In-network
Inpatient hospital
Out-of-network
Not separately reported
Point of service
Not separately reported
$0 cost share
● CMS 2027 plan record
MAHP North Iowa Senior Plan (Cost)
Choose and order benefitsSelections are saved only on this device.
Emergency transport
Ambulance
Ground · in-network$0 cost share
Air · in-network$0 cost share
Emergency services
Emergency room
$0 cost share
Medical maximum
Maximum out-of-pocket
In-networkNo in-network out-of-pocket maximum
Combined in + outNot reported
Skilled care at home
Home health
In-network$0 cost share
Out-of-networkNot separately reported
Monthly cost
Premium & giveback
Part C premium$200 / month
Consolidated C + DNot reported
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Primary care physician
In: Primary Care Physician Services: $0 cost share · Out: Not separately reported
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Specialist
In: Physician Specialist Services: $0 cost share · Out: Not separately reported
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Preventive care
In: Annual Physical Exam: $0 cost share; Kidney Disease Education Services: $0 cost share; Glaucoma Screening: $0 cost share; Diabetes Self-Management Training: $0 cost share; Digital Rectal Exams: $0 cost share; EKG following Welcome Visit: $0 cost share · Out: Not separately reported
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Diagnostic procedures & tests
In: Diagnostic Procedures/Tests: $0 cost share · Out: Not separately reported
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Laboratory services
In: Lab Services: $0 cost share · Out: Not separately reported
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X-rays & standard imaging
In: Outpatient X-Ray Services: $0 cost share · Out: Not separately reported
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MRI, CT & PET imaging
In: Diagnostic Radiological Services: $0 cost share · Out: Not separately reported
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Urgent care
In: Urgently Needed Services: $0 cost share · Out: Not separately reported
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Emergency room
In: $0 cost share · Out: Not separately reported
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Ground ambulance
In: $0 cost share · Out: Not separately reported
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Air ambulance
In: $0 cost share · Out: Not separately reported
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Outpatient hospital
In: Outpatient Hospital Services: $0 cost share; Observation Services: $0 cost share · Out: Not separately reported
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Outpatient surgery / ASC
In: Ambulatory Surgical Center (ASC) Services: $0 cost share · Out: Not separately reported
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Home health
In: $0 cost share · Out: Not separately reported
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Skilled nursing facility
In: Skilled nursing facility: $0 cost share · Out: Not separately reported
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Cardiac & pulmonary rehabilitation
In: Cardiac Rehabilitation Services: $0 cost share; Intensive Cardiac Rehabilitation Services: $0 cost share; Pulmonary Rehabilitation Services: $0 cost share; SET for PAD Services: $0 cost share; 3-1(NMC): Not applicable; 3-2(NMC): Not applicable; 3-3(NMC): Not applicable; 3-4(NMC): Not applicable · Out: Not separately reported
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Occupational therapy
In: Occupational Therapy Services: $0 cost share · Out: Not separately reported
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Physical & speech therapy
In: Physical Therapy and Speech-Language Pathology Services: $0 cost share · Out: Not separately reported
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Mental health services
In: Partial Hospitalization Program: $0 cost share; Individual Sessions for Mental Health Specialty Services: $0 cost share; Group Sessions for Mental Health Specialty Services: $0 cost share; Individual Sessions for Psychiatric Services: $0 cost share; Group Sessions for Psychiatric Services: $0 cost share; Inpatient psychiatric hospital: $0 cost share · Out: Not separately reported
