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Healthy Mississippi Premier Advantage (HMO-POS) Medicare Advantage Plan H8879-001 • 2027

CMS Rating: Not yet rated by CMS.
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
See List
Total Enrollment
257 beneficiaries
Last update:

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.

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.

Compare 2027 plan benefits with 2026.

Office Visits

Office visit costs by plan year.
Covered Service 2027 2026
Primary care In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Out-of-network: $0 copay
Specialist In-network: $0-$30 copay
Out-of-network: $30 copay		 In-network: $0-$30 copay
Out-of-network: $30 copay

Preventive and Wellness Services

Preventive and wellness service costs and benefits by plan year.
Covered Service 2027 2026
Annual wellness exam In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Telehealth benefit In-network: $0-$40 copay In-network: $0-$40 copay
Routine chiropractic Not covered Not covered
Fitness benefits Coming soon In-network: $0 copay
Health education In-network: $0 copay In-network: $0 copay
Counseling services Not covered Not covered
Over-the-counter drug benefits In-network: $0 copay In-network: $0 copay
Health transportation (non-emergency) Coming soon In-network: $0 copay

Diagnostic, Lab, and Imaging Services

Diagnostic, laboratory, and imaging service costs by plan year.
Covered Service 2027 2026
Diagnostic radiology services In-network: $0-$180 copay
Out-of-network: $180 copay		 In-network: $0-$140 copay
Out-of-network: $140 copay
Lab services In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Out-of-network: $0 copay
Outpatient x-rays In-network: $0-$25 copay
Out-of-network: $25 copay		 In-network: $0-$15 copay
Out-of-network: $15 copay
Diagnostic tests and procedures In-network: $0-$50 copay
Out-of-network: $50 copay		 In-network: $0-$50 copay
Out-of-network: $50 copay

Emergency and Urgent Care Services

Emergency, urgent care, hospital, ambulance, and skilled nursing costs by plan year.
Covered Service 2027 2026
Emergency room care $115 copay $110 copay
Worldwide emergency care Coming soon $110 copay
Urgent care $0-$40 copay $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		 In-network:
Tier 1
$0 per day for days 1-90
$0 per stay
Tier 2
$295 per day for days 1-6
$0 per day for days 7-90
$295 Lifetime Reserve Days for days 1-6
$0 Lifetime Reserve Days for days 7-60
$0 per stay
Out-of-network:
$295 per day for days 1-6
$0 per day for days 7-90
$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		 In-network:
Tier 1
$0 per day for days 1-100
Tier 2
$0 per day for days 1-20
$214 per day for days 21-100
Out-of-network:
$0 per day for days 1-20
$214 per day for days 21-100
$0 per stay
Ground ambulance In-network: $295 copay
Out-of-network: $295 copay		 In-network: $295 copay
Out-of-network: $295 copay

Mental Health Services

Mental health therapy and inpatient psychiatric care costs by plan year.
Covered Service 2027 2026
Outpatient individual therapy In-network: $0-$25 copay
Out-of-network: $25 copay		 In-network: $0-$25 copay
Out-of-network: $25 copay
Outpatient group therapy In-network: $0-$25 copay
Out-of-network: $25 copay		 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		 In-network:
Tier 1
$0 per day for days 1-90
$0 per stay
Tier 2
$295 per day for days 1-6
$0 per day for days 7-90
$295 Lifetime Reserve Days for days 1-6
$0 Lifetime Reserve Days for days 7-60
$0 per stay
Out-of-network:
$295 per day for days 1-6
$0 per day for days 7-90
$0 per stay

Rehabilitation Services

Physical, speech, and occupational therapy costs by plan year.
Covered Service 2027 2026
Physical therapy and speech and language therapy In-network: $0-$20 copay
Out-of-network: $20 copay		 In-network: $0-$20 copay
Out-of-network: $20 copay
Occupational therapy In-network: $0-$20 copay
Out-of-network: $20 copay		 In-network: $0-$20 copay
Out-of-network: $20 copay

