Health First Premier Access H1099-027 (HMO-POS)

Health First Premier Access H1099-027 (HMO-POS) is a HMO-POS plan offered by Health First Health Plans available for the 2026 plan year to people living in Flagler Highlands Volusia. This plan received an overall rating of 4 out of 5 stars in 2026.

It's important to know that Health First Premier Access H1099-027 (HMO-POS) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Health First Premier Access H1099-027 (HMO-POS).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

The Health First Premier Access H1099-027 (HMO-POS) Medicare plan features an annual drug deductible of $200. Tier 1 preferred generic drugs are highly affordable, offering no copay for up to a three-month supply at both preferred and standard pharmacies. For Tier 2 generic drugs, you will pay a low $7.50 copay for a one-month supply at preferred pharmacies, or no copay for a three-month supply filled through standard mail order. For brand-name and higher-tier medications, costs vary based on the tier and pharmacy selected. Tier 3 preferred brand drugs require a $42 copay for a one-month supply at preferred pharmacies, while Tier 4 non-preferred drugs carry a 25% coinsurance. Tier 5 specialty drugs require a 30% coinsurance for a one-month supply at both preferred and standard pharmacies.

Additional Benefits

The Health First Premier Access H1099-027 (HMO-POS) plan offers comprehensive medical coverage with no copay for primary care visits, preventive screenings, and home health services. For inpatient hospital stays, members pay a daily copay of $195 for days 1 through 8 and no copay for days 9 through 90, with no coinsurance. Outpatient hospital services feature copays ranging from no copay up to $250, while specialist visits require copays between $10 and $35. This plan also includes key supplemental benefits, such as routine dental, vision, and hearing care with no copay, alongside allowances of up to $1,000 for dental and hearing aids. Additionally, members receive a $125 quarterly allowance for over-the-counter items and up to 24 one-way transportation trips with no copay. For specialized care, durable medical equipment, dialysis, and select Part B drugs are covered with no copay and coinsurance ranging from 10% to 20%.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.