2027 Medicare Advantage plan
Johns Hopkins Advantage MD Tribute (HMO): 2027 benefits and costs
Johns Hopkins Advantage MD HMO
CMS plan ID: H1225-004-0 · Plan year: 2027
Johns Hopkins Advantage MD Tribute (HMO) is a 2027 Medicare Advantage plan offered by Johns Hopkins Advantage MD. It is listed in Maryland.
2027 plan costs at a glance
Monthly plan premium$0.00
In-network medical out-of-pocket maximum$7,200.00
- Organization
- Johns Hopkins Advantage MD
- Plan organization
- HOPKINS HEALTH ADVANTAGE, INC.
- Parent company
- Johns Hopkins Healthcare LLC
- 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)
- Monthly Part B premium after plan reduction
- $169.50 (estimated)$209.50 standard premium less $40.00 plan reduction.
You must continue to pay your Medicare Part B premium.
- In-network medical deductible
- None
- In-network medical maximum
- $7,200.00
- Part B premium reduction
- $40.00
2027 benefit summary
Doctor visits and medical care
| Service | In-network | What to know |
|---|---|---|
| Primary care doctor | $0
| |
| Specialist visit | $50.00 copay
|
|
| Telehealth | $0
|
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| Emergency care | $115.00 copay | |
| Urgent care | $40.00 copay | |
| Home health | $0
|
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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
|
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| Medicare-covered chiropractic | $10.00 copay
|
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| Medicare-covered foot care | $50.00 copay
|
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| Other health professionals | $0.00 to $50.00 copay
|
|
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 1–5: $350.00 copay per day Days 6–90: $0.00 copay per day |
|
| Inpatient mental health care | $0.00 copay per stay Days 1–5: $350.00 copay per day Days 6–90: $0.00 copay per day |
|
| Skilled nursing facility | Days 1–20: $0.00 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 | What to know |
|---|---|---|
| Outpatient hospital care | $0.00 to $350.00 copay
| |
| Hospital observation services | $350.00 copay
| |
| Ambulatory surgical center | $0.00 to $250.00 copay
|
|
| Outpatient blood | $0
|
|
Tests, imaging and laboratory services
| Service | In-network | What to know |
|---|---|---|
| Diagnostic procedures and tests | 20% coinsurance
|
|
| Laboratory services | $0
|
|
| Diagnostic radiology (CT, MRI) | $0.00 to $250.00 copay
|
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| Therapeutic radiology | 20% coinsurance
|
|
| X-rays | $50.00 copay
|
|
Mental health and substance use treatment
| Service | In-network | What to know |
|---|---|---|
| Partial hospitalization | $0
|
|
| Intensive outpatient program | $0
|
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| Substance use treatment, individual sessions | $40.00 copay
|
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| Substance use treatment, group sessions | $40.00 copay
|
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| Opioid treatment program | $0
|
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| Mental health, individual sessions | $25.00 copay
|
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| Mental health, group sessions | $25.00 copay
|
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| Psychiatry, individual sessions | $25.00 copay
|
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| Psychiatry, group sessions | $25.00 copay
|
|
Therapy and rehabilitation
| Service | In-network | What to know |
|---|---|---|
| Occupational therapy | $10.00 copay
|
|
| Physical and speech therapy | $10.00 copay
|
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| Cardiac rehabilitation | $0
|
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| Intensive cardiac rehabilitation | $0
|
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| Pulmonary rehabilitation | $0
|
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| Supervised exercise for peripheral artery disease | $0
|
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Ambulance, medical equipment and supplies
| Service | In-network | What to know |
|---|---|---|
| Ground ambulance | $290.00 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
|
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| Diabetic shoes and inserts | 20% coinsurance
|
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| Diabetic monitors | $0
|
|
Dental benefits
| Service | In-network | What to know |
|---|---|---|
| Medicare-covered dental | $0 | |
| Oral examsAdditional plan benefit | $0 | |
| Dental X-raysAdditional plan benefit | $0 | |
| Dental cleaningAdditional plan benefit | $0 | |
| FluorideAdditional 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 | |
| Dental implantsAdditional plan benefit | $0 | |
| Fixed dental restorations (prosthodontics)Additional plan benefit | $0 | |
| Oral surgeryAdditional plan benefit | $0 | |
| Other dental servicesAdditional plan benefit | $0 |
Vision benefits
| Service | In-network | What to know |
|---|---|---|
| Medicare-covered eye exams | $0.00 to $50.00 copay
|
|
| Routine eye examsAdditional plan benefit | $0 |
|
| Medicare-covered eyewear | $0
|
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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 |
|
Hearing benefits
| Service | In-network | What to know |
|---|---|---|
| Medicare-covered hearing exams | $10.00 copay
|
|
| Routine hearing examsAdditional plan benefit | $0 |
|
| Hearing aid fitting and evaluationAdditional plan benefit | $0 |
|
| Prescription hearing aids (all types)Additional plan benefit | $399.00 to $699.00 copay
|
|
Extra benefits
| Service | In-network | What to know |
|---|---|---|
| Over-the-counter health itemsAdditional plan benefit | $0
| |
| Annual physical examAdditional plan benefit | $0
|
|
| Fitness benefitAdditional plan benefit | $0
|
|
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.