Dean Advantage Harmony (HMO-POS) Medicare Advantage Plan H9096-010 • 2027 • Dodge County, WI
- 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
- Dodge County, WI
- Local Enrollment
- 0 beneficiaries in Dodge County
Dean Advantage Harmony (HMO-POS) Introduction
This Medicare Advantage HMO-POS plan, Dean Advantage Harmony, is offered by Dean Advantage and uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network. It comes without 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 $5000.00. The plan is identified by CMS Plan ID H9096-010.
Enrollment in this plan requires residence in Dodge County, Wisconsin. CMS enrollment data reports 0 plan members in Dodge County. New members can call the plan directly at (877)234-0126 (TTY 711) for assistance.
Compare Similar Plans in Dodge County
Compare this plan with the two most-enrolled HMO-POS plans available in Dodge County, Wisconsin. Enrollment is based on CMS local enrollment data.
| Plan Detail | Dean Advantage Harmony | Anthem Medicare Advantage | Wellcare Simple |
|---|---|---|---|
| CMS Plan ID | H9096-010-0 |
H9525-006-0 |
H8189-008-0 |
| Local Enrollment | 0 | 232 | 114 |
| Monthly Premium | $0.00 | $38.00 | $0.00 |
| Medical Deductible | $0.00 | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $5,000.00 | $4,300.00 | $5,800.00 |
| Part B Giveback | −$60.00 reduction | Not offered | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $0-$40 copay | $40 copay | $35 copay |
| Part D Deductible | Not Applicable | $240.00 | $700.00 |
| CMS Star Rating | 4.0 | 3.5 | 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 Dodge County, or compare Medicare Advantage plans across Wisconsin, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
Dean Advantage Harmony 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 H9096-010.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H9096-010-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
Out-of-network: 40% coinsurance - Specialist
- In-network: $0-$40 copay
Out-of-network: 40% coinsurance
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
Out-of-network: 40% coinsurance - Telehealth benefit
- In-network: $0-$40 copay
- Routine chiropractic
- In-network: $15 copay
Out-of-network: 40% coinsurance - Fitness benefits
- Coming soon
- Health education
- Not covered
- 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-$325 copay
Out-of-network: 40% coinsurance - Lab services
- In-network: $0 copay
Out-of-network: 40% coinsurance - Outpatient x-rays
- In-network: $50 copay
Out-of-network: 40% coinsurance - Diagnostic tests and procedures
- In-network: $40 copay
Out-of-network: 40% coinsurance
Emergency and Urgent Care Services
- Emergency room care
- $130 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $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 - 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 - Ground ambulance
- In-network: $325 copay
Out-of-network: $325 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $30 copay
Out-of-network: 40% coinsurance - Outpatient group therapy
- 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
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $40 copay
Out-of-network: 40% coinsurance - Occupational therapy
- In-network: $35 copay
Out-of-network: 40% coinsurance
Medical Equipment and Supplies
- Diabetes supplies
- In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance - Durable medical equipment
- In-network: 20% coinsurance
Out-of-network: 40% coinsurance - Prosthetics
- In-network: 20% coinsurance
Out-of-network: 40% coinsurance
Medicare Part B Drugs
- Chemotherapy
- 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
Dental Services
- Oral exam
- In-network: $0 copay
Out-of-network: 50% coinsurance - Dental x-rays
- In-network: $0 copay
Out-of-network: 50% coinsurance - Cleaning
- In-network: $0 copay
Out-of-network: 50% coinsurance - Periodontics
- In-network: 50% coinsurance
Out-of-network: 50% coinsurance - Endodontics
- In-network: 50% coinsurance
Out-of-network: 50% coinsurance - Restorative services
- In-network: 50% coinsurance
Out-of-network: 50% coinsurance - Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: 50% coinsurance
Out-of-network: 50% coinsurance
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
- In-network: $0 copay
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
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- 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)
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 | |
| 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.
Medicare Advantage Plan Availability
Dean Advantage Harmony is available to eligible Medicare beneficiaries residing in Dodge County, Wisconsin, including communities such as Brownsville, Horicon, Hustisford, Iron Ridge, Juneau, Lomira, Mayville, Neosho, Rubicon, Theresa, Watertown, Reeseville, Beaver Dam, Fox Lake, Randolph, Waupun, 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 |
|---|---|---|
| Dean Advantage (official source) | http://www.deancare.com/medicareadvantage | 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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