MyAdvocate Medicare Advantage GOLD (HMO-POS)

Nebraska Medicare Advantage Plan (2026 Plan)

Monthly Premium

Your Cost

$69

by MyAdvocate Medicare Advantage

Additional Coverage

HearingVisionDental

Overall Government Star Rating

(coming soon)

Ready to Enroll Online?

Plan Name

MyAdvocate Medicare Advantage GOLD (HMO-POS)

Insurance Carrier

MyAdvocate Medicare Advantage

Plan Type

Medicare Advantage Plan With Part D Prescription Drug Coverage

Network Type

HMO

MyAdvocate Medicare Advantage GOLD (HMO-POS) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Nebraska and offered by the health insurance company MyAdvocate Medicare Advantage. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.

Monthly Premium

$69

Annual Deductible

Max Out-of-Pocket

$3,500

Primary doctor visit

$0 copay

Specialist visit

$35 copay

ER visit

$120 copay

Ambulance

$275 copay

MyAdvocate Medicare Advantage GOLD (HMO-POS) has a monthly premium cost of $69 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $6,200 In and Out-of-network $3,500 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for MyAdvocate Medicare Advantage GOLD (HMO-POS) are defined below.

Yes

Part D Prescription Drug Coverage

Yes

Dental

Yes

Vision

Yes

Hearing

MyAdvocate Medicare Advantage GOLD (HMO-POS) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. MyAdvocate Medicare Advantage GOLD (HMO-POS) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. MyAdvocate Medicare Advantage GOLD (HMO-POS) includes coverage for the following additional benefits:

Other benefits

Fitness benefit

Limited coverage

Over the counter drug benefits

Limited coverage

In-home support services

Not covered

Home and bathroom safety devices

Not covered

Meals for short duration

Not covered

Annual physical exams

Limited coverage

Telehealth

Limited coverage

Monthly Premium

$69

Health Portion of Premium

$10

Drug Portion of Premium

$59

Health Plan Deductible

Health Plan Max Out-of-Pocket

$6,200 In and Out-of-network
$3,500 In-network

Nationwide Coverage included

Hearing Coverage included

Yes

Vision Coverage included

Yes

Dental Coverage included

Yes

Doctor Lookup Link

https://www.myadvocatema.com/doctors-and-pharmacies/doctors

Plan Link

http://www.MyAdvocateMA.com

Doctor Services

Primary doctor visit

In-network: $0 copay
Out-of-network: $25 copay

Specialist visit

In-network: $35 copay
Out-of-network: $50 copay

Tests, labs, & imaging

Diagnostic tests & procedures

In-network: $25 copay
Out-of-network: $45 copay

Lab services

In-network: $0 copay
Out-of-network: $20 copay

Diagnostic radiology services (like MRI)

In-network: $25-$175 copay
Out-of-network: $55-$225 copay

Outpatient x-rays

In-network: $20 copay
Out-of-network: $50 copay

Emergency care

$120 copay

Urgent care

$35 copay

Hospital Services

Inpatient hospital coverage

In-network:
  Tier 1
  $390 per day for days 1-4
  $0 per day for days 5-90
  $0 per stay
Out-of-network:
  $450 per day for days 1-6
  $0 per day for days 7-90
  $0 per stay

Outpatient hospital coverage

In-network: $350 copay
Out-of-network: 20% coinsurance

Skilled nursing facility

In-network:
  Tier 1
  $0 per day for days 1-20
  $196 per day for days 21-100
Out-of-network:
  $0 per day for days 1-20
  $209.5 per day for days 21-100

Preventive services

In-network: $0 copay
Out-of-network: $0 copay

Ambulance

Ground ambulance

In-network: $275 copay
Out-of-network: $275 copay

Therapy services

Occupational therapy visit

In-network: $35 copay
Out-of-network: $45 copay

Physical therapy & speech & language therapy visit

In-network: $25 copay
Out-of-network: $45 copay

Mental health services

Outpatient group therapy with a psychiatrist

In-network: $30 copay
Out-of-network: $45 copay

Outpatient individual therapy with a psychiatrist

In-network: $30 copay
Out-of-network: $45 copay

Outpatient group therapy visit

In-network: $25 copay
Out-of-network: $45 copay

Outpatient individual therapy visit

In-network: $25 copay
Out-of-network: $45 copay

Opioid treatment services

Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)

In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Prosthetics (like braces, artificial limbs)

In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Diabetes supplies

In-network: $0 copay
Out-of-network: $0 copay

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Tiers	Initial coverage phase	Catastrophic coverage phase
Preferred Generic	$0.00 copay	$0 copay
Generic	$14.00 copay	$0 copay
Preferred Brand	$47.00 copay	$0 copay
Non-Preferred Drug	50% coinsurance	$0 copay
Specialty Tier	30% coinsurance	$0 copay

Part B Drugs

Chemotherapy drugs

In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Other Part B drugs

In-network: 0%-20% coinsurance
Out-of-network: 0%-20% coinsurance

Hearing

Hearing exam

In-network: $0 copay
Out-of-network: $0 copay

Fitting/evaluation

In-network: $0 copay
Out-of-network: $0 copay

Hearing aids - prescription

In-network: $295-$1495 copay
Out-of-network: $295-$1495 copay

Hearing aids - over the counter

Not covered

Preventive Dental

Oral exam

In-network: $0 copay
Out-of-network: 0%-50% coinsurance

Cleaning

In-network: $0 copay
Out-of-network: 0%-50% coinsurance

Fluoride treatment

Not covered

Dental x-rays

In-network: $0 copay
Out-of-network: 0%-50% coinsurance

Comprehensive dental

Restorative services

In-network: 50% coinsurance
Out-of-network: 0%-50% coinsurance

Endodontics

In-network: 50% coinsurance
Out-of-network: 0%-50% coinsurance

Periodontics

In-network: 0%-50% coinsurance
Out-of-network: 0%-50% coinsurance

Prosthodontics, removable

In-network: 50% coinsurance
Out-of-network: 0%-50% coinsurance

Prosthodontics, fixed

In-network: 50% coinsurance
Out-of-network: 0%-50% coinsurance

Maxillofacial prosthetics

Not covered

Implant services

In-network: 50% coinsurance
Out-of-network: 0%-50% coinsurance

Oral and maxillofacial surgery

In-network: 50% coinsurance
Out-of-network: 0%-50% coinsurance

Orthodontics

Not covered

Adjunctive general services

In-network: 20%-50% coinsurance
Out-of-network: 0%-50% coinsurance

Vision

Routine eye exam

In-network: $0 copay
Out-of-network: $0 copay

Contact lenses

In-network: $0 copay
Out-of-network: $0 copay

Eyeglasses (frames & lenses)

Not covered

Eyeglass frames (only)

In-network: $0 copay
Out-of-network: $0 copay

Eyeglass lenses (only)

In-network: $0 copay
Out-of-network: $0 copay

Upgrades

Not covered

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MyAdvocate Medicare Advantage GOLD (HMO-POS)

Monthly Premium

Additional Coverage

Overall Government Star Rating

Ready to Enroll Online?

Plan Overview

Cost Summary

Additional Benefits and Coverage

Other benefits

Plan Benefits and Coverage Details

Medical Benefits

Doctor Services

Tests, labs, & imaging

Hospital Services

Skilled nursing facility

Preventive services

Ambulance

Therapy services

Mental health services

Opioid treatment services

Other services

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

Extra Benefits

Hearing

Preventive Dental

Comprehensive dental

Vision

When Can I Sign Up for Medicare?

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