Medical Equipment and Supplies

Diabetes supplies, durable medical equipment, and prosthetic costs by plan year.
Covered Service 2027 2026
Diabetes supplies In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Out-of-network: $0 copay
Durable medical equipment In-network: 20% coinsurance
Out-of-network: 20% coinsurance		 In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Prosthetics In-network: 20% coinsurance
Out-of-network: 20% coinsurance		 In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Medicare Part B Drugs

Chemotherapy and other Medicare Part B-covered drug costs by plan year.
Covered Service 2027 2026
Chemotherapy In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance		 In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance
Other Part B drugs (Medicare-covered) In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance		 In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance

Dental Services

Preventive and comprehensive dental service costs by plan year.
Covered Service 2027 2026
Oral exam In-network: $0 copay In-network: $0 copay
Dental x-rays In-network: $0 copay In-network: $0 copay
Cleaning In-network: $0 copay In-network: $0 copay
Periodontics In-network: $0 copay In-network: $0 copay
Endodontics In-network: $0 copay In-network: $0 copay
Restorative services In-network: $0 copay In-network: $0 copay
Implant services Not covered In-network: $0 copay
Orthodontics Not covered Not covered
Oral/Maxillofacial surgery In-network: $0 copay In-network: $0 copay

Vision Services

Routine eye exams, contact lenses, and eyewear costs by plan year.
Covered Service 2027 2026
Routine eye exam In-network: $0 copay In-network: $0 copay
Contact lenses In-network: $0 copay In-network: $0 copay
Eyeglass frames only In-network: $0 copay In-network: $0 copay
Eyeglass lenses only In-network: $0 copay In-network: $0 copay
Eyeglasses (frames & lenses) In-network: $0 copay In-network: $0 copay
Upgrades In-network: $0 copay In-network: $0 copay

Hearing Services

Hearing exams, fittings, and hearing aid costs by plan year.
Covered Service 2027 2026
Hearing exam In-network: $0 copay In-network: $0 copay
Fitting/evaluation In-network: $0 copay In-network: $0 copay
Prescription hearing aids In-network: $0 copay In-network: $0 copay
OTC hearing aids Not covered Not covered

Additional and Special Needs Services

Additional and special needs service costs and benefits by plan year.
Covered Service 2027 2026
Adult day health services Not covered Not covered
Home-based palliative care Not covered Not covered
Personal emergency response system Coming soon Not covered
Weight management programs In-network: $0 copay In-network: $0 copay
Wigs for chemotherapy-related hair loss Coming soon Not covered
Alternative therapies Not covered Not covered
Massage therapy Not covered Not covered
Home/bathroom safety devices In-network: $0 copay 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.

Healthy Mississippi Premier Advantage (H8879-001-0) Prescription Drug Plan Premium Details
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.

Healthy Mississippi Premier Advantage (H8879-001-0) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Preferred Generic$0.00 copayComing soon
Generic$0.00 copayComing soon
Preferred Brand$0.00 copayComing soon
Non-Preferred Drug$0.00 copayComing soon
Specialty Tier28% coinsuranceComing 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.

2027 Medicare Star Ratings for Contract H8879
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.

Plan Availability

Healthy Mississippi Premier Advantage (H8879-001-0) is available in the following locations:

Mississippi Counties Served

Frequently Asked Questions

Here are some of the most frequently asked questions about this plan (click to open).

Frequently Asked Questions About Healthy Mississippi Premier Advantage (HMO-POS)

Is there a monthly premium for this plan in 2027?

For 2027, the monthly premium is $0.00. Medicare Part B premiums apply in addition to this amount.

What is the in-network MOOP for plan H8879-001?

For 2027, the in-network maximum out-of-pocket is $4200.00. The plan pays 100% of covered in-network services beyond this amount.

What is the CMS star rating for this plan?

CMS rates this plan at ★0.0 out of 5 stars for 2027.

What is the total enrollment for plan H8879-001?

Total enrollment is 257 beneficiaries based on the latest CMS data.

Is there a Part D deductible for this plan?

The Part D deductible is $0.00.

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
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

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Provenance documentation for this data is maintained under the U.S. Core Data for Interoperability (USCDI) Provenance standard.