Health First Complete Care H1099-023 (HMO) Medicare Advantage Plan H1099-023 • 2026
This Medicare Advantage HMO plan, identified by CMS Plan ID H1099-023, is offered by Health First Health Plans, Inc. for the 2026 plan year. The plan uses a Health Maintenance Organization (HMO) provider network and comes with Part D prescription drug coverage.
Health First Complete Care H1099-023 Overview
Plan Overview for
H1099-023-0
|
|
|---|---|
| CMS Plan ID: |
H1099-023-0
|
| Plan Type: | HMO |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $2400.00 (In-Network) |
| Part B Give Back: | Not offered |
| Prescription Drug Coverage: | Enhanced, $0.00 deductible |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | See List |
| Enrollment (Nationwide): | 399 beneficiaries |
| Provided By: | Health First Health Plans, Inc. |
Plan Availability
Health First Complete Care H1099-023 (H1099-023-0) is available in the following locations (click to open):
Plan Details for Health First Complete Care H1099-023
With a monthly premium of $0.00, Health First Complete Care H1099-023 is a Medicare Advantage HMO plan that includes hospital, medical, and prescription drug coverage under Medicare Parts A and B. Services are generally covered when received from in-network providers, except in emergency situations. The annual Part D deductible is $0.00.
Primary care visits have a $0 copay, specialist visits come with a $10 copay, urgent care services carry a $10 copay, and ambulance transportation is $250 copay. These costs apply toward the maximum out-of-pocket (MOOP) limit of $2400.00. Once this limit is reached, in-network services are fully covered for the remainder of the year.
This plan is listed by CMS under Plan ID H1099-023. Cost-sharing details are provided below.
Cost Sharing Expenses
Cost-sharing for Health First Complete Care H1099-023 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 H1099-023.
Certain preventive services are covered 100% by Health First Complete Care H1099-023 as a Part B benefit.
Prescription Drug Coverage
Health First Complete Care H1099-023 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 Advantage coverage.
| Basic Part D Premium: | $0.00 |
|---|---|
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $4.82 |
| 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 Health First Health Plans, Inc. starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Health First Complete Care H1099-023 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 | $2.50 copay | Coming soon |
| Preferred Brand | $42.00 copay | Coming soon |
| Non-Preferred Drug | 25% coinsurance | Coming soon |
| Specialty Tier | 33% coinsurance | Coming soon |
| *Deductible does not apply. | ||
Medicare Plan Star Ratings
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 |
|---|---|
| 2026 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 |
Is there a monthly premium for this plan in 2026?
The 2026 monthly premium is $0.00. The Medicare Part B premium is paid separately.
What is the MOOP for Health First Complete Care H1099-023 in 2026?
The annual in-network MOOP is $2400.00 for 2026. After this limit is reached, covered in-network services are fully paid.
What is the CMS star rating for Health First Complete Care H1099-023?
For 2026, plan H1099-023 has a CMS star rating of ★4.0 out of 5 stars.
What is the total enrollment for plan H1099-023?
Total enrollment is 399 beneficiaries based on the latest CMS data.
Is there a Part D deductible for this plan?
The Part D deductible is $0.00.
Contact Information for Health First Health Plans, Inc.
| Contact Type | Details |
|---|---|
| Website: | Health First Health Plans, Inc. Plan Page |
| New Members: | 1-800-716-7737 |
| Existing Members: | 1-800-716-7737 |
| Plan Address: | Health First Health Plans | 6450 US Highway 1 | Rockledge, FL 32955 |
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at medicare.gov.
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | September 8, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Health First Health Plans, Inc. (official source) | http://hf.org/healthplans | October 13, 2025 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Explore your Medicare coverage options | 25 May, 2025 |
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