Passport Advantage (HMO D-SNP) CY2027
Offered by Molina Healthcare, Inc. (company name as listed by CMS) · Plan ID H1799-003-002 · Medicare Advantage with drug coverage, Special Needs Plan (D-SNP)
Available in 2027 in: 66 counties in Kentucky. See full service area
2027 Overall Star Rating: 3.5 out of 5 stars What star ratings mean
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.
Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.
This plan's 2027 documents
Summary of Benefits (PDF, carrier document, 2027)
The Summary of Benefits is the plan's own description of its costs and benefits. It comes from the plan company.
Key numbers from CMS files
- Monthly plan premium
- $17. You still pay your Part B premium.
- Most you pay in-network in a year (MOOP)
- $9,850CMS lists this as a zero-dollar cost-sharing plan for people with Medicare and Medicaid. As long as you keep your Medicaid, you generally pay $0 for covered Medicare Part A and Part B services from in-network providers. Drug copays may apply. The amount shown is the plan's in-network yearly limit on Part A and Part B cost sharing.
- Drug deductible
- $700
- Part B giveback
- None
- Over-the-counter or benefit card
- Benefit card: $70 per month (covers Transportation Services - Plan Approved Health-related Location, OTC items, hearing, extra benefits for members who qualify)
- Extra benefits listed
- Dental, Vision, Benefit card
These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.
See all benefits
- Comprehensive dental, most the plan pays
- $3,600 per year
- Eyewear, most the plan pays
- $200 per year
Amounts are the most the plan pays, as listed in CMS benefit files.
Compared with 2026
Compared with Passport Advantage (HMO D-SNP) (H1799-003-2), the 2026 plan.
| Item | 2026 | 2027 |
|---|---|---|
| Monthly premium | $29.40 | $17 |
| Most you pay in-network (MOOP) | $9,250 | $9,850 |
| Drug deductible | $615 | $700 |
| Overall star rating | 3.5 out of 5 | 3.5 out of 5 |
Service area
Kentucky (66)
Adair County, Anderson County, Barren County, Bath County, Bourbon County, Boyle County, Bracken County, Breathitt County, Breckinridge County, Butler County, Carroll County, Carter County, Casey County, Clark County, Cumberland County, Edmonson County, Elliott County, Estill County, Fayette County, Fleming County, Franklin County, Gallatin County, Garrard County, Grant County, Grayson County, Green County, Hancock County, Harrison County, Hart County, Jackson County, Jessamine County, Larue County, Lawrence County, Lee County, Lewis County, Lincoln County, Madison County, Magoffin County, Marion County, McLean County, Menifee County, Mercer County, Metcalfe County, Monroe County, Montgomery County, Morgan County, Nicholas County, Ohio County, Owen County, Owsley County, Pendleton County, Powell County, Pulaski County, Robertson County, Rockcastle County, Rowan County, Russell County, Scott County, Taylor County, Trimble County, Union County, Washington County, Wayne County, Webster County, Wolfe County, Woodford County
Data used on this page
- CMS CY2027 Landscape Source File, November 2026 release (202611)
- CMS CY2027 plan benefit files and the Medicare Plan Finder benefit summary file dated October 15, 2026
- 2027 Star Ratings data tables dated October 8, 2026
- Summary of Benefits files collected from plan company websites, October 28 to November 11, 2026
- How we build these pages