Home›2027 Medicare plans›Ohio›Perennial Advantage Premier (HMO-POS I-SNP)

Perennial Advantage Premier (HMO-POS I-SNP) (2027)

Institutional Special Needs Plan (Medicare Advantage) from Perennial Advantage, plan ID H8797-004-000. Sold in 42 counties in Ohio.

★★★★★Not yet rated

Who can join

Only for people who live in a nursing home or similar facility, or need that level of care at home.

2027 costs

Monthly premium$0
Drug deductible$0
Medical deductible$0
Out-of-pocket maximum (in network)$4,600
Plan typeInstitutional Special Needs Plan (Medicare Advantage), HMO-POS
Referral needed to see a specialistYes
Plan IDH8797-004-000

With a Medicare Advantage plan you also keep paying your Medicare Part B premium.

What this plan would cost for your prescriptions

Add your prescriptions to see this plan's estimated yearly cost for them, which of them are on its drug list, and how each compares with Cost Plus Drugs prices.

See this plan with my prescriptions

What you pay for medical care

Primary care visit$0
Specialist visit$0–$5
Preventive care$0
Urgent care20%
Emergency room$90
Hospital stay$150/day
Outpatient surgery$0–$250
Lab tests$40
X-rays and scans$75
Mental health visit$35
Physical therapy$0–$25
Medical equipment20%
TelehealthCovered

In-network amounts. A range means it depends on the service or provider.

Extra benefits

DentalCovered — up to $9000/yr allowance
VisionCovered — up to $300/yr allowance
HearingCovered — up to $2200/yr allowance
Over-the-counter itemsCovered
FitnessCovered
Rides to appointmentsCovered — 12 one-way trips

Drug costs by tier

Tier30 days, standard pharmacy30 days, preferred pharmacy90 days by mail
1 Preferred Generic$0$0$0
2 Generic$10$10$30
3 Preferred Brand25%25%25%
4 Non-Preferred Drug25%25%25%
5 Specialty Tier33%33%N/A

A percentage is coinsurance: your share of the drug's price. The drug deductible may apply first, depending on the tier. Your Part D out-of-pocket costs are capped at $2,400 for 2027.

Where it's sold

Ohio (42 counties)

Other 2027 Perennial Advantage plans in Ohio

Plan costs and benefits are from CMS's 2027 Medicare plan data (data as of October 27, 2026). Star ratings are CMS's 2027 Star Ratings. Every year, Medicare evaluates plans based on a 5-star rating system. Benefits, premiums and copays can change from year to year; check the plan's Evidence of Coverage, call the plan, or use Medicare.gov before you enroll.