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Substance use treatment
In: Intensive Outpatient Program Services: $0 cost share; Individual Sessions for Outpatient Substance Abuse: $0 cost share; Group Sessions for Outpatient Substance Abuse: $0 cost share · Out: Not separately reported
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Podiatry
In: Podiatry Services: $0 cost share; 7f(NMC): $0 cost share · Out: Not separately reported
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Chiropractic
In: Chiropractic Services: $0 cost share · Out: Not separately reported
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Dental
In: Medicare Dental Services: $0 cost share · Out: Not separately reported
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Vision
In: Eye Exams: $0 cost share; Routine Eye Exams: $0 cost share; Other Eye Exam Services: Not applicable; Eyewear: $0 cost share; Contact Lenses: Not applicable; Eyeglasses (lenses and frames): Not applicable; Eyeglass lenses: Not applicable; Eyeglass frames: Not applicable; Upgrades: Not applicable · Out: Not separately reported
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Hearing
In: Hearing Exams: $0 cost share; Routine Hearing Exams: Not applicable; Fitting/Evaluation for Hearing Aid: Not applicable; Prescription Hearing Aids (all types): Not applicable; Prescription Hearing Aids - Inner Ear: Not applicable; Prescription Hearing Aids - Outer Ear: Not applicable; Prescription Hearing Aids - Over the Ear: Not applicable · Out: Not separately reported
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Transportation
In: 10b(NMC): Not applicable · Out: Not separately reported
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Fitness & wellness
In: Fitness Benefit: Not applicable · Out: Not separately reported
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Over-the-counter allowance
In: Over-the-Counter (OTC) Items: Not applicable · Out: Not separately reported
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Meals
In: Meal Benefit: Not applicable · Out: Not separately reported
Plan details
All plan benefits
No benefits match that search.
Medical care3 benefits
Primary care physician
In-networkPrimary Care Physician Services: $0 cost share
Out-of-networkNot separately reported
Specialist
In-networkPhysician Specialist Services: $0 cost share
Out-of-networkNot separately reported
Preventive care
In-networkAnnual Physical Exam: $0 cost share; Kidney Disease Education Services: $0 cost share; Glaucoma Screening: $0 cost share; Diabetes Self-Management Training: $0 cost share; Digital Rectal Exams: $0 cost share; EKG following Welcome Visit: $0 cost share
Out-of-networkNot separately reported
Diagnostics & imaging4 benefits
Diagnostic procedures & tests
In-networkDiagnostic Procedures/Tests: $0 cost share
Out-of-networkNot separately reported
Laboratory services
In-networkLab Services: $0 cost share
Out-of-networkNot separately reported
X-rays & standard imaging
In-networkOutpatient X-Ray Services: $0 cost share
Out-of-networkNot separately reported
MRI, CT & PET imaging
In-networkDiagnostic Radiological Services: $0 cost share
Out-of-networkNot separately reported
Urgent & hospital care6 benefits
Urgent care
In-networkUrgently Needed Services: $0 cost share
Out-of-networkNot separately reported
Emergency room
In-network$0 cost share
Out-of-networkNot separately reported
Ground ambulance
In-network$0 cost share
Out-of-networkNot separately reported
Air ambulance
In-network$0 cost share
Out-of-networkNot separately reported
Outpatient hospital
In-networkOutpatient Hospital Services: $0 cost share; Observation Services: $0 cost share
Out-of-networkNot separately reported
Outpatient surgery / ASC
In-networkAmbulatory Surgical Center (ASC) Services: $0 cost share
Out-of-networkNot separately reported
Recovery & therapy5 benefits
Home health
In-network$0 cost share
Out-of-networkNot separately reported
Skilled nursing facility
In-networkSkilled nursing facility: $0 cost share
Out-of-networkNot separately reported
Cardiac & pulmonary rehabilitation
In-networkCardiac Rehabilitation Services: $0 cost share; Intensive Cardiac Rehabilitation Services: $0 cost share; Pulmonary Rehabilitation Services: $0 cost share; SET for PAD Services: $0 cost share; 3-1(NMC): Not applicable; 3-2(NMC): Not applicable; 3-3(NMC): Not applicable; 3-4(NMC): Not applicable
