Medicare-covered foot care | $20.00 copay
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| Other health professionals | $0.00 to $20.00 copay
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Hospital, outpatient surgery and observation care
Inpatient stays and skilled nursing care
| Care | Your share of the cost | What to know |
|---|---|---|
| Inpatient hospital stay | $0.00 copay per stay Days 1–7: $180.00 copay per day Days 8–90: $0.00 copay per day |
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| Inpatient mental health care | $0.00 copay per stay Days 1–7: $180.00 copay per day Days 8–90: $0.00 copay per day |
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| Skilled nursing facility | Days 1–20: $0.00 copay per day Days 21–100: $100.00 copay per day |
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See plan documents for out-of-network hospital and skilled nursing costs.
| Service | In-network | What to know |
|---|---|---|
| Outpatient hospital care | $0.00 to $150.00 copay
| |
| Hospital observation services | $150.00 copay
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| Ambulatory surgical center | $0.00 to $150.00 copay
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| Outpatient blood | $0
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Tests, imaging and laboratory services
| Service | In-network | What to know |
|---|---|---|
| Diagnostic procedures and tests | $20.00 copay
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| Laboratory services | $0.00 copay
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| Diagnostic radiology (CT, MRI) | $125.00 copay
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| Therapeutic radiology | 20% coinsurance
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| X-rays | $20.00 copay
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Mental health and substance use treatment
| Service | In-network | What to know |
|---|---|---|
| Partial hospitalization | $20.00 copay
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| Intensive outpatient program | $20.00 copay
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| Substance use treatment, individual sessions | $20.00 copay
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| Substance use treatment, group sessions | $20.00 copay
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| Opioid treatment program | $0.00 copay
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| Mental health, individual sessions | $20.00 copay
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| Mental health, group sessions | $20.00 copay
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| Psychiatry, individual sessions | $20.00 copay
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| Psychiatry, group sessions | $20.00 copay
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Therapy and rehabilitation
| Service | In-network | What to know |
|---|---|---|
| Occupational therapy | $15.00 copay
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| Physical and speech therapy | $15.00 copay
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| Cardiac rehabilitation | $20.00 copay
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| Intensive cardiac rehabilitation | $20.00 copay
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| Pulmonary rehabilitation | $20.00 copay
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| Supervised exercise for peripheral artery disease | $15.00 copay
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Ambulance, medical equipment and supplies
| Service | In-network | What to know |
|---|---|---|
| Ground ambulance | $230.00 copay
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| Air ambulance | 20% coinsurance
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| Durable medical equipment | 20% coinsurance
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| Prosthetic devices | 20% coinsurance
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| Medical supplies | 20% coinsurance
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| Diabetic supplies | 0% to 20% coinsurance
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| Diabetic shoes and inserts | 0% coinsurance
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| Diabetic monitors | 0% to 20% coinsurance
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Dental benefits
| Service | In-network | What to know |
|---|---|---|
| Medicare-covered dental | $15.00 copay | |
| Oral examsAdditional plan benefit | $0 | |
| Dental X-raysAdditional plan benefit | $0 | |
| Other diagnostic dentalAdditional plan benefit | $0 | |
| Dental cleaningAdditional plan benefit | $0 | |
| FluorideAdditional plan benefit | $0 | |
| Other preventive dentalAdditional plan benefit | $0 | |
| Restorative dental careAdditional plan benefit | $0 | |
| Root canal treatment (endodontics)Additional plan benefit | $0 | |
| Gum treatment (periodontics)Additional plan benefit | $0 | |
| Removable dentures (prosthodontics)Additional plan benefit | $0 | |
| Maxillofacial prostheticsAdditional plan benefit | $0 | |
| Dental implantsAdditional plan benefit | $0 | |
| Fixed dental restorations (prosthodontics)Additional plan benefit | $0 | |
| Oral surgeryAdditional plan benefit | $0 | |
| OrthodonticsAdditional plan benefit | $0 | |
| Other dental servicesAdditional plan benefit | $0 |
Vision benefits
| Service | In-network | What to know |
|---|---|---|
| Medicare-covered eye exams | $15.00 copay
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| Routine eye examsAdditional plan benefit | $0.00 copay |
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| Medicare-covered eyewear | $0.00 copay
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| Contact lensesAdditional plan benefit | $0 |
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| Eyeglasses, lenses and framesAdditional plan benefit | $0 |
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| Eyeglass lensesAdditional plan benefit | $0 |
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| Eyeglass framesAdditional plan benefit | $0 |
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Hearing benefits
| Service | In-network | What to know |
|---|---|---|
| Medicare-covered hearing exams | $15.00 copay
|
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| Routine hearing examsAdditional plan benefit | $0.00 copay |
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| Hearing aid fitting and evaluationAdditional plan benefit | $0.00 copay |
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| Prescription hearing aids (all types)Additional plan benefit | $0.00 to $1,395.00 copay
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Extra benefits
| Service | In-network | What to know |
|---|---|---|
| Over-the-counter health itemsAdditional plan benefit | $0
| |
| Annual physical examAdditional plan benefit | $0.00 copay
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| Fitness benefitAdditional plan benefit | $0
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Allowances and optional benefits
Benefits for qualifying members
Diabetic Retinopathy Screening
The plan must confirm eligibility, including any qualifying condition.
- Qualifying conditions
- Diabetes
- Covered package services cost $0 until the package limit is reached
- No
- Benefits that apply to reduced cost sharing
- Medicare-covered benefits
- Medicare benefits that apply to reduced cost sharing
- Eye exams (category)
- Some package benefits are exempt from the deductible
- No
- Do you offer reduced Coinsurance?
- No
- Service-specific deductible
- No
- Reduced Copayment?
- Yes
- Types of benefits that apply to the copayment cost sharing
- Medicare-covered benefits
- Medicare-covered benefits that will receive reduced Copayment
- Eye exams (category)
- Minimum Copayment for Eye Exams
- $0.00
- Maximum Copayment for Eye Exams
- $0.00
COPD Spirometry Test
The plan must confirm eligibility, including any qualifying condition.
- Qualifying conditions
- Chronic Obstructive Pulmonary Disease (COPD)
- Covered package services cost $0 until the package limit is reached
- No
- Benefits that apply to reduced cost sharing
- Medicare-covered benefits
- Medicare benefits that apply to reduced cost sharing
- Diagnostic Procedures/Tests
- Some package benefits are exempt from the deductible
- No
- Do you offer reduced Coinsurance?
- No
- Service-specific deductible
- No
- Reduced Copayment?
- Yes
- Types of benefits that apply to the copayment cost sharing
- Medicare-covered benefits
- Medicare-covered benefits that will receive reduced Copayment
- Diagnostic Procedures/Tests
- Minimum Copayment for Diagnostic Procedures/Tests
- $0.00
- Maximum Copayment for Diagnostic Procedures/Tests
- $0.00
Prescription drug coverage
This plan does not include a Part D prescription drug benefit.
Where this plan is offered
CMS lists this plan in 1 state or territory. Availability can vary by county and ZIP code.