2027 Medicare Advantage plan
HealthSpringSM True Choice Savings (PPO): 2027 benefits and costs
HealthSpringSM PPO
CMS plan ID: H7849-080-0 · Plan year: 2027
HealthSpringSM True Choice Savings (PPO) is a 2027 Medicare Advantage plan offered by HealthSpringSM. It is listed in Illinois.
2027 plan costs at a glance
- Organization
- HealthSpringSM
- Plan organization
- HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.
- Parent company
- Health Care Service Corporation
- Plan type
- PPO
- Part C premium
- $0.00
- Part D premium
- $0.00
- Prescription drug coverage
- Yes
- 2027 CMS Star Rating
- Standard monthly Medicare Part B premium
- $209.50 (estimated)
- Monthly Part B premium after plan reduction
- $175.50 (estimated)$209.50 standard premium less $34.00 plan reduction.
You must continue to pay your Medicare Part B premium.
- Annual medical deductible
- $450.00
Applies to out-of-network Medicare-covered services and certain in-network Medicare-covered services; out-of-network $0 preventive care is exempt.
- In-network medical maximum
- $5,000.00
- Combined in/out-of-network medical maximum
- $8,000.00
- Out-of-network medical maximum
- Not applicable
- Part B premium reduction
- $34.00
2027 benefit summary
Doctor visits and medical care
Plan-level deductibles may still apply when a service-specific deductible is listed as No.
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Primary care doctor | $0
| 50% coinsurance
| |
| Specialist visit | $50.00 copay
| 50% coinsurance
|
|
| Telehealth | $0.00 to $50.00 copay
| Not summarized. Check coverage with the plan. |
|
| Emergency care | $130.00 copay | Not summarized. Check coverage with the plan. | |
| Urgent care | $50.00 copay | Not summarized. Check coverage with the plan. | |
| Home health | $0
| 50% coinsurance
|
|
| Dialysis | 20% coinsurance
| 50% coinsurance
|
|
| Part B chemotherapy and radiation drugs | 0% to 20% coinsurance
| 50% coinsurance
|
|
| Other Part B drugs | 0% to 20% coinsurance
| 50% coinsurance
|
|
| Kidney disease education services | $0
| 50% coinsurance
|
|
| Medicare-covered chiropractic | $15.00 copay
| 50% coinsurance
|
|
| Medicare-covered foot care | $50.00 copay
| 50% coinsurance
|
|
| Other health professionals | $0.00 to $50.00 copay
| 50% coinsurance
|
|
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: $330.00 copay per day Days 8–90: $0.00 copay per day |
|
| Inpatient mental health care | $0.00 copay per stay Days 1–6: $330.00 copay per day Days 7–90: $0.00 copay per day |
|
| Skilled nursing facility | Days 1–20: $10.00 copay per day Days 21–100: $221.00 copay per day |
|
See plan documents for out-of-network hospital and skilled nursing costs.
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Outpatient hospital care | $0.00 to $330.00 copay
| 50% coinsurance
| |
| Hospital observation services | $330.00 copay
| 50% coinsurance
| |
| Ambulatory surgical center | $0.00 to $330.00 copay
| 50% coinsurance
|
|
| Outpatient blood | $0
| 50% coinsurance
|
|
Tests, imaging and laboratory services
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Diagnostic procedures and tests | $0.00 to $50.00 copay
| 50% coinsurance
|
|
| Laboratory services | 0% to 20% coinsurance
| 50% coinsurance
|
|
| Diagnostic radiology (CT, MRI) | $0.00 to $330.00 copay
| 50% coinsurance
|
|
| Therapeutic radiology | 20% coinsurance
| 50% coinsurance
|
|
| X-rays | $25.00 copay
| 50% coinsurance
|
|
Mental health and substance use treatment
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Partial hospitalization | $155.00 copay
| 50% coinsurance
|
|
| Intensive outpatient program | $155.00 copay
| 50% coinsurance
|
|
| Substance use treatment, individual sessions | $50.00 copay
| 50% coinsurance
|
|
| Substance use treatment, group sessions | $50.00 copay
| 50% coinsurance
|
|
| Opioid treatment program | $50.00 copay
| 50% coinsurance
|
|
| Mental health, individual sessions | $20.00 copay
| 50% coinsurance
|
|
| Mental health, group sessions | $20.00 copay
| 50% coinsurance
|
|
| Psychiatry, individual sessions | $20.00 copay
| 50% coinsurance
|
|
| Psychiatry, group sessions | $20.00 copay
| 50% coinsurance
|
|
Therapy and rehabilitation
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Occupational therapy | $50.00 copay
| 50% coinsurance
|
|
| Physical and speech therapy | $50.00 copay
| 50% coinsurance
|
|
| Cardiac rehabilitation | $40.00 copay
