Johns Hopkins Advantage MD
Plan ID: H3890-2-0
Plan Summary Page2027 Johns Hopkins Advantage MD Plus (PPO) H3890 — 002 — 0 is a Medicare Advantage plan with drug coverage. It has received a 4-out-of-5 star rating from CMS for 2027.
Learn more about Johns Hopkins Advantage MD Plus (PPO) H3890 - 002 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.
4 / 5 stars for 2027
$165.00 /mo
Monthly premium
$615.00
Drug deductible
$7550.00 / $11300.00
Out-of-pocket maximum (In-Network / Combined)
Enroll online
Call to enroll
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1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
2027 Johns Hopkins Advantage MD Plus (PPO) H3890 — 002 — 0 is a PPO offered in Counties: AA BL CR FR HW MG SS WH WC WR by Hopkins Health Advantage, Inc.. It has a monthly premium of $165.00.
Monthly plan premium
$165.00
Standard Part B premium (estimated)
$209.50
Note:
CMS has not yet announced the official 2027 standard Medicare Part B premium. The estimated 2027 premium is $209.50, per the 2026 Medicare Trustees Report; we'll update this page when CMS publishes the final amount. Your actual Part B premium may differ based on income (IRMAA), late enrollment penalties, Medicaid assistance, disability status, or other factors. Most people enrolled in Medicare Part B are required to pay this premium.
Special needs plan type
No
Out-of-pocket maximum (In-Network)
$7550.00
Out-of-pocket maximum (Out-of-Network)
Not applicable
Out-of-pocket maximum (Combined)
$11300.00
Plan Organization:
Hopkins Health Advantage, Inc.
Parent Company:
Johns Hopkins Healthcare LLC
Plan Type:
PPO
Location:
Counties: AA BL CR FR HW MG SS WH WC WR
Drugs Covered:
Yes
Drug Formulary:
Pharmacies:
Doctors Link:
The amount you must pay each year before your plan starts to pay for covered services or drugs.
Health deductible
None
Drug deductible
$615
Note:
This plan does not charge an annual deductible for all drugs. The $615.00 annual deductible only applies to drugs in certain tiers.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
Johns Hopkins Advantage MD Plus (PPO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.
Drug Benefit Type
Enhanced Alternative
Prescription drug deductible
$615.00
This plan's premium may be reduced for you if you qualify for the low-income subsidy (also known as LIS or "Extra help"). The following is what you'll pay for with LIS.
Part D | LIS Full |
|---|---|
$62.40 | $54.50 |
After you meet any applicable drug deductible ($615.00 for this plan), you pay the plan's cost sharing until your out-of-pocket costs for covered Part D drugs, including certain payments made on your behalf, reach $2,400 in 2027. You then enter catastrophic coverage and pay nothing for covered Part D drugs for the rest of the calendar year.
Tier | Preferred Pharmacy | Standard Pharmacy | Preferred Mail | Standard Mail |
|---|---|---|---|---|
1. Preferred Generic | - | $0.00 copay | - | $0.00 copay |
2. Generic | - | $15.00 copay | - | $15.00 copay |
3. Preferred Brand | - | 25% coinsurance | - | 25% coinsurance |
4. Non-Preferred Drug | - | 25% coinsurance | - | 25% coinsurance |
5. Specialty Tier | - | 26% coinsurance | - | 26% coinsurance |
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,400, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit.
Johns Hopkins Advantage MD Plus (PPO) also provides the following benefits.
Inpatient Hospital benefits are covered.
Inpatient Hospital-Acute benefits are covered.
| Days 1-6: | Days 7-90: | |
|---|---|---|
| Copayment | 350.00 | 0.00 |
More Details:
Copayment for Medicare-covered stay
0.00
Not covered.
Not covered.
Not covered.
Inpatient Hospital Psychiatric benefits are covered.
| Days 1-6: | Days 7-90: | |
|---|---|---|
| Copayment | 330.00 | 0.00 |
More Details:
Copayment for Medicare-covered stay
0.00
Not covered.
Not covered.
Outpatient Services benefits are covered.
All Outpatient Hospital Services benefits are covered.
Outpatient Hospital Services benefits are covered.
Cost Sharing:
Observation Services benefits are covered.
Cost Sharing:
Ambulatory Surgical Center (ASC) Services benefits are covered.
Cost Sharing:
Not covered.
Individual Sessions for Outpatient Substance Abuse benefits are covered.
More Details:
Minimum copayment
40.00
Maximum copayment
40.00
Group Sessions for Outpatient Substance Abuse benefits are covered.
More Details:
Minimum copayment
40.00
Maximum copayment
40.00
Not covered.
Partial Hospitalization benefits are covered.
Partial Hospitalization benefits are covered.
Cost Sharing:
Partial Hospitalization benefits are covered.
Cost Sharing:
Ambulance and Transportation Services benefits are covered.
All Ambulance Services benefits are covered.