Out-of-networkNot separately reported
Occupational therapy
In-networkOccupational Therapy Services: $0 cost share
Out-of-networkNot separately reported
Physical & speech therapy
In-networkPhysical Therapy and Speech-Language Pathology Services: $0 cost share
Out-of-networkNot separately reported
Behavioral health2 benefits
Mental health services
In-networkPartial Hospitalization Program: $0 cost share; Individual Sessions for Mental Health Specialty Services: $0 cost share; Group Sessions for Mental Health Specialty Services: $0 cost share; Individual Sessions for Psychiatric Services: $0 cost share; Group Sessions for Psychiatric Services: $0 cost share; Inpatient psychiatric hospital: $0 cost share
Out-of-networkNot separately reported
Substance use treatment
In-networkIntensive Outpatient Program Services: $0 cost share; Individual Sessions for Outpatient Substance Abuse: $0 cost share; Group Sessions for Outpatient Substance Abuse: $0 cost share
Out-of-networkNot separately reported
Specialty care2 benefits
Podiatry
In-networkPodiatry Services: $0 cost share; 7f(NMC): $0 cost share
Out-of-networkNot separately reported
Chiropractic
In-networkChiropractic Services: $0 cost share
Out-of-networkNot separately reported
Supplemental benefits7 benefits
Dental
In-networkMedicare Dental Services: $0 cost share
Out-of-networkNot separately reported
Vision
In-networkEye Exams: $0 cost share; Routine Eye Exams: $0 cost share; Other Eye Exam Services: Not applicable; Eyewear: $0 cost share; Contact Lenses: Not applicable; Eyeglasses (lenses and frames): Not applicable; Eyeglass lenses: Not applicable; Eyeglass frames: Not applicable; Upgrades: Not applicable
Out-of-networkNot separately reported
Hearing
In-networkHearing Exams: $0 cost share; Routine Hearing Exams: Not applicable; Fitting/Evaluation for Hearing Aid: Not applicable; Prescription Hearing Aids (all types): Not applicable; Prescription Hearing Aids - Inner Ear: Not applicable; Prescription Hearing Aids - Outer Ear: Not applicable; Prescription Hearing Aids - Over the Ear: Not applicable
Out-of-networkNot separately reported
Transportation
Not applicableIn-network10b(NMC): Not applicable
Out-of-networkNot separately reported
Fitness & wellness
Not applicableIn-networkFitness Benefit: Not applicable
Out-of-networkNot separately reported
Over-the-counter allowance
Not applicableIn-networkOver-the-Counter (OTC) Items: Not applicable
Out-of-networkNot separately reported
Meals
Not applicableIn-networkMeal Benefit: Not applicable
Out-of-networkNot separately reported
Plan costs & rulesCoverage overview
Premium & Part B giveback
$200 Part C premium / month · Part B giveback not separately reported
Maximum out-of-pocket (MOOP)
In-networkNo in-network out-of-pocket maximum
Combined in + outNot reported
Medical deductibles
In-network$0
Out-of-networkNot reported
Annual health deductible
Not separately reported
Combined network deductible
Not separately reported
Part D premium
Not reported
Network & referrals
1876 Cost · Referrals: Not required · Out-of-network coverage: Not reported
Prescription drugs0 tiers
Part D deductible
Not reported
Using this plan
Understand H1651-015-000
Plain-language context built from this plan’s 2027 CMS record. It is a guide to the reported benefits, not a personalized cost estimate.
Plan at a glance
A quick read on this plan
MAHP North Iowa Senior Plan (Cost) is a 2027 1876 Cost offered by Medical Associates Health Plan, Inc. in North Iowa. The plan record does not require referrals.
Common benefit costs
What you may pay
These are individual in-network benefit amounts. A real visit may involve more than one separately billed service.
Routine care
- Primary care physician
- Primary Care Physician Services: $0 cost share
- Specialist
- Physician Specialist Services: $0 cost share
- Laboratory services
- Lab Services: $0 cost share
Separate visits or services; costs are not added together.
Tests & outpatient care
- Diagnostic procedures & tests
- Diagnostic Procedures/Tests: $0 cost share
- MRI, CT & PET imaging
- Diagnostic Radiological Services: $0 cost share
- Outpatient hospital
- Outpatient Hospital Services: $0 cost share; Observation Services: $0 cost share
The service setting and billing details can change what you pay.
