El Paso Health Total (HMO) H3407-002-0 Plan Details
El Paso Health Total (HMO) H3407-002-0 Plan Details
When selecting a Medicare Advantage plan for 2026, it's important to compare all your options. El Paso Health Total (HMO) is among the plans you can review side-by-side with others, ensuring you find the coverage that suits your needs. You can easily enroll online or reach out to a licensed agent for personalized guidance.
Based on the most recent CMS data, plan enrollments topped 0 members.
El Paso Health Total Overview
| Plan ID H3407-002-0 Overview | |
|---|---|
| Health Plan ID: | H3407-002-0 |
| Medicare Advantage Plan Type: | HMO |
| Plan Year: | 2026 |
| Monthly Premium: | $0.00 Plus your Medicare Part B premium. |
| Health Plan Deductible: | Coming soon |
| Annual Out-of-Pocket Maximum: | $4000.00 (In-Network) |
| Part B Give Back: | Coming soon |
| Part D Drug Plan Benefit: | Enhanced, $425.00 deductible |
| Additional Benefits: | None |
| Availability: | See List |
| Insured By: | El Paso Health Medicare Advantage |
Plan Availability
El Paso Health Total (H3407-002-0) is available in the following locations (click to open):
Why Choose El Paso Health Total?
This Medicare Advantage Prescription Drug (MAPD) HMO plan delivers comprehensive coverage, including hospital care, medical services, and prescription drugs — all under one roof. With a monthly premium of $0.00, you’ll get the core benefits of Medicare Part A and Part B, plus drug coverage to manage ongoing prescriptions. The annual Part D deductible is $425.00. Like most HMO plans, you’ll be asked to use in-network providers unless it’s an emergency.
Primary care visits have a Coming soon, specialist visits come with a Coming soon, urgent care services carry a Coming soon, and ambulance transportation is Coming soon. These costs all apply toward the plan’s annual maximum out-of-pocket (MOOP) limit of $4000.00. Once you hit that threshold, in-network services are fully covered for the rest of the year — helping you plan your healthcare spending with confidence.
CMS recognizes this plan as H3407-002-0. You’ll find a summary of its cost sharing below, including what you can expect to pay for primary care, specialists, urgent care, and more. Still have questions? Check the FAQ section for more details.
| We're Here to Help You Enroll |
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Out-of-Pocket Costs
El Paso Health Total includes cost-sharing, which refers to the out-of-pocket expenses you'll incur when accessing approved healthcare services. The table below outlines the most common in-network out-of-pocket costs for plan H3407-002-0.
Find out the costs for visiting your primary care doctor and specialists, as well as coverage for wellness and preventive programs.
| Service | Enrollee Cost (in-network) |
|---|---|
| Primary: | Coming soon |
| Specialist: | Coming soon |
Medicare Advantage plans often include preventive and wellness benefits designed to help members stay healthy, identify risks early, and maintain an active lifestyle.
| Service | Enrollee Cost (in-network) |
|---|---|
| Annual wellness exam: | Coming soon |
| Telehealth benefit: | Coming soon |
| Routine chiropractic: | Coming soon |
| Fitness benefits: | Coming soon |
| Health education: | Coming soon |
| Counseling services: | Coming soon |
| Over the counter drug benefits: | Coming soon |
| Health transportation (non-emergency): | Coming soon |
Review the costs for emergency services, urgent care, ambulance services, inpatient hospital stays, and skilled nursing facility care.
| Service | Enrollee Cost |
|---|---|
| Emergency room care: | Coming soon |
| Wordwide emergency care: | Coming soon |
| Urgent care: | Coming soon |
| Inpatient hospital care: | Coming soon |
| Skilled Nursing Facility: | Coming soon |
| Ground ambulance: | Coming soon |
This section explains the costs for mental health services, including individual and group therapy, and inpatient care.
| Service | Enrollee Cost (in-network) |
|---|---|
| Outpatient individual therapy: | Coming soon |
| Outpatient group therapy: | Coming soon |
| Inpatient psychiatric hospital care: | Coming soon |
See the cost details for rehabilitation services, including physical therapy, speech therapy, and occupational therapy.
| Service | Enrollee Cost (in-network) |
|---|---|
| Physical therapy and speech and language therapy: | Coming soon |
| Occupational therapy: | Coming soon |
Learn about the costs associated with medical equipment and supplies, including diabetes supplies, durable medical equipment, and prosthetics.
