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Medicare Advantage · HMO
Prominence Health Plan
Plan year 2027

Prominence Silver Peak H5945-035 (HMO)

Monthly premium
$79
+ your Part B premium
Max out-of-pocket
$6,100
in-network annual cap
Primary care
$0
per visit copay
Specialist
$35–$55
per visit

Your costs at a glanceIn-network, for the 2027 plan year

Medical deductible
$500
Rx deductible
$700
Inpatient hospital
$250
/day
days 1–6, then $0
Outpatient surgery
$250
–$450
Emergency room
$130
Urgent care
$25

What's included, and what it's actually worth7 benefits included. Tap any card for the detail

Dental

$1,500/yr preventive dental allowance
Details$1,500/yr preventive dental allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Hearing

$500/yr hearing aid allowance
Hearing aid allowance$500/yr hearing aid allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Vision

$150/yr eyewear allowance
Eyewear allowance$150/yr eyewear allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.

OTC allowance

$25/quarter OTC allowance
Prepaid card$25/quarter OTC allowance
See more details about this plan
Doctor Visits: PCP$0 copay
In-network$0 copay per visit
Doctor Visits: Specialist$35–$55
In-network$35–$55 per visit
Inpatient Hospital$250/day, days 1–6
In-network$250/day for days 1-6, $0/day for days 7-90
Outpatient Surgery$250–$450
In-network$250–$450 per procedure
Fitness$0 fitness benefit
Transportation24 one-way trips/year
Trips per year24 one-way trips/year
MealsMeal benefit

Your coverageCheck your coverageFrom the doctors and prescriptions you added

Our take

Where this plan shines

See your primary doctor for $0.

Things to know before you enroll

This plan’s out-of-pocket maximum is above the national median.
Network restriction — you’ll need to use in-network providers except in emergencies.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Plan questions

Common questions about Prominence Silver Peak (HMO)

What does Prominence Silver Peak (HMO) cover?

Prominence Silver Peak (HMO) is a Medicare Advantage plan that the current plan record identifies as including Part D prescription drug coverage. The plan record also identifies Part D prescription drug coverage. Published supplemental benefits include dental ($1,500/yr preventive dental allowance), vision ($150/yr eyewear allowance), hearing ($500/yr hearing aid allowance), and over-the-counter (OTC) ($25/quarter OTC allowance). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does Prominence Silver Peak (HMO) cost in 2027?

The published 2027 monthly plan premium for Prominence Silver Peak (HMO) is $79. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $500. The listed Part D deductible is $700. The in-network medical out-of-pocket maximum is $6,100; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $35–$55. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with Prominence Silver Peak (HMO)?

CMS lists Prominence Silver Peak (HMO) as a HMO plan. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.

Check your doctors

Does Prominence Silver Peak (HMO) cover my prescriptions?

The current plan record for Prominence Silver Peak (HMO) does not include tier-level formulary costs. The listed Part D deductible is $700. A tier listing does not confirm that a specific prescription is covered. Check each medication against the plan's current formulary, restrictions, pharmacy network, and costs before enrolling.

Check your prescriptions

What dental, vision, and hearing benefits does Prominence Silver Peak (HMO) include?

The current plan record for Prominence Silver Peak (HMO) lists dental ($1,500/yr preventive dental allowance), vision ($150/yr eyewear allowance), and hearing ($500/yr hearing aid allowance). It also lists over-the-counter (OTC) ($25/quarter OTC allowance). Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.

When can I enroll in Prominence Silver Peak (HMO)?

Prominence Silver Peak (HMO) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.

Review Medicare enrollment periods

More plan options

Browse the full 2027 Medicare Advantage with drug coverage directory. This plan is offered in Nevada. Plan availability can vary by county.

Helpful next steps

Prominence Silver Peak H5945-035 (HMO) — 2027 Costs & Benefits