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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 2026, 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 CR FR HW MG SS WH WC WR. This plan received an overall rating of 3.5 out of 5 stars in 2026.
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 robust medical coverage with no copay for primary care, telehealth, and preventive services. For inpatient hospital stays, members pay a $350 daily copay for the first five days and no copay for additional days, while outpatient hospital services require a $350 copay. Emergency care is available with a $115 copay, which is waived if admitted, and urgent care visits carry a $40 copay. This plan also features key supplemental benefits, including dental coverage up to a $2,000 annual limit and eyewear coverage up to $300 every two years, both with no copay. Routine hearing exams carry a $10 copay, while prescription hearing aids require copays ranging from $399 to $699. Additionally, members receive up to 24 one-way transportation trips per year to plan-approved locations and a $35 quarterly over-the-counter allowance with no copay.
Inpatient Hospital See details
Johns Hopkins Advantage MD Tribute (HMO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $350 daily copay for days 1 through 5 and no copay for days 6 through 90 per stay. This benefit is partially covered, as prior authorization is required, and additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Johns Hopkins Advantage MD Tribute (HMO) covers outpatient hospital and observation services with a $350 copay and no coinsurance, and ambulatory surgical center services with a $250 copay and no coinsurance. Outpatient substance abuse sessions require a $40 copay and no coinsurance, while outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by Johns Hopkins Advantage MD Tribute (HMO) with no copay and no coinsurance, though prior authorization may be required.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Johns Hopkins Advantage MD Tribute (HMO), with ground ambulance services requiring a $290 copay and no coinsurance, and air ambulance services requiring a 20% coinsurance and no copay. Transportation services are partially covered with no copay or coinsurance for up to 24 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Emergency Services See details
Johns Hopkins Advantage MD Tribute (HMO) covers emergency services with a $115 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours, and urgently needed services with a $40 copay and no coinsurance. While some worldwide emergency services are covered, worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation are not covered.
Primary Care See details
Johns Hopkins Advantage MD Tribute (HMO) offers primary care, telehealth, and opioid treatment with no copay and no coinsurance. Other covered services, including specialist visits, physical therapy, and mental health services, have copays ranging from $10 to $50 and no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are partially covered by Johns Hopkins Advantage MD Tribute (HMO) with no copay and no coinsurance for covered options like annual physical exams, kidney disease education, and glaucoma screenings. While memory fitness and remote access technologies are covered, several additional preventive services—including health education, personal emergency response systems, in-home safety assessments, medical nutrition therapy, and weight management—are not covered.
Hearing Services See details
Johns Hopkins Advantage MD Tribute (HMO) covers routine hearing exams for a $10 copay and no coinsurance, and hearing aid fitting evaluations with no copay and no coinsurance. Prescription hearing aids are partially covered with a copay of $399 to $699 and no coinsurance, but inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Vision services under the Johns Hopkins Advantage MD Tribute (HMO) are partially covered, offering one annual routine eye exam with no coinsurance and a copay ranging from no copay to $50, while other eye exam services are not covered. Eyewear is covered with no copay or coinsurance up to a $300 maximum every two years for contacts and glasses, but upgrades are not covered.
Dental Services See details
Dental services are partially covered by Johns Hopkins Advantage MD Tribute (HMO) with no copay and no coinsurance for covered preventive and comprehensive care, up to a $2,000 annual maximum. While many treatments like cleanings, x-rays, and restorative services are covered, other diagnostic services, other preventive services, maxillofacial prosthetics, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Johns Hopkins Advantage MD Tribute (HMO) with no copay, although prior authorization is required. Associated Medicare Part B chemotherapy and other drugs require between no coinsurance and 20% coinsurance, while Medicare Part B insulin drugs carry a $35 copay and between no coinsurance and 20% coinsurance.
Dialysis Services See details
Dialysis services are covered under the Johns Hopkins Advantage MD Tribute (HMO) plan with no copay and a 20% coinsurance.
Medical Equipment See details
Johns Hopkins Advantage MD Tribute (HMO) partially covers medical equipment with no copay and a 20% coinsurance, though prior authorization is required. Covered items include durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes, while diabetic supplies are not covered.
Diagnostic and Radiological Services See details
Johns Hopkins Advantage MD Tribute (HMO) partially covers diagnostic and radiological services with prior authorization required, though lab services are not covered. Diagnostic procedures require a 20% minimum coinsurance with no copay, while radiological services require a $50 copay and coinsurance for X-rays, a $250 minimum copay with no coinsurance for diagnostic radiology, and a 20% minimum coinsurance plus a copay for therapeutic radiology.
Home Health Services See details
Home Health Services are covered under the Johns Hopkins Advantage MD Tribute (HMO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Johns Hopkins Advantage MD Tribute (HMO) plan, as all associated services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are excluded from coverage.
Skilled Nursing Facility (SNF) See details
Johns Hopkins Advantage MD Tribute (HMO) covers Skilled Nursing Facility (SNF) care with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and additional days beyond the standard Medicare-covered period are not covered.
Other Services See details
Johns Hopkins Advantage MD Tribute (HMO) provides partial coverage for other services, featuring over-the-counter (OTC) items with no copay and no coinsurance up to a $35 limit every three months. Acupuncture, meal benefits, and nicotine replacement therapy are not covered.
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