Healthy Mississippi Premier Advantage (HMO-POS) Medicare Advantage Plan H8879-001 • 2027 • Scott County, MS
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $4200.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Enhanced, $0.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Scott County, MS
- Local Enrollment
- 0 beneficiaries in Scott County
Healthy Mississippi Premier Advantage (HMO-POS) Introduction
This Medicare Advantage HMO-POS plan, Healthy Mississippi Premier Advantage, is offered by Healthy Mississippi, Inc. and uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network. It comes with 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 $4200.00. The plan is identified by CMS Plan ID H8879-001. The 2027 Part D prescription drug deductible is $0.00.
Enrollment in this plan requires residence in Scott County, Mississippi. CMS enrollment data reports 0 plan members in Scott County. New members can call the plan directly at (833)201-6413 (TTY (800)582-2233) for assistance.
Compare Similar Plans in Scott County
Compare this plan with the two most-enrolled HMO-POS plans available in Scott County, Mississippi. Enrollment is based on CMS local enrollment data.
| Plan Detail | Healthy Mississippi Premier Advantage | AARP Medicare Advantage Essentials from UHC MS-1 | Wellcare Giveback |
|---|---|---|---|
| CMS Plan ID | H8879-001-0 |
H5253-141-0 |
H1416-065-0 |
| Local Enrollment | 0 | 146 | 73 |
| Monthly Premium | $0.00 | $0.00 | $0.00 |
| Medical Deductible | $0.00 | $0.00 | $150 |
| Maximum Out-of-Pocket | $4,200.00 | $5,900.00 | $9,250.00 |
| Part B Giveback | Not offered | Not offered | −$66.50 reduction |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $0-$30 copay | $0-$30 copay | $55 copay |
| Part D Deductible | $0.00 | $595.00 | $700.00 |
| CMS Star Rating | Not yet rated | 4.0 | 3.0 |
| 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 Scott County, or compare Medicare Advantage plans across Mississippi, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
Healthy Mississippi Premier Advantage includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The tables below outline the most common in-network out-of-pocket costs associated with plan H8879-001.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H8879-001-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
Out-of-network: $0 copay - Specialist
- In-network: $0-$30 copay
Out-of-network: $30 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
Out-of-network: $0 copay - Telehealth benefit
- In-network: $0-$40 copay
- Routine chiropractic
- Not covered
- Fitness benefits
- Coming soon
- Health education
- In-network: $0 copay
- 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-$180 copay
Out-of-network: $180 copay - Lab services
- In-network: $0 copay
Out-of-network: $0 copay - Outpatient x-rays
- In-network: $0-$25 copay
Out-of-network: $25 copay - Diagnostic tests and procedures
- In-network: $0-$50 copay
Out-of-network: $50 copay
Emergency and Urgent Care Services
- Emergency room care
- $115 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $0-$40 copay
- Inpatient hospital care
- In-network:
Tier 1
$0 per stay
Tier 2
$260 per day for days 1-7
$0 per day for days 8-90
$0 per stay
Out-of-network:
$260 per day for days 1-7
$0 per day for days 8-90
$0 per stay - Skilled Nursing Facility
- In-network:
Tier 1
$0 per day for days 1-100
Tier 2
$0 per day for days 1-20
$218 per day for days 21-100
Out-of-network:
$0 per day for days 1-20
$218 per day for days 21-100
$0 per stay - Ground ambulance
- In-network: $295 copay
Out-of-network: $295 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $0-$25 copay
Out-of-network: $25 copay - Outpatient group therapy
- In-network: $0-$25 copay
Out-of-network: $25 copay - Inpatient psychiatric hospital care
- In-network:
Tier 1
$0 per stay
Tier 2
$260 per day for days 1-7
$0 per day for days 8-90
$0 per stay
Out-of-network:
$260 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: $0-$20 copay
Out-of-network: $20 copay - Occupational therapy
- In-network: $0-$20 copay
Out-of-network: $20 copay
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
Out-of-network: $0 copay - Durable medical equipment
- In-network: 20% coinsurance
Out-of-network: 20% coinsurance - Prosthetics
- In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance - Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Out-of-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: $0 copay
- Restorative services
- In-network: $0 copay
- Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: $0 copay
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 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
- In-network: $0 copay
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- In-network: $0 copay
Certain preventive services are covered 100% by Healthy Mississippi Premier Advantage as a Part B benefit.
Prescription Drug Coverage
Healthy Mississippi Premier Advantage 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 Advantage 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.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | $0.00 |
| Supplemental Part D Premium: | $$0.00 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $6.28 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $0.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Healthy Mississippi, Inc. starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Healthy Mississippi Premier Advantage may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $0.00 copay | Coming soon |
| Preferred Brand | $0.00 copay | Coming soon |
| Non-Preferred Drug | $0.00 copay | Coming soon |
| Specialty Tier | 28% coinsurance | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H8879)
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 | Plan too new to be measured |
| Managing Chronic (Long Term) Conditions | Plan too new to be measured |
| Member Experience with Health Plan | Plan too new to be measured |
| Complaints and Changes in Plans Performance | Plan too new to be measured |
| Health Plan Customer Service | Plan too new to be measured |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | Plan too new to be measured |
| Member Experience with the Drug Plan | Plan too new to be measured |
| Drug Safety and Accuracy of Drug Pricing | Plan too new to be measured |
Contact Information for Healthy Mississippi, Inc.
- Website
- Healthy Mississippi, Inc. Plan Page
- Providers
- Healthy Mississippi, Inc. Providers Page
- Formulary
- Healthy Mississippi, Inc. Formulary Page
- Pharmacy
- Healthy Mississippi, Inc. Pharmacy Page
- New Member Health Plan Help
- (833)201-6413
- New Member Health Plan TTY
- (800)582-2233
- New Member Part D Help
- (833)201-6413
- New Member Part D TTY Users
- (800)582-2233
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
Healthy Mississippi Premier Advantage is available to eligible Medicare beneficiaries residing in Scott County, Mississippi, including communities such as Forest, Lake, Morton, 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 |
|---|---|---|
| Healthy Mississippi, Inc. (official source) | http://healthy-ms.com | October 4, 2026 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| Medicare.gov | Joining a plan | 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.
Provenance documentation for this data is maintained under the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.