Dean Advantage Harmony (HMO-POS) Medicare Advantage Plan H9096-010 • 2027
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $5000.00In-network
- Part B Giveback
- −$60.00 reduction
- Prescription Coverage
- Not Included
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- See List
- Total Enrollment
- 687 beneficiaries
Dean Advantage Harmony (HMO-POS) Introduction
Dean Advantage Harmony is a Medicare Advantage HMO-POS plan offered by Dean Advantage. It uses a Health Maintenance Organization with a Point of Service (HMO-POS) 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 $5000.00 in-network maximum out-of-pocket. CMS Plan ID H9096-010 identifies this plan.
Plan Benefits
Dean Advantage Harmony has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H9096-010.
Compare 2027 plan benefits with 2026.
Office Visits
| Covered Service | 2027 | 2026 |
|---|---|---|
| Primary care | In-network: $0 copay Out-of-network: 40% coinsurance |
In-network: $0 copay Out-of-network: 40% coinsurance |
| Specialist | In-network: $0-$40 copay Out-of-network: 40% coinsurance |
In-network: $0-$40 copay Out-of-network: 40% coinsurance |
Preventive and Wellness Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Annual wellness exam | In-network: $0 copay Out-of-network: 40% coinsurance |
In-network: $0 copay |
| Telehealth benefit | In-network: $0-$40 copay | In-network: $0-$40 copay |
| Routine chiropractic | In-network: $15 copay Out-of-network: 40% coinsurance |
In-network: $15 copay Out-of-network: 40% coinsurance |
| Fitness benefits | Coming soon | In-network: $0 copay |
| Health education | Not covered | Not covered |
| 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
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diagnostic radiology services | In-network: $0-$325 copay Out-of-network: 40% coinsurance |
In-network: $0-$225 copay Out-of-network: 40% coinsurance |
| Lab services | In-network: $0 copay Out-of-network: 40% coinsurance |
In-network: $0 copay Out-of-network: 40% coinsurance |
| Outpatient x-rays | In-network: $50 copay Out-of-network: 40% coinsurance |
In-network: $40 copay Out-of-network: 40% coinsurance |
| Diagnostic tests and procedures | In-network: $40 copay Out-of-network: 40% coinsurance |
In-network: $40 copay Out-of-network: 40% coinsurance |
Emergency and Urgent Care Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Emergency room care | $130 copay | $130 copay |
| Worldwide emergency care | Coming soon | $110 copay |
| Urgent care | $40 copay | $0-$40 copay |
| Inpatient hospital care | In-network: Tier 1 $400 per day for days 1-6 $0 per day for days 7-90 $0 per stay Out-of-network: 40% per day for days 1-7 0% per day for days 8-90 0% per stay |
In-network: Tier 1 $400 per day for days 1-6 $0 per day for days 7-90 $0 per stay Out-of-network: 40% per day for days 1-7 0% per day for days 8-90 40% per stay |
| Skilled Nursing Facility | In-network: Tier 1 $0 per day for days 1-20 $221 per day for days 21-44 $0 per day for days 45-100 Out-of-network: 40% per day for days 1-100 0% per stay |
In-network: Tier 1 $0 per day for days 1-20 $218 per day for days 21-44 $0 per day for days 45-100 Out-of-network: 40% per day for days 1-100 0% per stay |
| Ground ambulance | In-network: $325 copay Out-of-network: $325 copay |
In-network: $300 copay Out-of-network: $300 copay |
Mental Health Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Outpatient individual therapy | In-network: $30 copay Out-of-network: 40% coinsurance |
In-network: $30 copay Out-of-network: 40% coinsurance |
| Outpatient group therapy | In-network: $20 copay Out-of-network: 40% coinsurance |
In-network: $20 copay Out-of-network: 40% coinsurance |
| Inpatient psychiatric hospital care | In-network: Tier 1 $400 per day for days 1-6 $0 per day for days 7-90 $0 per stay Out-of-network: 40% per day for days 1-7 0% per day for days 8-90 0% per stay |
In-network: Tier 1 $400 per day for days 1-6 $0 per day for days 7-90 $0 per stay Out-of-network: 40% per day for days 1-7 0% per day for days 8-90 40% per stay |
