Health First Premier Access H1099-027 (HMO-POS) Medicare Advantage Plan H1099-027 • 2026 • Volusia County, FL

Health First Premier Access H1099-027 Overview

Plan Overview for Health First Premier Access H1099-027

This Medicare Advantage MAPD HMO-POS plan includes hospital, medical, and prescription drug coverage under Medicare Parts A and B. The monthly premium is $0.00, and the plan provides coverage through a network of participating providers, with limited access to out-of-network services in certain situations. The annual Part D deductible is $200.00.

Primary care visits have a $0 copay | Out-of-network: 40% coinsurance, specialist visits come with a $35 copay | Out-of-network: 40% coinsurance, urgent care services carry a $25 copay, and ambulance transportation is $260 copay | Out-of-network: 40% coinsurance. These costs apply toward the maximum out-of-pocket (MOOP) limit of $4700.00. After this limit is reached, in-network services are fully covered for the remainder of the year.

This plan is listed by CMS under Plan ID H1099-027. Cost-sharing details for key services are provided below.

Out-of-Pocket Costs

Cost-sharing for Health First Premier Access H1099-027 includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H1099-027.

Certain preventive services are covered 100% by Health First Premier Access H1099-027 as a Part B benefit.

Prescription Drug Coverage

Health First Premier Access H1099-027 includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.

This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.

Prescription Drug Plan Premium

The Part D prescription drug plan premium is included in the overall Medicare Special Needs Plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $200.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Health First Health Plans, Inc. starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, Health First Premier Access H1099-027 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

Medicare Plan Star Ratings

The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.