| Service | Enrollee Cost (in-network) |
|---|---|
| Diabetes supplies: | Coming soon |
| Durable medical equipment: | Coming soon |
| Prosthetics: | Coming soon |
This section outlines the costs for diagnostic services, lab tests, x-rays, and other imaging services.
| Service | Enrollee Cost (in-network) |
|---|---|
| Diagnostic radiology services: | Coming soon |
| Lab services: | Coming soon |
| Outpatient x-rays: | Coming soon |
| Diagnostic tests and procedures: | Coming soon |
Review the cost-sharing details for chemotherapy and other Medicare Part B-covered drugs.
| Service | Enrollee Cost (in-network) |
|---|---|
| Chemotherapy: | Coming soon |
| Other Part B drugs (Medicare-covered): | Coming soon |
This section details the dental services covered under your plan including Medicare-covered preventive dental, oral exams, x-rays, dental cleanings, and comprehensive dental.
| Service | Member Cost (in-network) |
|---|---|
| Oral exam: | Coming soon |
| Dental x-rays: | Coming soon |
| Cleaning: | Coming soon |
| Periodontics: | Coming soon |
| Endodontics: | Coming soon |
| Restorative services: | Coming soon |
| Implant services: | Coming soon |
| Orthodontics: | Coming soon |
| Oral/Maxillofacial surgery: | Coming soon |
This section outlines the coverage for hearing-related services, including exams, fittings, and hearing aids.
| Service | Member Cost (in-network) |
|---|---|
| Hearing exam: | Coming soon |
| Fitting/evaluation: | Coming soon |
| Prescription hearing aids: | Coming soon |
| OTC hearing aids: | Coming soon |
Learn about the costs for vision-related services, including eye exams, eyeglasses, and contact lenses.
| Service | Member Cost (in-network) |
|---|---|
| Routine eye exam: | Coming soon |
| Contact lenses: | Coming soon |
| Eyeglass frames only: | Coming soon |
| Eyeglass lenses only: | Coming soon |
| Eyeglasses (frames & lenses): | Coming soon |
| Upgrades: | Coming soon |
Medicare Advantage plans may include extra benefits and special needs services designed to support members with chronic conditions, mobility limitations, or other complex health needs.
| Service | Enrollee Cost (in-network) |
|---|---|
| Adult day health services: | Coming soon |
| Home based palliative care: | Coming soon |
| Personal emergency response system: | Coming soon |
| Weight management programs: | Coming soon |
| 'Wigs for chemotherapy hair loss: | Coming soon |
| Alternative therapies: | Coming soon |
| Massage therapy: | Coming soon |
| Home/bathroom safety devices: | Coming soon |
Certain preventive services are covered 100% by El Paso Health Total as a Part B benefit.
Part D Prescription Drug Costs & Benefits
El Paso Health Total includes an enhanced benefit Medicare Part D plan (PDP), which offers greater coverage than basic plans. An enhanced benefit plan has a higher actuarial value, meaning it covers a larger percentage of your healthcare costs.
Part D Plan Premium
The Part D prescription drug plan premium is included in your overall Medicare Advantage plan cost. However, additional expenses or subsidies may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help. LIS, provided by Social Security, helps those with limited income and resources to lower or eliminate Part D costs. LIS benefits are not part of Medicare Advantage coverage.
| Basic Part D Premium: | $0.00 |
|---|---|
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $4.82 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program.
Prescription Drug Plan Deductible
This plan has a $425.00 annual Part D deductible. You'll pay this deductible at the pharmacy before El Paso Health Medicare Advantage starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, El Paso Health Total may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Cost data not available. | ||
| *Deductible does not apply. | ||
CMS 5-Star Rating Overview
Each year, the Centers for Medicare & Medicaid Services (CMS) evaluates health and drug plans using a comprehensive 5-star rating system. These ratings offer valuable insights into the quality of care, member satisfaction, and overall plan performance.
When selecting a Medicare Advantage plan, looking at the star ratings can help you gauge how well a plan might meet your healthcare needs, making it easier to choose a plan with confidence.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | Not enough data available |
| Managing Chronic (Long Term) Conditions | Not enough data available |
| Member Experience with Health Plan | Not enough data available |
| Complaints and Changes in Plans Performance | Not enough data available |
| Health Plan Customer Service | Not enough data available |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | Not enough data available |
| Member Experience with the Drug Plan | Not enough data available |
| Drug Safety and Accuracy of Drug Pricing |
If you are new to Medicare or Medicare Advantage plans, the following information will help you understand the enrollment process and restrictions.