| 50% coinsurance
|
|
| Intensive cardiac rehabilitation | $55.00 copay
| 50% coinsurance
|
|
| Pulmonary rehabilitation | $35.00 copay
| 50% coinsurance
|
|
| Supervised exercise for peripheral artery disease | $25.00 copay
| 50% coinsurance
|
|
Ambulance, medical equipment and supplies
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Ground ambulance | $230.00 copay
| $230.00 copay
|
|
| Air ambulance | 20% coinsurance
| 20% coinsurance
|
|
| Durable medical equipment | 20% coinsurance
| 50% coinsurance
|
|
| Prosthetic devices | 20% coinsurance
| 50% coinsurance
|
|
| Medical supplies | 20% coinsurance
| 50% coinsurance
|
|
| Diabetic supplies | 0% to 20% coinsurance
| 50% coinsurance
|
|
| Diabetic shoes and inserts | 20% coinsurance
| 50% coinsurance
|
|
| Diabetic monitors | 0% to 20% coinsurance
| 50% coinsurance
|
|
Dental benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Medicare-covered dental | $50.00 copay | 50% coinsurance
| |
| Oral examsAdditional plan benefit | $0 | 50% coinsurance
| |
| Dental X-raysAdditional plan benefit | $0 | 50% coinsurance
| |
| Other diagnostic dentalAdditional plan benefit | $0 | 50% coinsurance
| |
| Dental cleaningAdditional plan benefit | $0 | 50% coinsurance
| |
| FluorideAdditional plan benefit | $0 | 50% coinsurance
| |
| Other preventive dentalAdditional plan benefit | $0 | 50% coinsurance
| |
| Restorative dental careAdditional plan benefit | $0 | 50% coinsurance
| |
| Root canal treatment (endodontics)Additional plan benefit | $0 | 50% coinsurance
| |
| Gum treatment (periodontics)Additional plan benefit | $0 | 50% coinsurance
| |
| Removable dentures (prosthodontics)Additional plan benefit | $0 | 50% coinsurance
| |
| Maxillofacial prostheticsAdditional plan benefit | $0 | 50% coinsurance
| |
| Dental implantsAdditional plan benefit | $0 | 50% coinsurance
| |
| Fixed dental restorations (prosthodontics)Additional plan benefit | $0 | 50% coinsurance
| |
| Oral surgeryAdditional plan benefit | $0 | 50% coinsurance
| |
| OrthodonticsAdditional plan benefit | $0 | 50% coinsurance
| |
| Other dental servicesAdditional plan benefit | $0 | 50% coinsurance
|
Additional network details
These costs apply to the listed service categories and networks.
| Service | Network | Your share of the cost | What to know |
|---|---|---|---|
| Diagnostic and preventive dental (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
| Comprehensive dental (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
Vision benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Medicare-covered eye exams | $0.00 to $50.00 copay
| 50% coinsurance
|
|
| Routine eye examsAdditional plan benefit | $0 | 50% coinsurance
|
|
| Medicare-covered eyewear | $0
| 50% coinsurance
|
|
| Contact lensesAdditional plan benefit | $0 | $0
|
|
| Eyeglasses, lenses and framesAdditional plan benefit | $0 | $0
|
|
| Eyeglass lensesAdditional plan benefit | $0 | $0
|
|
| Eyeglass framesAdditional plan benefit | $0 | $0
|
|
Additional network details
These costs apply to the listed service categories and networks.
| Service | Network | Your share of the cost | What to know |
|---|---|---|---|
| Eye exams (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
| Eyewear (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
| UpgradesAdditional plan benefit | Out-of-network | $0
|
Hearing benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Medicare-covered hearing exams | $50.00 copay
| 50% coinsurance
|
|
Extra benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Annual physical examAdditional plan benefit | $0
| 50% coinsurance
|
|
Additional services and network costs
Additional network details
These costs apply to the listed service categories and networks.
| Service | Network | Your share of the cost | What to know |
|---|---|---|---|
| Medicare-covered preventive servicesMedicare-covered care | Out-of-network | 50% coinsurance
| |
| Glaucoma ScreeningMedicare-covered care | Out-of-network | 50% coinsurance
| |
| Diabetes Self-Management TrainingMedicare-covered care | Out-of-network | 50% coinsurance
| |
| Digital Rectal ExamsMedicare-covered care | Out-of-network | 50% coinsurance
| |
| EKG after a Welcome to Medicare visitMedicare-covered care | Out-of-network | 50% coinsurance
| |
| Medicare Part B insulinMedicare-covered care | Out-of-network | 50% coinsurance
|
Prescription drug coverage
Costs shown are for initial coverage.
