Red, White and Tru (PPO) Medicare Advantage Plan H9042-008 • 2027 • Daviess County, IN
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $5500.00In-network
- Part B Giveback
- −$125.00 reduction
- Prescription Coverage
- Not Included
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Daviess County, IN
- Local Enrollment
- 0 beneficiaries in Daviess County
Red, White and Tru (PPO) Introduction
This Medicare Advantage PPO plan, Red, White and Tru, is offered by MyTruAdvantage and uses a Preferred Provider Organization (PPO) provider network. It comes without prescription drug coverage. For the 2027 plan year, the monthly premium is $0.00, the medical deductible is $0.00, and the in-network maximum out-of-pocket is $5500.00. The plan is identified by CMS Plan ID H9042-008.
Enrollment in this plan requires residence in Daviess County, Indiana. CMS enrollment data reports 0 plan members in Daviess County. New members can call the plan directly at (833)213-6731 (TTY (800)743-3333) for assistance.
Compare Similar Plans in Daviess County
Compare this plan with the two most-enrolled PPO plans available in Daviess County, Indiana. Enrollment is based on CMS local enrollment data.
| Plan Detail | Red, White and Tru | Humana Value Choice | AARP Medicare Advantage from UHC IN-0003 |
|---|---|---|---|
| CMS Plan ID | H9042-008-0 |
H5216-229-0 |
H2406-038-0 |
| Local Enrollment | 0 | 78 | 71 |
| Monthly Premium | $0.00 | $0.00 | $44.00 |
| Medical Deductible | $0.00 | $0.00 | $1,000 |
| Maximum Out-of-Pocket | $5,500.00 | $7,000.00 | $5,900.00 |
| Part B Giveback | −$125.00 reduction | Not offered | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $35 copay | $45 copay | $0-$50 copay |
| Part D Deductible | Not Applicable | $700.00 | $685.00 |
| CMS Star Rating | 3.5 | 4.0 | 4.0 |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $0 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Want to explore more options? Browse all Medicare Advantage plans in Daviess County, or compare Medicare Advantage plans across Indiana, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
Cost-sharing for Red, White and Tru includes out-of-pocket expenses for covered healthcare services. The following tables provide a summary of typical in-network out-of-pocket costs for plan H9042-008.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H9042-008-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Specialist
- In-network: $35 copay
Out-of-network: $35 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Telehealth benefit
- In-network: $0-$35 copay
- Routine chiropractic
- Not covered
- Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $0-$235 copay
Out-of-network: 0%-50% coinsurance - Lab services
- In-network: $15 copay
Out-of-network: $15 copay - Outpatient x-rays
- In-network: $30 copay
Out-of-network: $30 copay - Diagnostic tests and procedures
- In-network: $25 copay
Out-of-network: $25 copay
Emergency and Urgent Care Services
- Emergency room care
- $130 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $35 copay
- Inpatient hospital care
- In-network:
Tier 1
$390 per day for days 1-6
$0 per day for days 7-90
$0 per stay
Out-of-network:
14% per day for days 1-6
14% per day for days 7-90
14% per stay - Skilled Nursing Facility
- In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100
Out-of-network:
$175 per day for days 1-58
$0 per day for days 59-100
$0 per stay - Ground ambulance
- In-network: $260 copay
Out-of-network: $260 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $35 copay
Out-of-network: $35 copay - Outpatient group therapy
- In-network: $35 copay
Out-of-network: $35 copay - Inpatient psychiatric hospital care
- In-network:
Tier 1
$390 per day for days 1-6
$0 per day for days 7-90
$0 per stay
Out-of-network:
14% per day for days 1-6
14% per day for days 7-90
14% per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $20 copay
Out-of-network: $50 copay - Occupational therapy
- In-network: $35 copay
Out-of-network: $55 copay
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Durable medical equipment
- In-network: 20% coinsurance
Out-of-network: 40% coinsurance - Prosthetics
- In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance - Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance
Dental Services
- Oral exam
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Dental x-rays
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Cleaning
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Periodontics
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Endodontics
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Restorative services
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Implant services
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance
Vision Services
- Routine eye exam
- In-network: $0 copay
Out-of-network: $50 copay - Contact lenses
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Eyeglass frames only
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Eyeglass lenses only
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Eyeglasses (frames & lenses)
- In-network: $0 copay
Out-of-network: $0 copay, 0% coinsurance - Upgrades
- Not covered
Hearing Services
- Hearing exam
- In-network: $0 copay
Out-of-network: 80% coinsurance - Fitting/evaluation
- In-network: $0 copay
Out-of-network: 80% coinsurance - Prescription hearing aids
- In-network: $399-$899 copay
Out-of-network: 80% coinsurance - OTC hearing aids
- Not covered
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- Not covered
Certain preventive services are covered 100% by Red, White and Tru as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Performance Ratings (Contract ID: H9042)
CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | Not enough data available |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for MyTruAdvantage
- Website
- MyTruAdvantage Plan Page
- Providers
- MyTruAdvantage Providers Page
- Formulary
- MyTruAdvantage Formulary Page
- Pharmacy
- MyTruAdvantage Pharmacy Page
- New Member Health Plan Help
- (833)213-6731
- New Member Health Plan TTY
- (800)743-3333
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Advantage Plan Availability
Red, White and Tru is available to eligible Medicare beneficiaries residing in Daviess County, Indiana, including communities such as Washington, Montgomery, Odon, and other areas throughout the county. Enrollment eligibility is based on county of residence, not city.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| MyTruAdvantage (official source) | http://www.mytruadvantage.com | October 4, 2026 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
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