Essence Advantage Premier Plus (PPO)
ESSENCE HEALTHCARE PPO, INC. · 2027 plan year
Plan ID H6200-008-000
Showing MO · also offered in: IL
Local PPO★ 4 CMS Stars
- MOOP (in-network)
- $2,900
- MOOP (combined)
- $2,900
- Monthly premium
- $264/mo
- Part C $183.30 + Part D $80.70, before Extra Help
- Prescription drugs
- Included
This plan in 2026
Plan information
- Contract / Plan / Segment
- H6200-008-000
- Medical deductible
- $0 — no deductible
- Part D premium
- $80.70/mo (part of the monthly premium above)Before Extra Help, which can lower or remove it for people with limited income.
- Part D deductible
- $700/yr
- Also owed
- Your Medicare Part B premium, paid separately
More ESSENCE HEALTHCARE PPO, INC. plans in MO
Benefits & cost sharing
Hospital
| Benefit | In-network |
|---|---|
| Inpatient Hospital — Acute | $300/day for days 1–7, $0 after |
| Inpatient Hospital — Additional Days (Acute) | No charge |
| Inpatient Hospital — Psychiatric | $300/day for days 1–7, $0 after |
| Inpatient Hospital — Additional Days (Psychiatric) | No charge |
| Worldwide Urgent Care Coverage | No charge |
Pharmacy
| Benefit | In-network |
|---|---|
| Part B Drugs | See plan details |
| Chemotherapy & Radiation Drugs (Part B) | 0%-20% coinsurance |
| Other Part B Drugs | 0%-20% coinsurance |
Mental Health
| Benefit | In-network |
|---|---|
| Mental Health Specialty Services | See plan details |
| Mental Health — Individual Sessions | No charge |
| Mental Health — Group Sessions | No charge |
| Supplemental Health Benefits | See plan details |
Other
| Benefit | In-network |
|---|---|
| Psychiatric Services — Group Sessions | No charge |
| Medical Supplies | No charge |
| Diabetic Supplies & Services | See plan details |
| Partial Hospitalization Program | No charge |
| Psychiatric Services — Individual Sessions | No charge |
| Skilled Nursing Facility (SNF) | No charge |
| Cardiac & Pulmonary Rehabilitation | See plan details |
| Cardiac Rehabilitation — Additional Sessions | No charge |
| Intensive Cardiac Rehabilitation — Additional Sessions | No charge |
| Pulmonary Rehabilitation — Additional Sessions | No charge |
| Supervised Exercise Therapy (SET) | No charge |
| Emergency Services | No charge |
| Urgently Needed Services | No charge |
| Worldwide Emergency & Urgent Coverage | See plan details |
| Worldwide Emergency Coverage | No charge |
| Intensive Outpatient Program (IOP) | No charge |
| Home Health Services | No charge |
| Primary Care Physician Services | No charge |
| Chiropractic Services | No charge |
| Occupational Therapy Services | No charge |
| Physician Specialist Services | No charge |
| Podiatry Services | No charge |
| Other Health Care Professional Services | No charge |
| Psychiatric Services | See plan details |
| Physical Therapy & Speech-Language Pathology | No charge |
| Additional Telehealth Services (Part B) | No charge |
| Opioid Treatment Program Services | No charge |
| Diagnostic Tests & Lab Services | See plan details |
| Diagnostic Procedures & Tests | No charge |
| Laboratory Services | No charge |
| Radiological Services | See plan details |
| Diagnostic Radiology | No charge |
| Therapeutic Radiology | No charge |
| X-Ray Services | No charge |
| Outpatient Hospital Services | No charge |
| Hospital Observation Services | No charge |
| Ambulatory Surgical Center (ASC) | No charge |
| Outpatient Substance Abuse Services | See plan details |
| Substance Abuse — Individual Sessions | No charge |
| Substance Abuse — Group Sessions | No charge |
| Outpatient Blood Services | No charge |
| Ambulance Services | See plan details |
| Ground Ambulance | No charge |
| Air Ambulance | No charge |
| Durable Medical Equipment (DME) | No charge |
| Prosthetic Devices | No charge |
| Diabetic Supplies | No charge |
| Diabetic Therapeutic Shoes & Inserts | No charge |
| Diabetic Monitors | No charge |
| Dialysis Services | No charge |
| Medicare-Covered Preventive Services | See plan details |
| Annual Physical Exam | No charge |
| Fitness Benefit | No charge |
| Kidney Disease Education Services | No charge |
| Glaucoma Screening | No charge |
| Diabetes Self-Management Training | No charge |
| Digital Rectal Exams | No charge |
| Welcome to Medicare EKG | No charge |
| Insulin (Part B) | 0%-20% coinsurance (max $35) |
| Dental — Medicare-Covered Services | No charge |
| Vision — Eye Exams | No charge |
| Vision — Eyewear | No charge |
| Hearing — Exams | No charge |
| Hearing — Exams | See plan details |
| Hearing — Routine Exams | No charge |
| Hearing — Fitting & Evaluation for Hearing Aid | No charge |
| Hearing — Prescription Hearing Aids | See plan details |
| Hearing — Hearing Aids (All Types) | No charge |
| Prosthetics & Orthotics | See plan details |
Service area
- MO: 11 counties
Reviewing your Medicare coverage for 2027?
Plans change every year. Leave your email and we'll let you know when Medicare open enrollment opens.