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.
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?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $12.80 | $7.30 | ▼down $5.50 |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Hospital stay, in network (best in its area) | not filed | $2,241 a stay | changed |
| Eyewear, yearly limit (best in its area) | $250 a year | $200 a year | ▼down $50 |
| Drug tier 2, generic | 20% of the cost | 25% of the cost | ▲up 5 points |
| Drug tier 3, preferred brand | 20% of the cost | 25% of the cost | ▲up 5 points |
| Drug tier 4, non-preferred drug | 30% of the cost | 27% of the cost | ▼down 3 points |
| 14 lines do not change | |||
| Part B premium reduction, monthly (best in its area) | none | none | no change |
| Primary care visit (best in its area) | 30% of the cost | 30% of the cost | no change |
| Specialist visit (best in its area) | 30% of the cost | 30% of the cost | no change |
| Emergency room (best in its area) | 30% of the cost | 30% of the cost | no change |
| Medical deductible, in network (best in its area) | none | none | no change |
| Skilled nursing facility, in network (best in its area) | not filed | not filed | no change |
| Ground ambulance, in network (best in its area) | 20% of the cost | 20% of the cost | no change |
| Comprehensive dental, yearly limit (best in its area) | $1,000 a year | $1,000 a year | no change |
| Hearing aids, yearly limit for both ears (best in its area) | not offered | not offered | no change |
| Over-the-counter items, yearly (best in its area) | not offered | not offered | no change |
| Counties served | 46 | 46 | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | no change |
| Drug tier 6, select care drugs | $0 | $0 | no 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?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | 20% of the cost | 25% of the cost |
| Tier 3 | Preferred Brand | 20% of the cost | 25% of the cost |
| Tier 4 | Non-Preferred Drug | 30% of the cost | 27% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 25% of the cost |
| Tier 6 | Select 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
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
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?
- Other 2027 plans in Greenville, SCWhere most of its members live; premiums and limits side by side
- Every Molina Healthcare of South Carolina plan for 2027Its contracts, counties and plans that end
- Is your prescription covered?Coverage share and tier for 2,259 drugs
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.