Select your County to view details for Essence Advantage (HMO) specific to your location


Overview of Essence Advantage (HMO) in Kentucky

by Essence Healthcare

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 5.0
out of 5 stars

Variations of Essence Advantage (HMO) Within Kentucky

Essence Advantage (HMO) is available in 28 Kentucky Counties. Pricing and benefit details can vary by location. Each variation of Essence Advantage (HMO) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of Essence Advantage (HMO) in Kentucky is listed below:

Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$3,650 In-network

Available in Counties: Boone, Bracken, Campbell, Gallatin, Grant, Kenton, Pendleton
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$3,350 In-network

Available in Counties: Anderson, Bourbon, Bullitt, Carroll, Clark, Fayette, Harrison, Henry, Jefferson, Larue, Meade, Mercer, Nelson, Oldham, Owen, Robertson, Shelby, Spencer, Trimble, Washington, Woodford

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, Essence Advantage (HMO) received an overall government quality rating of 5.0 stars out of 5 stars.

Essence Advantage (HMO) performed better than Kentucky’s State average overall quality score of 4.0 stars.

This Plan’s 5-star Gov’t Quality Score
Kentucky State Average Score
Overall Government 5 Star Quality Rating
 5.0
 4.0
Summary rating of health plan quality
 4.5
 4.0
Staying healthy: screenings, tests, & vaccines
 5
 3.3
Managing chronic (long term) conditions
 4
 3.4
Member experience with health plan
 5
 3.9
Member complaints & changes in the health plan's performance
 4
 4.0
Health plan customer service
 4
 4.5
Summary rating of drug plan quality
 4.5
 3.7
Drug plan customer service
 4
 4.4
Member complaints & changes in the drug plan's performance
 4
 4.0
Member experience with the drug plan
 5
 4.0
Drug safety & accuracy of drug pricing
 4
 3.1

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

Essence Advantage (HMO) received 4.5 stars for its health plan quality score which is better than the Kentucky State average health plan quality score of 4.0 stars.

Essence Advantage (HMO) received 4.5 stars for its drug plan quality score which is better than the Kentucky State average drug plan quality score of 3.7 stars.


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