American Health Advantage of Tennessee (HMO I-SNP)
Available to residents of Carter County, TN for 2027. Contract H7779, 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 for 2027. CMS carries this plan forward from 2026.
Plan details
| Monthly premium (Part C + D) | $13.70 |
|---|---|
| — medical (Part C) part | $0.00 |
| — drug (Part D) part | $13.70 |
| In-network out-of-pocket maximum | $9,850.00 |
| Drug deductible | $700.00 |
| Drug out-of-pocket threshold | $2,400.00 |
| Plan type | HMO I-SNP |
| Special needs plan | Institutional SNP |
| Contract / plan | H7779-001-0 |
| Offered by | American Health Advantage of Tennessee |
| Parent organization | Mitchell Family Office |
| Member services | (844)321-1763TTY (833)312-0046 |
CMS star ratings
- Overall
- —
- Health plan (Part C)
- —
- Drug plan (Part D)
- 2.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H7779 shares this rating.
Star rating measures
| Measure | 2027 | 2026 |
|---|---|---|
| Managing Chronic (Long Term) Conditions | ||
| Special Needs Plan (SNP) Care Management · C07 | 5 out of 5 stars for Special Needs Plan (SNP) Care Management | 5 out of 5 stars for Special Needs Plan (SNP) Care Management |
| Care for Older Adults – Medication Review · C08 | 5 out of 5 stars for Care for Older Adults – Medication Review | 5 out of 5 stars for Care for Older Adults – Medication Review |
| Care for Older Adults - Functional Status Assessment · C09 | 5 out of 5 stars for Care for Older Adults - Functional Status Assessment | new measure |
| Diabetes Care – Eye Exam · C11 | not enough data | 4 out of 5 stars for Diabetes Care – Eye Exam |
| Diabetes Care – Blood Sugar Controlled · C12 | not enough data | 3 out of 5 stars for Diabetes Care – Blood Sugar Controlled |
| Kidney Health Evaluation for Patients with Diabetes · C13 | not enough data | 3 out of 5 stars for Kidney Health Evaluation for Patients with Diabetes |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions · C20 | 4 out of 5 stars for Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 5 out of 5 stars for Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions |
| Member Complaints and Changes in the Health Plan's Performance | ||
| Members Choosing to Leave the Plan · C28 | not enough data | 5 out of 5 stars for Members Choosing to Leave the Plan |
| Health Plan Customer Service | ||
| Plan Makes Timely Decisions about Appeals · C30 | not enough data | 5 out of 5 stars for Plan Makes Timely Decisions about Appeals |
| Reviewing Appeals Decisions · C31 | not enough data | 5 out of 5 stars for Reviewing Appeals Decisions |
| Call Center – Foreign Language Interpreter and TTY Availability · C32 | 4 out of 5 stars for Call Center – Foreign Language Interpreter and TTY Availability | 3 out of 5 stars for Call Center – Foreign Language Interpreter and TTY Availability |
| 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 | 4 out of 5 stars for Call Center – Foreign Language Interpreter and TTY Availability |
| DD2: Member Complaints and Changes in the Drug Plan’s Performance | ||
| Members Choosing to Leave the Plan · D03 | not enough data | 5 out of 5 stars for Members Choosing to Leave the Plan |
| Drug Plan Quality Improvement · D04 | 1 out of 5 stars for Drug Plan Quality Improvement | 3 out of 5 stars for Drug Plan Quality Improvement |
| DD4: Drug Safety and Accuracy of Drug Pricing | ||
| MPF Price Accuracy · D07 | 3 out of 5 stars for MPF Price Accuracy | 5 out of 5 stars for MPF Price Accuracy |
| Medication Adherence for Diabetes Medications · D08 | 5 out of 5 stars for Medication Adherence for Diabetes Medications | 5 out of 5 stars for Medication Adherence for Diabetes Medications |
| Medication Adherence for Hypertension (RAS antagonists) · D09 | 3 out of 5 stars for Medication Adherence for Hypertension (RAS antagonists) | 4 out of 5 stars for Medication Adherence for Hypertension (RAS antagonists) |
| Medication Adherence for Cholesterol (Statins) · D10 | 2 out of 5 stars for Medication Adherence for Cholesterol (Statins) | 4 out of 5 stars for Medication Adherence for Cholesterol (Statins) |
| Statin Use in Persons with Diabetes (SUPD) · D11 | 1 out of 5 stars for Statin Use in Persons with Diabetes (SUPD) | 1 out of 5 stars for Statin Use in Persons with Diabetes (SUPD) |
| Concurrent Use of Opioids and Benzodiazepines (COB) · D12 | 1 out of 5 stars for Concurrent Use of Opioids and Benzodiazepines (COB) | new measure |
| Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) · D13 | 2 out of 5 stars for Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) | new measure |
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 H7779 shares it.
Also available in 54 other TN counties
- Anderson
- Bedford
- Benton
- Blount
- Carroll
- Cheatham
- Chester
- Claiborne
- Crockett
- Cumberland
- Davidson
- Decatur
- Dickson
- Dyer
- Fayette
- Fentress
- Gibson
- Giles
- Hamilton
- Hancock
- Hardeman
- Hardin
- Hawkins
- Haywood
- Henderson
- Henry
- Houston
- Humphreys
- Jefferson
- Johnson
- Knox
- Lake
- Lauderdale
- Lewis
- Loudon
- McNairy
- Madison
- Marion
- Maury
- Meigs
- Monroe
- Montgomery
- Obion
- Rhea
- Roane
- Rutherford
- Shelby
- Stewart
- Sullivan
- Sumner
- Tipton
- Washington
- Weakley
- Wilson
Plan facts come from the CMS plan Landscape file and the CMS plan benefit package (PBP) files.