Eligibility Requirements for El Paso Health Total
To enroll in El Paso Health Total, you must meet the following criteria:
- Be eligible for Medicare Part A and Part B.
- Reside in the plan’s service area.
If you meet these requirements, you are eligible to enroll in El Paso Health Total and benefit from its comprehensive coverage options.
Enrollment Periods for El Paso Health Total
Knowing when you can enroll in El Paso Health Total is essential. Here are the main enrollment periods:
- Initial Enrollment Period (IEP): Your IEP starts three months before your 65th birthday and ends three months after, giving you a seven-month window to enroll in Medicare.
- Annual Enrollment Period (AEP): The AEP, from October 15 to December 7, allows you to make changes to your Medicare Advantage plan if you are currently enrolled in a Medicare Advantage plan.
- Medicare Advantage Open Enrollment Period (MA OEP): Running from January 1 to March 31, the MA OEP lets you switch plans or return to Original Medicare if you are currently enrolled in a Medicare Advantage plan.
- Special Enrollment Periods (SEPs): Life events such as moving or losing coverage may qualify you for a SEP, enabling you to enroll or make changes outside the usual periods.
If you're uncertain about the right time to enroll, Call HealthCompare (our trusted enrollment partner) at 1-833-748-3201 (TTY 711) for guidance from a licensed insurance agent.
How to Sign Up for El Paso Health Total
Joining El Paso Health Total is straightforward. Here are the steps you can take:
- Online: Use our online enrollment partner's Secure Online Enrollment Form to sign up.
- By Phone: Reach out to HealthCompare (our trusted enrollment partner) at 1-833-748-3201 (TTY 711). A licensed insurance agent will help you with the enrollment process and answer any questions you might have.
- Through Medicare.gov: Enroll directly through the official Medicare website. Visit Medicare.gov, log in or create an account, and follow the steps to join El Paso Health Total.
- Direct Enrollment: You can also choose to enroll directly with El Paso Health Total. The contact information can be found below in the "Contact" section.
Make sure you enroll during the appropriate period to activate your coverage as soon as possible.
Here are some of the most frequently asked questions people have about plan ID H3407-002-0:
How much does H3407-002-0 cost per month?
Members pay their Part B premium and the plan's of $0.00 per month to be in this 2026 plan.
What is the annual out-of-pocket maximum on this plan?
Your costs top out at $4000.00 (for in-network services) in 2026; after that the plan pays 100% of covered services.
How much do I pay before drug coverage starts?
You’ll pay the first $425.00 in drug costs before coinsurance kicks in.
What’s the CMS star score for El Paso Health Total?
The latest CMS score is ★0.0 out of 5 stars; anything 4 or higher earns quality bonuses.
How many people are enrolled in this plan?
As of last month, about 0 beneficiaries are enrolled.
Contact El Paso Health Medicare Advantage
| Contact Type | Details |
|---|---|
| Website: | El Paso Health Medicare Advantage Plan Page |
| New Members: | Coming soon |
| Existing Members: | Coming soon |
| Plan Address: | Coming soon |
If you're eligible for Medicare but haven't enrolled or need to verify your enrollment status, visit the Social Security Administration website. For more information about Medicare Advantage, visit medicare.gov.
- CMS.gov, Landscape Source Files — Last accessed September 26, 2025
- CMS.gov, Medicare Part C & D Performance — Last accessed October 10, 2025
- CMS.gov, Plan Benefits Package — Last accessed October 14, 2025
- CMS.gov, Monthly Enrollment by Contract/Plan/State/County — Last accessed October 13, 2025
Learn more about how we use CMS data.
- El Paso Health Medicare Advantage, https://ephmedicare.com/ — Last accessed October 13, 2025
- CMS.gov, "Medicare Advantage Plan Fact Sheet" — Last accessed 25 May, 2025
- Medicare.gov, "Joining a plan" — Last accessed 25 May, 2025
- Medicare.gov, "Your coverage options" — Last accessed 25 May, 2025
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Page content managed by David Bynon, Medicare Analyst.
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