Skip to content
The Pocket Protector, home
Medicare Advantage · HMO
Native Advantage
Plan year 2027

Native Advantage H2851-001 (HMO)

Monthly premium
$0
+ your Part B premium
Max out-of-pocket
$7,150
in-network annual cap
Primary care
$0
per visit copay
Specialist
$40
per visit

Your costs at a glanceIn-network, for the 2027 plan year

Medical deductible
$0
Rx deductible
$600
Inpatient hospital
Days 1-4: $500/day, Days 5-90: $0/day
no limit on covered hospital days
Inpatient mental health
Days 1-4: $500/day, Days 5-90: $0/day
no limit on covered hospital days
Outpatient surgery
$350
Emergency room
$130
Urgent care
$30

What's included, and what it's actually worth5 benefits included. Tap any card for the detail

Dental

$1,250/yr preventive dental allowance
Details$1,250/yr preventive dental allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Hearing

$600–$2,075copay per hearing aid
Details$600–$2,075 copay per hearing aid
This is a supplemental benefit with plan-specific limits. See plan documents for details.

OTC allowance

$70/quarter OTC allowance
Prepaid card$70/quarter OTC allowance

Vision

$200/yr eyewear allowance
Eyewear allowance$200/yr eyewear allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.
See more details about this plan
Doctor Visits: PCP$0 copay
In-network$0 copay per visit
Doctor Visits: Specialist$40 copay
In-network$40 copay per visit
Inpatient Hospital$500/day, days 1–4
In-networkDays 1-4: $500/day, Days 5-90: $0/day
Benefit limitNone — additional covered days are unlimited
Outpatient Surgery$350 copay
In-network$350 copay per procedure
Mental HealthDays 1-4: $500/day, Days 5-90: $0/day
Inpatient psychiatricDays 1-4: $500/day, Days 5-90: $0/day
Transportation24 one-way trips/year
Trips per year24 one-way trips/year

Your coverageCheck your coverageFrom the doctors and prescriptions you added

Our take

Where this plan shines

This plan has a $0 monthly premium.
See your primary doctor for $0.
No separate medical deductible.

Things to know before you enroll

This plan’s out-of-pocket maximum is above the national median.
Network restriction — you’ll need to use in-network providers except in emergencies.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Plan questions

Common questions about Native Advantage (HMO)

What does Native Advantage (HMO) cover?

Native Advantage (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. Published supplemental benefits include dental ($1,250/yr preventive dental allowance), vision ($200/yr eyewear allowance), hearing ($600–$2,075 copay per hearing aid), and over-the-counter (OTC) ($70/quarter OTC allowance). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does Native Advantage (HMO) cost in 2027?

The published 2027 monthly plan premium for Native Advantage (HMO) is $0. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The listed Part D deductible is $600. The in-network medical out-of-pocket maximum is $7,150; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $40. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with Native Advantage (HMO)?

CMS lists Native Advantage (HMO) as a HMO plan. 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 doctors

Does Native Advantage (HMO) cover my prescriptions?

The current plan record for Native Advantage (HMO) does not include tier-level formulary costs. The listed Part D deductible is $600. 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 prescriptions

What dental, vision, and hearing benefits does Native Advantage (HMO) include?

The current plan record for Native Advantage (HMO) lists dental ($1,250/yr preventive dental allowance), vision ($200/yr eyewear allowance), and hearing ($600–$2,075 copay per hearing aid). It also lists over-the-counter (OTC) ($70/quarter OTC allowance). 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 Native Advantage (HMO)?

Native Advantage (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 periods

More plan options

Browse the full 2027 Medicare Advantage with drug coverage directory. This plan is offered in Oklahoma. Plan availability can vary by county.

Helpful next steps

Native Advantage H2851-001 (HMO) — 2027 Costs & Benefits