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Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Molina Medicare Complete Care Plus, 2027

H8176Contract004Plan

HMO D-SNP · special needs plan, dual-eligible · 46 counties in South Carolina

Run by Molina Healthcare of South Carolina,inc (contract H8176), sold as Molina Healthcare of South Carolina, owned by Molina Healthcare, Inc.

Renews for 2027

2026 star rating, contract H8176: 3.5 of 5

Molina Medicare Complete Care Plus (H8176-004) costs $7.30 a month in 2027, down $5.50 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it. The plan files its benefits in parts for different counties, so lines marked ◆ show the most generous part of its area and some counties get less: the plan's Evidence of Coverage gives your county's amounts.
What you pay or get20262027Change
Monthly premium$12.80$7.30down $5.50
In-network out-of-pocket limit$9,250$9,850up $600
Drug deductible$615$700up $85
Hospital stay, in network (best in its area)not filed$2,241 a staychanged
Eyewear, yearly limit (best in its area)$250 a year$200 a yeardown $50
Drug tier 2, generic20% of the cost25% of the costup 5 points
Drug tier 3, preferred brand20% of the cost25% of the costup 5 points
Drug tier 4, non-preferred drug30% of the cost27% of the costdown 3 points
14 lines do not change
Part B premium reduction, monthly (best in its area)nonenoneno change
Primary care visit (best in its area)30% of the cost30% of the costno change
Specialist visit (best in its area)30% of the cost30% of the costno change
Emergency room (best in its area)30% of the cost30% of the costno change
Medical deductible, in network (best in its area)nonenoneno change
Skilled nursing facility, in network (best in its area)not filednot filedno change
Ground ambulance, in network (best in its area)20% of the cost20% of the costno change
Comprehensive dental, yearly limit (best in its area)$1,000 a year$1,000 a yearno change
Hearing aids, yearly limit for both ears (best in its area)not offerednot offeredno change
Over-the-counter items, yearly (best in its area)not offerednot offeredno change
Counties served4646no change
Drug tier 1, preferred generic$0$0no change
Drug tier 5, specialty tier25% of the cost25% of the costno change
Drug tier 6, select care drugs$0$0no change

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 benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
TierWhat the tier holds20262027
Tier 1Preferred Generic$0$0
Tier 2Generic20% of the cost25% of the cost
Tier 3Preferred Brand20% of the cost25% of the cost
Tier 4Non-Preferred Drug30% of the cost27% of the cost
Tier 5Specialty Tier25% of the cost25% of the cost
Tier 6Select Care Drugs$0$0

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 10 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 8 the same. On the premium, 7 plans have a lower premium, 2 the same.

Out-of-pocket limits of the 10 dual-eligible special needs plans

$0 to under $2,0000 plans
$2,000 to under $4,0000 plans
$4,000 to under $6,0000 plans
$6,000 to under $8,0001 plan
$8,000 to $10,000 (this plan)9 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 46 counties: $7.30 a month and $9,850.

South Carolina

AbbevilleAikenAllendaleAndersonBambergBarnwellBeaufortBerkeleyCalhounCharlestonCherokeeChesterChesterfieldClarendonColletonDarlingtonDillonDorchesterEdgefieldFairfieldFlorenceGeorgetownGreenvilleGreenwoodHamptonHorryJasperKershawLancasterLaurensLeeLexingtonMarionMarlboroMcCormickNewberryOconeeOrangeburgPickensRichlandSaludaSpartanburgSumterUnionWilliamsburgYork

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID
H8176-004
Legal name of the contract
Molina Healthcare of South Carolina,inc
Sold as
Molina Healthcare of South Carolina
Parent company
Molina Healthcare, Inc.
Plan type
HMO D-SNP
2026 star rating of the contract
3.5 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
Members, September 2026
3,141
Plan website, as filed with CMS
https://www.molinahealthcare.com/members/sc/en-us/

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.