Prominence Giveback (HMO)
Available to residents of Palm Beach County, FL for 2026. Contract H7239, plan 004, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $0.00 |
| Plan type | Medicare Advantage |
| Contract / plan | H7239-004-0 |
| Offered by | Prominence Health Plan |
| Parent organization | Universal Health Services, Inc. |
| Formulary drugs | 3,380 |
CMS star ratings
- Overall
- —
- Health plan (Part C)
- —
- Drug plan (Part D)
- —
Published per contract — every plan under contract H7239 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $15.00 |
| Tier 3 | 25% |
| Tier 4 | 50% |
| Tier 5 | 33% |
| Tier 6 | $0.00 |
Plan facts come from the CMS quarterly prescription drug plan public use files.