Medicare Advantage · HMO · 2027
HealthSpring Preferred (HMO)
No referral needed to see a specialist
At a glance: $0 monthly premium and $0 primary care visits.
- Monthly premium
- $0
- Part B premium separate
- Yearly limit
- $6,750
- Most you’d pay for in-network care
- Dental
- $5,000/yr
- Preventive & comprehensive dental allowance
- Doctor visits
- $0
- Primary care · specialists $30
Check this plan for you
Add your doctors and prescriptions to see how they work with this plan.
- DentalPreventive & comprehensive dental allowance
- $5,000/yr
- HearingCopay per hearing aid
- $399–$1,800
- VisionEyewear allowance
- $125/yr
- Fitness$0 fitness benefit
- Included
This is a supplemental benefit with plan-specific limits. See plan documents for details.
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Enrollment options depend on where you live. Enter your ZIP code so we can show the right ways to enroll in this plan.
Costs and copays
Deductibles, yearly limit, visits, hospital stays and drug tiers
- DeductiblesMedical · $400 for drugs
- $150
- Yearly limitIn-network care, not counting drugs
- $6,750
- Primary doctorPer visit
- $0
- SpecialistPer visit · no referral needed
- $30
- Hospital stayNo limit on covered hospital days
- Days 1-7: $395/day, Days 8-90: $0/day
- Inpatient mental healthHospital stay
- Days 1-7: $336/day, Days 8-90: $0/day
- Outpatient surgeryPer procedure
- $390
- Emergency roomPer visit
- $130
- Urgent carePer visit
- $50
- Tier 1 · Preferred Generic30-day supply at a retail pharmacy
- $0
- Tier 2 · Generic30-day supply at a retail pharmacy
- $0
- Tier 3 · Preferred Brand30-day supply at a retail pharmacy, after deductible
- 20%
- Tier 4 · Non-Pref Brand30-day supply at a retail pharmacy, after deductible
- 25%
- Tier 5 · Specialty30-day supply at a retail pharmacy, after deductible
- 29%
Our take
Where this plan shines, and what to know
Where this plan shines
- This plan has a $0 monthly premium.
- See your primary doctor for $0.
Things to know before you enroll
- This plan’s out-of-pocket maximum is above the national median.
- You’ll need to use in-network providers except in emergencies.
- Limited coverage while traveling outside the plan’s service area.
Similar plans
Other Medicare Advantage plans offered in Ohio
Browse the full 2027 Medicare Advantage with drug coverage directory. This plan is offered in Ohio. Plan availability can vary by county.
More Medicare Advantage with drug coverage options
These plans are offered in at least one of the same states. Check your ZIP or county before choosing a plan.
- HealthSpring Preferred (HMO)HealthSpring · H0672-013Offered in Ohio
- HealthSpring Preferred Savings (HMO)HealthSpring · H0672-016Offered in Ohio
- HealthSpring Preferred Savings (HMO)HealthSpring · H0672-017Offered in Ohio
- HealthSpring True Choice (PPO)HealthSpring · H7849-015Offered in Ohio
- HealthSpring True Choice (PPO)HealthSpring · H7849-088Offered in Ohio
- AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)UnitedHealthcare · H5253-062Offered in Ohio
Common questions
6 answers about this plan
What does HealthSpring Preferred (HMO) cover?
HealthSpring Preferred (HMO) is a Medicare Advantage plan that the current plan record identifies as including Part D prescription drug coverage. The plan record also identifies Part D prescription drug coverage. Its published drug benefit lists 5 formulary tiers. Published supplemental benefits include dental ($5,000/yr preventive & comprehensive dental allowance), vision ($125/yr eyewear allowance), hearing ($399–$1,800 copay per hearing aid), and fitness ($0 fitness benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does HealthSpring Preferred (HMO) cost in 2027?
The published 2027 monthly plan premium for HealthSpring Preferred (HMO) is $0. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $150. The listed Part D deductible is $400. The in-network medical out-of-pocket maximum is $6,750; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $30. These figures are plan data, not a personal yearly-cost estimate.
Understand Medicare drug-cost limitsCan I use my current doctors with HealthSpring Preferred (HMO)?
CMS lists HealthSpring Preferred (HMO) as a HMO plan. The plan record says specialist referrals are not required. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.
Check your doctorsDoes HealthSpring Preferred (HMO) cover my prescriptions?
HealthSpring Preferred (HMO) has 5 published formulary tiers in the current plan record. Published preferred-pharmacy 30-day retail costs include Tier 1 at $0, Tier 2 at $0, Tier 3 at 20%, Tier 4 at 25%, and Tier 5 at 29%. The listed Part D deductible is $400. A tier listing does not confirm that a specific prescription is covered. Check each medication against the plan's current formulary, restrictions, pharmacy network, and costs before enrolling.
Check your prescriptionsWhat dental, vision, and hearing benefits does HealthSpring Preferred (HMO) include?
The current plan record for HealthSpring Preferred (HMO) lists dental ($5,000/yr preventive & comprehensive dental allowance), vision ($125/yr eyewear allowance), and hearing ($399–$1,800 copay per hearing aid). Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.
When can I enroll in HealthSpring Preferred (HMO)?
HealthSpring Preferred (HMO) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.
Review Medicare enrollment periodsPlan documents
Summary of Benefits and Evidence of Coverage
- Summary of Benefits (PDF)Download the plan's official Summary of Benefits document
- Evidence of Coverage (PDF)Complete plan details and rules
- Check Your DoctorsSee if your doctors accept this plan
- Documentos en españolLlame a The Pocket Protector al 1-866-764-3312 (TTY: 711) para recibir ayuda con documentos en español
Enter your ZIP code to see how you can enroll
Enrollment options depend on where you live. Enter your ZIP code so we can show the right ways to enroll in this plan.
