Medicare Advantage · HMO · 2027
Prominence Extra Help (HMO)
At a glance: $7.30 monthly premium and $0 primary care visits.
- Monthly premium
- $7.30
- Part B premium separate
- Yearly limit
- $2,600
- Most you’d pay for in-network care
- Dental
- $2,000/yr
- Preventive & comprehensive dental allowance
- Doctor visits
- $0
- Primary care · specialists $25
Check this plan for you
Referral needed to see a specialist
Add your doctors and prescriptions to see how they work with this plan.
- DentalPreventive & comprehensive dental allowance
- $2,000/yr
- HearingHearing aid allowance
- $600/yr
- OTC allowance
- $150/quarter
- VisionEyewear allowance
- $200/yr
- Fitness$0 fitness benefit
- Included
- Transportation48 one-way trips/year
- Included
- MealsMeal benefit
- Included
This is a supplemental benefit with plan-specific limits. See plan documents for details.
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TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST
Costs and copays
Deductibles, yearly limit, visits, hospital stays and drug tiers
- DeductiblesMedical · $700 for drugs
- $0
- Yearly limitIn-network care, not counting drugs
- $2,600
- Primary doctorPer visit
- $0
- SpecialistPer visit · referral needed
- $25
- Hospital stayDays 1–5, then $0
- $100/day
- Inpatient mental healthHospital stay
- Days 1-5: $330/day, Days 6-90: $0/day
- Outpatient surgeryPer procedure
- $10–$250
- Emergency roomPer visit
- $150
- Urgent carePer visit
- $10
- 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
- 25%
- Tier 4 · Non-Pref Brand30-day supply at a retail pharmacy, after deductible
- 50%
- Tier 5 · Specialty30-day supply at a retail pharmacy, after deductible
- 25%
- Tier 6 · Drugs30-day supply at a retail pharmacy, after deductible
- $0
Our take
Where this plan shines, and what to know
Where this plan shines
- This plan’s out-of-pocket maximum ($2,600) is among the lowest available.
- See your primary doctor for $0.
- The specialist copay ($25) is among the more affordable options.
- No separate medical deductible.
Things to know before you enroll
- 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 Nevada
Browse the full 2027 Medicare Advantage with drug coverage directory. This plan is offered in Nevada. 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.
- Prominence Extra Help (HMO)Prominence Health Plan · H5945-013Offered in Nevada
- Prominence Giveback (HMO)Prominence Health Plan · H5945-027Offered in Nevada
- Prominence Meridian (HMO-POS)Prominence Health Plan · H5945-036Offered in Nevada
- Prominence Plus (HMO)Prominence Health Plan · H5945-001Offered in Nevada
- Prominence Plus (HMO)Prominence Health Plan · H5945-002Offered in Nevada
- Prominence Silver Peak (HMO)Prominence Health Plan · H5945-035Offered in Nevada
Common questions
6 answers about this plan
What does Prominence Extra Help (HMO) cover?
Prominence Extra Help (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 6 formulary tiers. Published supplemental benefits include dental ($2,000/yr preventive & comprehensive dental allowance), vision ($200/yr eyewear allowance), hearing ($600/yr hearing aid allowance), and over-the-counter (OTC) ($150/quarter OTC allowance). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.
Learn about Medicare AdvantageHow much does Prominence Extra Help (HMO) cost in 2027?
The published 2027 monthly plan premium for Prominence Extra Help (HMO) is $7.30. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The listed Part D deductible is $700. The in-network medical out-of-pocket maximum is $2,600; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $25. These figures are plan data, not a personal yearly-cost estimate.
Understand Medicare drug-cost limitsCan I use my current doctors with Prominence Extra Help (HMO)?
CMS lists Prominence Extra Help (HMO) as a HMO plan. The plan record says specialist referrals are 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 Prominence Extra Help (HMO) cover my prescriptions?
Prominence Extra Help (HMO) has 6 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 25%, Tier 4 at 50%, and Tier 5 at 25%. The listed Part D deductible is $700. 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 Prominence Extra Help (HMO) include?
The current plan record for Prominence Extra Help (HMO) lists dental ($2,000/yr preventive & comprehensive dental allowance), vision ($200/yr eyewear allowance), and hearing ($600/yr hearing aid allowance). It also lists over-the-counter (OTC) ($150/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 Prominence Extra Help (HMO)?
Prominence Extra Help (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
- Summary of Benefits (PDF)Download the plan's official Summary of Benefits document
- 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
Talk to a licensed agent
Talk with a licensed advisor
A licensed agent can review this plan and other plans in your area that fit your needs.
TTY: 711 · Monday to Friday, 8:00 AM to 6:00 PM CST