Ground Ambulance Services benefits are covered.
Cost Sharing:
Air Ambulance Services benefits are covered.
Cost Sharing:
Not covered.
Not covered.
Not covered.
Emergency Services benefits are covered.
Emergency Services benefits are covered.
Cost Sharing:
More Details:
Enter number of days or hours
24
Urgently Needed Services benefits are covered.
Cost Sharing:
Worldwide Emergency Services benefits are covered.
More Details:
Maximum amount
50000.00
Worldwide Emergency Coverage benefits are covered.
Cost Sharing:
Worldwide Urgent Coverage benefits are covered.
Cost Sharing:
Not covered.
Primary Care benefits are covered.
Primary Care Physician Services benefits are covered.
Cost Sharing:
Chiropractic Services benefits are covered.
Cost Sharing:
Routine Chiropractic Care benefits are covered.
Cost Sharing:
More Details:
Visits
12
Occupational Therapy Services benefits are covered.
Cost Sharing:
Physician Specialist Services benefits are covered.
Cost Sharing:
Not covered.
Individual Sessions for Mental Health Specialty Services benefits are covered.
More Details:
Minimum copayment
40.00
Maximum copayment
40.00
Group Sessions for Mental Health Specialty Services benefits are covered.
More Details:
Minimum copayment
40.00
Maximum copayment
40.00
Podiatry Services benefits are covered.
More Details:
Enhanced benefits (7f)
Routine Foot Care
Visits
6
Minimum coinsurance
20
Maximum coinsurance
20
Minimum copayment
40.00
Maximum copayment
40.00
Other Health Care Professional benefits are covered.
More Details:
Minimum copayment
0.00
Maximum copayment
40.00
Not covered.
Individual Sessions for Psychiatric Services benefits are covered.
More Details:
Minimum copayment
40.00
Maximum copayment
40.00
Group Sessions for Psychiatric Services benefits are covered.
More Details:
Minimum copayment
40.00
Maximum copayment
40.00
Physical Therapy and Speech-Language Pathology Services benefits are covered.
Cost Sharing:
Not covered.
Not covered.
Preventive Services benefits are covered.
Medicare-covered Zero Dollar Preventive Services benefits are covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Kidney Disease Education Services benefits are covered.
More Details:
Minimum copayment
10.00
Maximum copayment
10.00
Other Preventive Services benefits are covered.
Not covered.
Not covered.
Not covered.
Not covered.
Hearing Services benefits are covered.
Hearing Exams benefits are covered.
Cost Sharing:
Routine Hearing Exams benefits are covered.
More Details:
Number of visits
1
Not covered.
Not covered.
Prescription Hearing Aids (all types) benefits are covered.
More Details:
Quantity for Hearing Aids
2
Minimum copayment
699.00
Maximum copayment
999.00
Not covered.
Not covered.
Not covered.
Not covered.
Vision Services benefits are covered.
Eye Exams benefits are covered.
Cost Sharing:
Routine Eye Exams benefits are covered.
More Details:
Number of visits
1
Eyewear benefits are covered.
More Details:
Combined maximum amount
250.00
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Dental Services benefits are covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Not covered.
Dialysis Services benefits are covered.
More Details:
Minimum coinsurance
20
Maximum coinsurance
20
Medical Equipment benefits are covered.
Durable Medical Equipment (DME) benefits are covered.
More Details:
Minimum coinsurance
20
Maximum coinsurance
20
Not covered.
Prosthetic Devices benefits are covered.
More Details:
Minimum coinsurance
20
Maximum coinsurance
20
Medical Supplies benefits are covered.
Cost Sharing:
Not covered.
Not covered.
Diabetic Therapeutic Shoes/Inserts benefits are covered.
More Details:
Minimum coinsurance
20
Maximum coinsurance
20
Not covered.
Diagnostic and Radiological Services benefits are covered.
Not covered.
Diagnostic Procedures/Tests benefits are covered.
Cost Sharing:
More Details:
Minimum coinsurance
20
Not covered.
Not covered.
Diagnostic Radiological Services benefits are covered.
Cost Sharing:
More Details:
Minimum copayment
0.00
Therapeutic Radiological Services benefits are covered.
Cost Sharing:
More Details:
Minimum coinsurance
20
Outpatient X-Ray Services benefits are covered.
Cost Sharing:
Not covered.
Not covered.
Skilled Nursing Facility (SNF) benefits are covered.
| Days 1-20: | Days 21-100: | |
|---|---|---|
| Copayment | 0.00 | 221.00 |
Not covered.
Other Services benefits are covered.
Acupuncture benefits are covered.
More Details:
Maximum plan benefit coverage amount
200.00
Over-the-Counter (OTC) Items benefits are covered.
More Details:
Maximum plan benefit coverage amount
25.00
Not covered.
Not covered.
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, HealthSpringSM, 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.
SMID: MULTIPLAN_HCIHNMEDADVRX27_M
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
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