Medicare Plans

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HAP Medicare MedicalAccess (HMO) Medicare Advantage Plan H2354-019 • 2027 • Lake County, MI

CMS Rating: Not yet rated by CMS.
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$4500.00In-network
Part B Giveback
−$105.00 reduction
Prescription Coverage
Not Included
Additional Benefits
Dental, Vision, Hearing
Service Area
Lake County, MI
Local Enrollment
0 beneficiaries in Lake County
Last update:

HAP Medicare MedicalAccess (HMO) Introduction

HAP Medicare MedicalAccess is a Medicare Advantage HMO plan offered by HAP Senior Plus. It uses a Health Maintenance Organization (HMO) provider network and comes without prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $4500.00 in-network maximum out-of-pocket. CMS Plan ID H2354-019 identifies this plan.

You must live in Lake County, Michigan to enroll in this plan. CMS reports 0 beneficiaries enrolled in this plan in Lake County. For assistance with this plan, new members can call (833)923-1713 (TTY 711).

Compare Similar Plans in Lake County

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

HMO plan comparison for Lake County, Michigan
Plan Detail HAP Medicare MedicalAccess HAP Medicare Superior Trinity Health Plan of Michigan Cash Back
CMS Plan ID H2354-019-0 H2354-028-0 H9179-002-0
Local Enrollment 0 25 15
Monthly Premium $0.00 $0.00 $0.00
Medical Deductible $0.00 $0.00 $635
Maximum Out-of-Pocket $4,500.00 $5,800.00 $9,850.00
Part B Giveback −$105.00 reduction Not offered −$145.00 reduction
Primary Care $0 copay $0 copay $0 copay
Specialist $35 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 HAP Medicare MedicalAccess 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 H2354-019.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H2354-019-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Specialist
In-network: $35 copay

Preventive and Wellness Services

Annual wellness exam
In-network: $0 copay
Telehealth benefit
In-network: $0-$50 copay
Routine chiropractic
In-network: $15 copay
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: $0-$200 copay
Lab services
In-network: $0 copay
Outpatient x-rays
In-network: $35 copay
Diagnostic tests and procedures
In-network: $0-$150 copay

Emergency and Urgent Care Services

Emergency room care
$130 copay
Worldwide emergency care
Coming soon
Urgent care
$0-$50 copay
Inpatient hospital care
Tier 1
$325 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Skilled Nursing Facility
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100
Ground ambulance
In-network: $300 copay

Mental Health Services

Outpatient individual therapy
In-network: $15 copay
Outpatient group therapy
In-network: $15 copay
Inpatient psychiatric hospital care
Tier 1
$325 per day for days 1-5
$0 per day for days 6-90
$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: $0 copay
Endodontics
In-network: 50% coinsurance
Restorative services
In-network: 50%-75% coinsurance
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
In-network: 0%-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
In-network: $0 copay

Hearing Services

Hearing exam
In-network: $0 copay
Fitting/evaluation
In-network: $0 copay
Prescription hearing aids
In-network: $0-$1575 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 HAP Medicare MedicalAccess 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: H2354)

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 H2354
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 ☆☆☆☆☆
Drug Plan Customer Service ☆☆☆☆☆
Complaints and Changes in the Drug Plan ☆☆☆☆☆
Member Experience with the Drug Plan ☆☆☆☆☆
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆
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
HAP Senior Plus (official source) http://www.hap.org/medicare October 4, 2026
Medicare.gov Understanding Medicare Advantage Plans 25 May, 2025
AARP.org The Big Choice: Original Medicare vs. Medicare Advantage 25 May, 2025
Medicare.gov Compare Original Medicare & Medicare Advantage 25 May, 2025

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