Drug deductible exceptions: Tier 1; Tier 2 are exempt from the deductible.
Preferred retail costs
On a small screen, scroll the table sideways to compare all fill lengths.
| Drug tier | 30 days | 60 days | 90 days |
|---|---|---|---|
| Tier 1Preferred Generic | $0.00 | $0.00 | $0.00 |
| Tier 2Generic | $4.00 | $8.00 | $12.00 |
| Tier 3Preferred Brand | 20% | 20% | 20% |
| Tier 4Non-Preferred Drug | 25% | 25% | 25% |
| Tier 5Specialty Tier | 25% | Not listed | Not listed |
Standard retail costs
On a small screen, scroll the table sideways to compare all fill lengths.
| Drug tier | 30 days | 60 days | 90 days |
|---|---|---|---|
| Tier 1Preferred Generic | $10.00 | $20.00 | $30.00 |
| Tier 2Generic | $20.00 | $40.00 | $60.00 |
| Tier 3Preferred Brand | 20% | 20% | 20% |
| Tier 4Non-Preferred Drug | 25% | 25% | 25% |
| Tier 5Specialty Tier | 25% | Not listed | Not listed |
Mail-order and other pharmacies
Out-of-network pricing: You pay the standard retail copay or coinsurance, plus any difference between the pharmacy’s billed charge and the amount the plan allows at a standard retail pharmacy.
Preferred mail order costs
On a small screen, scroll the table sideways to compare all fill lengths.
| Drug tier | 30 days | 60 days | 90 days |
|---|---|---|---|
| Tier 1Preferred Generic | $0.00 | $0.00 | $0.00 |
| Tier 2Generic | $4.00 | $8.00 | $0.00 |
| Tier 3Preferred Brand | 20% | 20% | 20% |
| Tier 4Non-Preferred Drug | 25% | 25% | 25% |
| Tier 5Specialty Tier | 25% | Not listed | Not listed |
Standard mail order costs
On a small screen, scroll the table sideways to compare all fill lengths.
| Drug tier | 30 days | 60 days | 90 days |
|---|---|---|---|
| Tier 1Preferred Generic | $10.00 | $20.00 | $30.00 |
| Tier 2Generic | $20.00 | $40.00 | $60.00 |
| Tier 3Preferred Brand | 20% | 20% | 20% |
| Tier 4Non-Preferred Drug | 25% | 25% | 25% |
| Tier 5Specialty Tier | 25% | Not listed | Not listed |
Long-term care pharmacy costs
| Drug tier | 31 days |
|---|---|
| Tier 1Preferred Generic | $10.00 |
| Tier 2Generic | $20.00 |
| Tier 3Preferred Brand | 20% |
| Tier 4Non-Preferred Drug | 25% |
| Tier 5Specialty Tier | 25% |
Out-of-network pharmacy costs
| Drug tier | 30 days |
|---|---|
| Tier 1Preferred Generic | $10.00 |
| Tier 2Generic | $20.00 |
| Tier 3Preferred Brand | 20% |
| Tier 4Non-Preferred Drug | 25% |
| Tier 5Specialty Tier | 25% |
Drug coverage rules and exceptions
Tier 1: Preferred Generic
- Drugs included in this tier
- Both Part D and Excluded Drugs
- Longer fills available for every covered drug
- Yes
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 2: Generic
- Drugs included in this tier
- Part D Drugs Only
- Longer fills available for every covered drug
- No
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 3: Preferred Brand
- Drugs included in this tier
- Part D Drugs Only
- Longer fills available for every covered drug
- No
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 4: Non-Preferred Drug
- Drugs included in this tier
- Part D Drugs Only
- Longer fills available for every covered drug
- No
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 5: Specialty Tier
- Drugs included in this tier
- Part D Drugs Only
- Initial-coverage prices also apply to drugs exempt from the deductible
- Yes
Special cost protections apply to covered insulin and recommended adult vaccines.
Where this plan is offered
CMS lists this plan in 1 state or territory. Availability can vary by county and ZIP code.