Emergency & hospital care
- Emergency room
- $0 copay
Actual costs depend on the care received and plan rules.
Helpful context
Terms worth knowing
Maximum out-of-pocket (MOOP)
This is the most you generally pay during the plan year for covered Part A and Part B medical services under the applicable network limit. Premiums and prescription drug costs generally do not count toward it.
Availability
Who can enroll
- Service area
- North Iowa (IA)
- Plan type
- 1876 Cost
- Contract / plan
- H1651-015
- Coverage year
- 2027
Enrollment generally requires Medicare eligibility and residence in the plan's service area. Confirm eligibility and the exact service area with the plan before enrolling.
Supplemental coverage
Extra benefits reported
Availability is summarized here; allowances, frequency limits, networks, and prior-authorization rules may apply.
DentalMedicare Dental Services: $0 cost share
VisionEye Exams: $0 cost share; Routine Eye Exams: $0 cost share; Other Eye Exam Services: Not applicable; Eyewear: $0 cost share; Contact Lenses: Not applicable; Eyeglasses (lenses and frames): Not applicable; Eyeglass lenses: Not applicable; Eyeglass frames: Not applicable; Upgrades: Not applicable
HearingHearing Exams: $0 cost share; Routine Hearing Exams: Not applicable; Fitting/Evaluation for Hearing Aid: Not applicable; Prescription Hearing Aids (all types): Not applicable; Prescription Hearing Aids - Inner Ear: Not applicable; Prescription Hearing Aids - Outer Ear: Not applicable; Prescription Hearing Aids - Over the Ear: Not applicable
Plan-specific answers
Frequently asked questions
Where is H1651-015-000 available?
MAHP North Iowa Senior Plan (Cost) is listed for North Iowa (IA). Enrollment generally requires Medicare eligibility and residence in the plan's service area.
What is the monthly plan premium for H1651-015-000?
The listed Part C premium is $200 per month. This does not replace the standard Medicare Part B premium.
What does an emergency room visit cost on H1651-015-000?
The plan record lists $0 copay.
Does H1651-015-000 report extra benefits?
Yes. CMS reports dental, vision, hearing. See the detailed benefit rows and official plan documents for limits and conditions.
Source trail
Official CMS, Contract Year 2027
Plan identity and benefits come from CMS PBP data. Benefits and drug cost sharing come from the approved annual PBP tabular extract and its CMS dictionary. Premiums and drug deductibles are cross-checked with the annual Landscape. Geography comes from annual PlanArea and PlanRegionArea records, including exact segments and partial-county or employer/group qualifiers. Quick-reference values should be confirmed in current official plan documents.
Plan context
Where H1651-015-000 fits
- Full CMS plan ID
H1651-015-000- Contract
H1651- Base plan code
H1651-015- Segment
000- Carrier
- Medical Associates Health Plan, Inc.
- Plan type
- 1876 Cost
- Service area
- North Iowa (IA)
County/service-area foundation
CMS service-area entries
Service areas come from the annual CMS PlanArea and PlanRegionArea tables for this exact contract, plan, and segment. Partial-county and employer/group qualifiers remain part of the coverage area. Regional PPO county entries use the matching annual Landscape expansion of the CMS region.
- Cerro Gordo, IA
- Floyd, IA
- Hancock, IA
- Kossuth, IA
- Worth, IA
Exact county navigation
Counties with exact segment geography
These links are limited to named counties tied to this exact medical plan segment. Partial-county entries remain labeled for verification.
Show 5 county links
About this code
What H1651-015-000 identifies
H1651-015-000 is a Contract Year 2027 Medicare plan segment code. Searches written as H1651-015, H1651 015, or the compact full CMS ID H1651015000 refer to this plan or its base plan code.
Medicare Plan Lookup uses official CMS data as a quick reference. Benefit details, eligibility, service-area rules, and cost sharing should be confirmed in the current Summary of Benefits or Evidence of Coverage.