Red, White and Tru (PPO) Medicare Advantage Plan H9042-008 • 2026 • Johnson County, IN

Red, White and Tru Overview

Plan Details for Red, White and Tru

This Medicare Advantage Preferred Provider Organization (PPO) plan provides access to Medicare-approved providers and covers Medicare Part A and Part B services. The monthly premium is $0.00, with lower costs when using in-network providers.

Primary care visits have a $0 copay | Out-of-network: $0 copay, 0% coinsurance, specialist visits come with a $35 copay | Out-of-network: $35 copay, urgent care services carry a $35 copay, and ambulance transportation is $260 copay | Out-of-network: $260 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $5500.00. Once this limit is reached, in-network services are fully covered.

This plan is listed by CMS under Plan ID H9042-008. Cost-sharing details for key services are provided below.

Out-of-Pocket Costs

Cost-sharing for Red, White and Tru 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 H9042-008.

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.

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.