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Johns Hopkins Advantage MD Tribute (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Johns Hopkins Advantage MD Tribute (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Johns Hopkins Advantage MD Tribute (HMO) in 2025, please refer to our full plan details page.
Johns Hopkins Advantage MD Tribute (HMO) is a HMO plan offered by Johns Hopkins Healthcare LLC available for enrollment in 2025 to people living in AA BL FR HW MO. This plan received an overall rating of 3 out of 5 stars in 2025.
It's important to know that Johns Hopkins Advantage MD Tribute (HMO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Johns Hopkins Advantage MD Tribute (HMO).
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.
For Johns Hopkins Advantage MD Tribute (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $40.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $6800.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
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:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
Prescription drugs are not covered by Johns Hopkins Advantage MD Tribute (HMO).
Additional Benefits
The Johns Hopkins Advantage MD Tribute (HMO) plan offers a range of benefits with varying cost-sharing. It includes coverage for inpatient hospital stays with a copay, outpatient services with copays, ambulance and transportation services, and emergency services. Primary care visits have no copay, and preventive services are covered with no copay. This plan also provides coverage for hearing and vision services, including exams and eyewear with specific copays or maximum benefits. Dental services cover exams and cleanings. Additionally, the plan covers home infusion services, dialysis, medical equipment, diagnostic and radiological services, home health services, and skilled nursing facility stays.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric care, are covered by the Johns Hopkins Advantage MD Tribute (HMO) plan, with a $350 copay for days 1-5 and no copay for days 6-90. Additional days for inpatient hospital, non-Medicare covered stays, and upgrades are not covered.
Outpatient Services See details
Outpatient services include outpatient hospital services with a $350 copay, observation services with a $350 copay, ambulatory surgical center services with a $250 copay, and outpatient substance abuse services with a $40 copay for both individual and group sessions. Outpatient blood services are also covered with a waived deductible for three pints.
Partial Hospitalization See details
Partial Hospitalization is covered by Johns Hopkins Advantage MD Tribute (HMO). Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including services not usually covered by Medicare. Ground ambulance services have a $290 copay, while air ambulance services have a 20% coinsurance. Transportation services to a plan-approved health-related location are covered for up to 24 one-way trips per year, but transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are offered by the Johns Hopkins Advantage MD Tribute (HMO) plan. Emergency Services have a $110 copay and no coinsurance, while Urgently Needed Services have a $40 copay and no coinsurance. Worldwide Emergency Services, including coverage, urgent coverage, and transportation, are not covered.
Primary Care See details
The Johns Hopkins Advantage MD Tribute (HMO) plan covers primary care physician services with no copay, chiropractic services with a $10 copay, occupational therapy services with a $10 copay, physician specialist services with a $50 copay, mental health specialty services, psychiatric services, physical therapy and speech-language pathology services with a $10 copay, other health care professional services with a copay between $0 and $50, additional telehealth benefits, and opioid treatment program services. This plan does not cover podiatry services, and routine chiropractic care is not covered.
Preventive Services See details
The Johns Hopkins Advantage MD Tribute (HMO) plan covers preventive services, including annual physical exams, with no copay. Additional preventive services are partially covered, as health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, weight management programs, alternative therapies, therapeutic massage, adult day health services, nutritional/dietary benefits, home-based palliative care, in-home support services, support for caregivers of enrollees, additional sessions of smoking and tobacco cessation counseling, enhanced disease management, telemonitoring services, home and bathroom safety devices and modifications, and counseling services are not covered.
Hearing Services See details
Hearing exams are covered under the Johns Hopkins Advantage MD Tribute (HMO) plan with a $10 copay, and routine hearing exams are limited to one per year. Prescription hearing aids are covered with a copay between $399 and $699, but prescription hearing aids for the inner ear, outer ear, and over the ear are not covered. OTC hearing aids are not covered.
Vision Services See details
Vision services include coverage for eye exams with a copay of $0-$50, and routine eye exams once per year. The plan also covers eyewear, including contact lenses, eyeglasses (lenses and frames), and eyeglass lenses, with a combined maximum benefit of $300 every two years; however, upgrades are not covered.
Dental Services See details
Dental Services are covered, with oral exams, dental x-rays, prophylaxis (cleaning), and fluoride treatments covered, but with a limit of two visits for each per year. Orthodontic services are not covered, but there is a $2,000 annual maximum for orthodontic services. Other services like restorative services, endodontics, periodontics, and more are covered but require prior authorization.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with a $35 copay and 0-20% coinsurance, as well as Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs with 0-20% coinsurance. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered under the Johns Hopkins Advantage MD Tribute (HMO) plan. You will pay 20% coinsurance for these services.
Medical Equipment See details
The Johns Hopkins Advantage MD Tribute (HMO) plan covers medical equipment, including durable medical equipment (DME), with a 20% coinsurance, and prosthetics, medical supplies and diabetic equipment with a 20% coinsurance. Durable medical equipment for use outside the home and diabetic supplies are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services, and outpatient X-ray services, and also covers diagnostic and therapeutic radiological services. Diagnostic procedures/tests have a coinsurance of at most 20%, and diagnostic radiological services have a copay of $250.00. Outpatient X-ray services have a copay of $50.00, while lab services are not covered.
Home Health Services See details
Home Health Services are covered with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Johns Hopkins Advantage MD Tribute (HMO) plan. Specifically, Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Johns Hopkins Advantage MD Tribute (HMO) plan, but require prior authorization. There is no copay for days 1-20, but there is a $196 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
Other Services includes Over-the-Counter (OTC) Items, with a maximum benefit coverage amount of $35.00 every three months. Acupuncture, Meal Benefit, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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