Healthfirst Signature (PPO) Medicare Advantage Plan H9678-002 • 2027
- Monthly Premium
- $155.00Plus Part B premium.
- Medical Deductible
- $450
- Maximum Out-of-Pocket
- $9850.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Enhanced, $700.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- See List
- Total Enrollment
- 643 beneficiaries
Healthfirst Signature (PPO) Introduction
Healthfirst Signature is a Medicare Advantage PPO plan offered by Healthfirst Medicare Plan. It uses a Preferred Provider Organization (PPO) provider network and comes with prescription drug coverage. For the 2027 plan year it has a $155.00 monthly premium, $450 medical deductible, and $9850.00 in-network maximum out-of-pocket. CMS Plan ID H9678-002 identifies this plan. The 2027 Part D prescription drug deductible is $700.00.
Plan Benefits
Cost-sharing for Healthfirst Signature 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 H9678-002.
Compare 2027 plan benefits with 2026.
Office Visits
| Covered Service | 2027 | 2026 |
|---|---|---|
| Primary care | In-network: $0 copay Out-of-network: $50 copay |
In-network: $0 copay Out-of-network: $50 copay |
| Specialist | In-network: $0-$40 copay Out-of-network: $75 copay |
In-network: $40 copay Out-of-network: $75 copay |
Preventive and Wellness Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Annual wellness exam | In-network: $0 copay Out-of-network: $50 copay |
In-network: $0 copay |
| Telehealth benefit | In-network: $0 copay | In-network: $0 copay |
| Routine chiropractic | In-network: $15 copay Out-of-network: $50 copay |
In-network: $15 copay Out-of-network: $50 copay |
| Fitness benefits | Coming soon | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Health education | Not covered | Not covered |
| Counseling services | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Over-the-counter drug benefits | Not covered | Not covered |
| Health transportation (non-emergency) | Coming soon | Not covered |
Diagnostic, Lab, and Imaging Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diagnostic radiology services | In-network: $0-$275 copay Out-of-network: 30% coinsurance |
In-network: $0-$275 copay Out-of-network: 30% coinsurance |
| Lab services | In-network: 0%-20% coinsurance Out-of-network: $60 copay |
In-network: 0%-20% coinsurance Out-of-network: $60 copay |
| Outpatient x-rays | In-network: $0-$75 copay Out-of-network: $85 copay |
In-network: $50 copay Out-of-network: $60 copay |
| Diagnostic tests and procedures | In-network: $0-$75 copay Out-of-network: $85 copay |
In-network: $0-$50 copay Out-of-network: $60 copay |
Emergency and Urgent Care Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Emergency room care | $115 copay | $115 copay |
| Worldwide emergency care | Coming soon | $115 copay |
| Urgent care | $40 copay | $40 copay |
| Inpatient hospital care | In-network: Tier 1 $540 per day for days 1-4 $0 per day for days 5-90 $0 per stay Out-of-network: 30% per stay |
In-network: Tier 1 $490 per day for days 1-4 $0 per day for days 5-90 $0 per stay Out-of-network: 30% per stay |
| Skilled Nursing Facility | In-network: Tier 1 $0 per day for days 1-20 $221 per day for days 21-100 Out-of-network: 50% per stay |
In-network: Tier 1 $0 per day for days 1-20 $218 per day for days 21-100 Out-of-network: 50% per stay |
| Ground ambulance | In-network: $340 copay Out-of-network: $340 copay |
In-network: $340 copay Out-of-network: $340 copay |
Mental Health Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Outpatient individual therapy | In-network: $0 copay Out-of-network: $50 copay |
In-network: $0 copay Out-of-network: $50 copay |
| Outpatient group therapy | In-network: $0 copay Out-of-network: $50 copay |
In-network: $0 copay Out-of-network: $50 copay |
| Inpatient psychiatric hospital care | In-network: Tier 1 $540 per day for days 1-4 $0 per day for days 5-90 $0 per stay Out-of-network: 30% per stay |
In-network: Tier 1 $490 per day for days 1-4 $0 per day for days 5-90 $0 per stay Out-of-network: 30% per stay |
Rehabilitation Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Physical therapy and speech and language therapy | In-network: $35 copay Out-of-network: $60 copay |
In-network: $35 copay Out-of-network: $60 copay |
| Occupational therapy | In-network: $35 copay Out-of-network: $60 copay |
In-network: $35 copay Out-of-network: $60 copay |
Medical Equipment and Supplies
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diabetes supplies | In-network: $0 copay Out-of-network: 50% coinsurance |
In-network: $0 copay Out-of-network: 50% coinsurance |
| Durable medical equipment | In-network: 20% coinsurance Out-of-network: 50% coinsurance |
In-network: 0%-20% coinsurance Out-of-network: 50% coinsurance |
| Prosthetics | In-network: 20% coinsurance Out-of-network: 50% coinsurance |
In-network: 20% coinsurance Out-of-network: 50% coinsurance |
