MyAdvocate Medicare Advantage GOLD (HMO-POS)
Available to residents of York County, NE for 2027. Contract H0816, plan 001, segment 0.
2027 drug-by-drug coverage is not published by CMS yet. The drug lookup covers 2026, whose formulary is live.
Renewed, service area expanded for 2027. CMS carries this plan forward from 2026.
Plan details
| Monthly premium (Part C + D) | $82.00 |
|---|---|
| — medical (Part C) part | $59.90 |
| — drug (Part D) part | $22.10 |
| In-network out-of-pocket maximum | $5,500.00 |
| Drug deductible | $250.00Tier 1, 2 and 6 exempt |
| Drug out-of-pocket threshold | $2,400.00 |
| Plan type | HMO-POS |
| Contract / plan | H0816-001-0 |
| Offered by | MyAdvocate Medicare Advantage |
| Parent organization | Sanford Health |
| Formulary tiers | 6 |
| Member services | (888)960-5788TTY 711 |
| CMS-accepted enrolment cap | 1,000 |
CMS star ratings
- Overall
- —
- Health plan (Part C)
- —
- Drug plan (Part D)
- —
Published per contract — every plan under contract H0816 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 · Preferred Generic | $0.00 |
| Tier 2 · Generic | $8.00 |
| Tier 3 · Preferred Brand | 25% |
| Tier 4 · Non-Preferred Drug | 30% |
| Tier 5 · Specialty Tier | 30% |
| Tier 6 · Select Care Drugs | $0.00 |
Star rating measures
| Measure | 2027 | 2026 |
|---|---|---|
| Health Plan Customer Service | ||
| Call Center – Foreign Language Interpreter and TTY Availability · C32 | 5 out of 5 stars for Call Center – Foreign Language Interpreter and TTY Availability | too new |
| DD1: Drug Plan Customer Service | ||
| Call Center – Foreign Language Interpreter and TTY Availability · D01 | 3 out of 5 stars for Call Center – Foreign Language Interpreter and TTY Availability | too new |
Measures are paired between the two years by name, not by the C/D number: CMS reuses those numbers, and in 2027 nineteen of them refer to a different measure than they did in 2026. A measure introduced for 2027 has no 2026 score to show. Published per contract — every plan under H0816 shares it.
Also available in 20 other NE counties
Plan facts come from the CMS plan Landscape file and the CMS plan benefit package (PBP) files.