Rehabilitation Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Physical therapy and speech and language therapy | In-network: $40 copay Out-of-network: 40% coinsurance |
In-network: $40 copay Out-of-network: 40% coinsurance |
| Occupational therapy | In-network: $35 copay Out-of-network: 40% coinsurance |
In-network: $35 copay Out-of-network: 40% coinsurance |
Medical Equipment and Supplies
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diabetes supplies | In-network: 0%-20% coinsurance Out-of-network: 40% coinsurance |
In-network: 0%-20% coinsurance Out-of-network: 40% coinsurance |
| Durable medical equipment | In-network: 20% coinsurance Out-of-network: 40% coinsurance |
In-network: 0%-20% coinsurance Out-of-network: 40% coinsurance |
| Prosthetics | In-network: 20% coinsurance Out-of-network: 40% coinsurance |
In-network: 20% coinsurance Out-of-network: 40% coinsurance |
Medicare Part B Drugs
| Covered Service | 2027 | 2026 |
|---|---|---|
| Chemotherapy | In-network: 0%-20% coinsurance Out-of-network: 40% coinsurance |
In-network: 0%-20% coinsurance Out-of-network: 40% coinsurance |
| Other Part B drugs (Medicare-covered) | In-network: 0%-20% coinsurance Out-of-network: 40% coinsurance |
In-network: 0%-20% coinsurance Out-of-network: 40% coinsurance |
Dental Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Oral exam | In-network: $0 copay Out-of-network: 50% coinsurance |
In-network: $0 copay |
| Dental x-rays | In-network: $0 copay Out-of-network: 50% coinsurance |
In-network: $0 copay |
| Cleaning | In-network: $0 copay Out-of-network: 50% coinsurance |
In-network: $0 copay |
| Periodontics | In-network: 50% coinsurance Out-of-network: 50% coinsurance |
In-network: 50% coinsurance |
| Endodontics | In-network: 50% coinsurance Out-of-network: 50% coinsurance |
In-network: 50% coinsurance |
| Restorative services | In-network: 50% coinsurance Out-of-network: 50% coinsurance |
In-network: 50% coinsurance |
| Implant services | Not covered | In-network: 50% coinsurance |
| Orthodontics | Not covered | Not covered |
| Oral/Maxillofacial surgery | In-network: 50% coinsurance Out-of-network: 50% coinsurance |
In-network: 50% coinsurance |
Vision Services
| 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
| 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 | In-network: $0 copay | Not covered |
Additional and Special Needs Services
| 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 | Not covered | Not covered |
| 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 | Not covered | Not covered |
Certain preventive services are covered 100% by Dean Advantage Harmony 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: H9096)
The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.
| 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 |
Contact Information for Dean Advantage
- Website
- Dean Advantage Plan Page
- Providers
- Dean Advantage Providers Page
- Formulary
- Dean Advantage Formulary Page
- Pharmacy
- Dean Advantage Pharmacy Page
- New Member Health Plan Help
- (877)234-0126
- 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.
Plan Availability
Dean Advantage Harmony (H9096-010-0) is available in the following locations:
Frequently Asked Questions
Here are some of the most frequently asked questions about this plan (click to open).
Frequently Asked Questions About Dean Advantage Harmony (HMO-POS)
How much does plan H9096-010 cost per month?
The plan’s monthly premium is $0.00 for 2027. The Part B premium is not included.
What is the MOOP for Dean Advantage Harmony in 2027?
The 2027 in-network MOOP is $5000.00. Once this limit is reached, covered in-network costs are fully covered.
How many beneficiaries are enrolled in this plan?
CMS reports 687 beneficiaries enrolled in this plan.
What is the prescription drug deductible for 2027?
For 2027, the prescription drug deductible is $0.00.
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 |
|---|---|---|
| Dean Advantage (official source) | http://www.deancare.com/medicareadvan | October 4, 2026 |
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with 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.