Medicare Part B Drugs
| Covered Service | 2027 | 2026 |
|---|---|---|
| Chemotherapy | In-network: 0%-20% coinsurance Out-of-network: 50% coinsurance |
In-network: 0%-20% coinsurance Out-of-network: 50% coinsurance |
| Other Part B drugs (Medicare-covered) | In-network: 0%-20% coinsurance Out-of-network: 50% coinsurance |
In-network: 0%-20% coinsurance Out-of-network: 50% coinsurance |
Dental Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Oral exam | In-network: $0 copay Out-of-network: $0-$20 copay |
In-network: $0 copay Out-of-network: $0-$20 copay |
| Dental x-rays | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Cleaning | In-network: $0 copay Out-of-network: $20 copay |
In-network: $0 copay Out-of-network: $20 copay |
| Periodontics | In-network: $0 copay Out-of-network: $0-$100 copay |
In-network: $0 copay Out-of-network: $0-$100 copay |
| Endodontics | In-network: $0 copay Out-of-network: $0-$100 copay |
In-network: $0 copay Out-of-network: $0-$100 copay |
| Restorative services | In-network: $0 copay Out-of-network: $0-$100 copay |
In-network: $0 copay Out-of-network: $0-$100 copay |
| Implant services | Not covered | Not covered |
| Orthodontics | Not covered | Not covered |
| Oral/Maxillofacial surgery | In-network: $0 copay Out-of-network: $0-$100 copay |
In-network: $0 copay Out-of-network: $0-$100 copay |
Vision Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Routine eye exam | Not covered | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Contact lenses | Not covered | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Eyeglass frames only | Not covered | Not covered |
| Eyeglass lenses only | Not covered | Not covered |
| Eyeglasses (frames & lenses) | Not covered | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Upgrades | Not covered | Not covered |
Hearing Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Hearing exam | Not covered | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Fitting/evaluation | Not covered | In-network: $0 copay Out-of-network: $0 copay, 0% coinsurance |
| Prescription hearing aids | Not covered | In-network: $0-$1475 copay Out-of-network: $0-$1475 copay |
| OTC hearing aids | Not covered | 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 Healthfirst Signature as a Part B benefit.
Prescription Drug Coverage
Healthfirst Signature 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: | $136.10 |
| Supplemental Part D Premium: | $$16.80 |
| Total Part D Premium: | $152.90 |
| Low-Income Premium Subsidy: | $40.45 |
| Low-Income Premium Subsidy Paid by CMS: | $40.50 |
| Low-Income Subsidy Premium: | $112.40 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $700.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Healthfirst Medicare Plan starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Healthfirst Signature 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 | $4.00 copay | Coming soon |
| Preferred Brand | 19% coinsurance | Coming soon |
| Non-Preferred Drug | 45% coinsurance | Coming soon |
| Specialty Tier | 25% coinsurance | Coming soon |
| Select Care Drugs | $0.00 copay | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H9678)
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 | Not enough data available |
| 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 Healthfirst Medicare Plan
- Website
- Healthfirst Medicare Plan Plan Page
- Providers
- Healthfirst Medicare Plan Providers Page
- Formulary
- Healthfirst Medicare Plan Formulary Page
- Pharmacy
- Healthfirst Medicare Plan Pharmacy Page
- New Member Health Plan Help
- (877)237-1303
- New Member Health Plan TTY
- (888)542-3821
- New Member Part D Help
- (877)237-1303
- New Member Part D TTY Users
- (888)542-3821
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Plan Availability
Healthfirst Signature (H9678-002-0) 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 Healthfirst Signature (PPO)
What is the monthly premium for Healthfirst Signature (PPO)?
The plan’s monthly premium is $155.00 for 2027. The Part B premium is not included.
What is the in-network MOOP for plan H9678-002?
The annual in-network MOOP is $9850.00 for 2027. After this limit is reached, covered in-network services are fully paid.
What is the star rating for plan H9678-002 in 2027?
For 2027, plan H9678-002 has a CMS star rating of ★3.0 out of 5 stars.
What is the current enrollment for Healthfirst Signature?
Total enrollment is 643 beneficiaries based on the latest CMS data.
What is the Part D deductible for plan H9678-002?
The Part D deductible is $700.00.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Healthfirst Medicare Plan (official source) | https://healthfirst.org/medica | October 4, 2026 |
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Explore your Medicare coverage options | 25 May, 2025 |
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