Medicare Plans

Open Medicare Plan Data.

Trinity Health Plan of Michigan Glory No RX (HMO) Medicare Advantage Plan H9179-003 • 2027 • Ionia County, MI

CMS Rating: Not yet rated by CMS.
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$6500.00In-network
Part B Giveback
−$100.00 reduction
Prescription Coverage
Not Included
Additional Benefits
Dental, Vision, Hearing
Service Area
Ionia County, MI
Local Enrollment
0 beneficiaries in Ionia County
Last update:

Trinity Health Plan of Michigan Glory No RX (HMO) Introduction

This Medicare Advantage HMO plan, Trinity Health Plan of Michigan Glory No RX, is offered by Trinity Health Plan of Michigan and uses a Health Maintenance Organization (HMO) 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 $6500.00. The plan is identified by CMS Plan ID H9179-003.

Enrollment in this plan requires residence in Ionia County, Michigan. CMS enrollment data reports 0 plan members in Ionia County. New members can call the plan directly at (800)964-4525 (TTY 711) for assistance.

Compare Similar Plans in Ionia County

Compare this plan with the two most-enrolled HMO plans available in Ionia County, Michigan. Enrollment is based on CMS local enrollment data.

HMO plan comparison for Ionia County, Michigan
Plan Detail Trinity Health Plan of Michigan Glory No RX HAP Medicare Superior Trinity Health Plan of Michigan Cash Back
CMS Plan ID H9179-003-0 H2354-028-0 H9179-002-0
Local Enrollment 0 113 41
Monthly Premium $0.00 $0.00 $0.00
Medical Deductible $0.00 $0.00 $635
Maximum Out-of-Pocket $6,500.00 $5,800.00 $9,850.00
Part B Giveback −$100.00 reduction Not offered −$145.00 reduction
Primary Care $0 copay $0 copay $0 copay
Specialist $30 copay $40 copay $50 copay
Part D Deductible Not Applicable $200.00 $375.00
CMS Star Rating Not yet rated Not yet rated Not yet rated
Dental $0 copay $0 copay $0 copay
Vision $0 copay $0 copay $0 copay
Hearing $0 copay $0 copay $0 copay

Plan Benefits

Cost-sharing for Trinity Health Plan of Michigan Glory No RX 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 H9179-003.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H9179-003-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Specialist
In-network: $30 copay

Preventive and Wellness Services

Annual wellness exam
In-network: $0 copay
Telehealth benefit
In-network: $0-$30 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
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: $300 copay
Lab services
In-network: $0 copay
Outpatient x-rays
In-network: $30 copay
Diagnostic tests and procedures
In-network: $50 copay

Emergency and Urgent Care Services

Emergency room care
$130 copay
Worldwide emergency care
Coming soon
Urgent care
$45 copay
Inpatient hospital care
Tier 1
$325 per day for days 1-7
$0 per day for days 8-90
$0 per stay
Skilled Nursing Facility
Tier 1
$0 per day for days 1-20
$221 per day for days 21-65
$0 per day for days 66-100
Ground ambulance
In-network: $275 copay

Mental Health Services

Outpatient individual therapy
In-network: $30 copay
Outpatient group therapy
In-network: $30 copay
Inpatient psychiatric hospital care
Tier 1
$325 per day for days 1-7
$0 per day for days 8-90
$0 per stay

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $20 copay
Occupational therapy
In-network: $20 copay

Medical Equipment and Supplies

Diabetes supplies
In-network: $0 copay
Durable medical equipment
In-network: 20% coinsurance
Prosthetics
In-network: 20% coinsurance

Medicare Part B Drugs

Chemotherapy
In-network: 0%-20% coinsurance
Other Part B drugs (Medicare-covered)
In-network: 0%-20% coinsurance

Dental Services

Oral exam
In-network: $0 copay
Dental x-rays
In-network: $0 copay
Cleaning
In-network: $0 copay
Periodontics
In-network: 70% coinsurance
Endodontics
In-network: 70% coinsurance
Restorative services
In-network: 50% coinsurance
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
In-network: 50% coinsurance

Vision Services

Routine eye exam
In-network: $0 copay
Contact lenses
In-network: $0 copay
Eyeglass frames only
In-network: $0 copay
Eyeglass lenses only
In-network: $0 copay
Eyeglasses (frames & lenses)
In-network: $0 copay
Upgrades
Not covered

Hearing Services

Hearing exam
In-network: $0 copay
Fitting/evaluation
In-network: $0 copay
Prescription hearing aids
In-network: $599-$899 copay
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 Trinity Health Plan of Michigan Glory No RX 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: H9179)

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.

2027 Medicare Star Ratings for Contract H9179
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines Plan too new to be measured
Managing Chronic (Long Term) Conditions Plan too new to be measured
Member Experience with Health Plan ☆☆☆☆☆
Complaints and Changes in Plans Performance ☆☆☆☆☆
Health Plan Customer Service Plan too new to be measured
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 Trinity Health Plan of Michigan

Website
Trinity Health Plan of Michigan Plan Page
Providers
Trinity Health Plan of Michigan Providers Page
Formulary
Trinity Health Plan of Michigan Formulary Page
Pharmacy
Trinity Health Plan of Michigan Pharmacy Page
New Member Health Plan Help
(800)964-4525
New Member Health Plan TTY
711

Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
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.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Trinity Health Plan of Michigan (official source) http://www.thpmedicare.org/michigan 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

MedicarePlans.com is an independent informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.