Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
American Health Plan of Missouri, Inc. (H4490)
H4490Contract
A company of Mitchell Family Office, sold as American Health Advantage of Missouri
2 plans in 2027 (2 in 2026) · 822 members in September 2026
American Health Plan of Missouri, Inc. is the Mitchell Family Office company that holds Medicare contract H4490, sold as American Health Advantage of Missouri. In 2027 it offers 2 plans (2 in 2026); every one of its 2026 plans continues in 2027. 822 people were in its plans in September 2026.
What plans does H4490 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| American Health Advantage of MissouriH4490-001 | HMO I-SNP | $18.40 | $9,850 | 50 counties | renews in more counties |
| American Health Advantage of Missouri ChoiceH4490-003 | HMO I-SNP | $18.40 | $9,850 | 50 counties | renews in more counties |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is not rated (too little data) (health plan not rated, drug plan 2.5 of 5). Of its 11 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Rating of Drug Plan | 2 |
| Medication Adherence for Hypertension (RAS antagonists) | 2 |
| Medication Adherence for Cholesterol (Statins) | 2 |
| MTM Program Completion Rate for CMR | 2 |
| Highest-rated measures | Stars |
|---|---|
| Medication Adherence for Diabetes Medications | 5 |
| Osteoporosis Management in Women who had a Fracture | 5 |
| Care for Older Adults – Pain Assessment | 5 |
| Care for Older Adults – Medication Review | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All American Health Advantage of Missouri plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter